Tuesday, May 12, 2020

An Overview Of The Scarlet Ibis - Free Essay Example

Sample details Pages: 1 Words: 391 Downloads: 3 Date added: 2019/08/02 Category Literature Essay Level High school Tags: The Scarlet Ibis Essay Did you like this example? The scarlet ibis is a story of a young man, who tells the story from the first-person point of view. The story is about him and his brother Doodle. Doodle was an invalid kid who was supposed to die at a very young age. Don’t waste time! Our writers will create an original "An Overview Of The Scarlet Ibis" essay for you Create order The story is set up in North Carolina in the summer of 1918. Even though most of the story talks about the narrator and his brother it also talks about the narrator pride and how everyone had something to be proud of and he was Doodle The narrator knew from the beginning that his brother could not do what all normal kids could do. Doodle had a big impact in the narrator life from early on the story to the end of the story. Many people thought that the narrator was only impacted when Doodle past away but they are wrong the narrator was impacted from early on. Doodle impacted the narrator in many ways because doodle was disabled the narrator had to carry around with doodle meaning that the narrator spent a lot of time with doodle. One thing that impacted the narrator the most was him teaching doodle how to walk it made the narrator have pride but pride isnt always good. The biggest impact is when doodle dies the narrator feels that its his fault that doodle died which was true it was the narrators fault he left doodle back in the storm knowing that his brother could not survive that there impacted the narrator a lot it change him from what I can see. A good example is when he gets on his knees and starts to cry. Stories told in the first person are easy to identify. The narrator will call him/herself I or me. In The Scarlet Ibis the first-person narrator is known only as Brother. Brother is what his brother, Doodle, called him. The story is his memory of their time together. Brother is a central narrator because hes a main character in the story. Brother tells us what happened to himself and his brother. His actions play a major role in shaping the events of the story. Notice that we say Brother is the main character, not the main character. We think he and Doodle share the starring roles, but some readers feel strongly that Doodle steals the show.

Wednesday, May 6, 2020

Rates Of Medication Errors Health And Social Care Essay Free Essays

The purpose of the research, Rates of medicine mistakes among down and burnt out occupants: prospective cohort survey by Fahrenkopf, A M et Al. is clearly stated with clear background to the survey in the â€Å" Introduction † subdivision. The survey aimed â€Å" to find the prevalence of depression and burnout and whether a relation exists between these upsets and medicine mistakes † in pediatric occupants. We will write a custom essay sample on Rates Of Medication Errors Health And Social Care Essay or any similar topic only for you Order Now Although the rates of depression and burnt outs in occupants have been extensively studied but ne’er has these two factors been quantified consistently against medicine mistake rates hence doing this research an original piece of work. The writers did non declare any struggle of involvement that may bias their research methodological analysis or decisions. However, the rubric of the paper is misdirecting as it suggests that it applies to all occupants but the writers are merely concentrating on pediatric occupants. Furthermore hypothesis of this survey was non clearly presented. What did they make? This primary survey was carried out in the signifier of cohort survey dwelling of two control groups of non-depressed and non-burnt out pediatric occupants from three different infirmaries from mid-May through the terminal of June 2003. However, research workers did non clearly warrant why the survey was conducted merely in these â€Å" three urban freestanding kids ‘s infirmary † and why informations from intensive attention units or ambulatory scenes were non included in the survey. Furthermore, there was a four twelvemonth spread from the clip of research to that of printing this paper in 2008. The consequences derived may non to the full applicable as there may hold been alterations in the environment in which occupants are in which brings about a demand for new research to determine the findings. From the direction of namelessness and confidentiality of occupants ‘ individuality it can be seen that the writers had carried out the survey with strict control. Furthermore, medicine mistake informations extractors used were incognizant of the on-going survey which farther minimizes possible prejudice that may originate during the aggregation of mistakes. However, the writers besides informed the participants â€Å" the lone case in which confidentiality would be brokenaˆÂ ¦if they were an immediate danger to themselves or others – that is, showed self-destructive or murderous ideation † and this poses a possible prejudice where participants may under study if they were of all time in such a state of affairs. Although both the quantitative and qualitative tools used in the survey through the usage of well-established questionnaires matched the survey nonsubjective and was suited for the survey design, the executing of the questionnaires for depression and fire out, in my sentiment, could hold been done better with proper psychiatric rating to minimise any prejudice from the occupants as they may either under study or over report their ain status. The writers besides did non reference when these two questionnaires were completed, the frequence of which they were done by the occupants and how they eventually came to the figure of burned out or down occupants. What did they happen? The survey found that down occupants are significantly more likely to do medicine mistakes as opposed to their non-depressed equals while burnt out was found to hold no association with medicine mistake rates. Consequences are by and large clearly reported but with some ambiguity one of the tabular arraies ( Table 2 ) provided. The writer portrayed the informations collected in the signifier of two tabular arraies and to give a diagrammatic representation of their findings, the informations were so set in four saloon graphs showing per centum with P-value. However, information in Table 2 for â€Å" Entire mistakes per occupant, by class † was presented mistakenly as it included site 3 ‘s occupants under nothing mistakes when they did non hold the informations on medicine mistake linked to the participants for that site which may do misunderstanding to readers at first glimpse. The decisions derived can non be generalized to the whole pediatric occupant population even though consequences show that the survey population was valid to fulfill the aim of the survey. The sample size and scene are unequal to claim that the findings represent the whole of pediatric occupants because the survey was merely done in urban freestanding kids ‘s infirmaries and the figure of down occupants were excessively little ( n=24 ) doing the consequences and p-value statistically important but equivocal. Regardless, the research was carried out as intended and the purposes of the paper achieved. So what? Regardless of the statistical significance, the consequences are clinically of import as it highlights the significance of depression in relation to medication mistake rates which may finally take to patient safety concerns. Several reasonable and realistic suggestions for farther research were proposed but they were non elaborated in great inside informations. The writers stated that the more research is required to â€Å" specify better how depression and burnout affect occupants and patient attention in other fortes and to specify better the insouciant relation between depression and mistakes † The writers besides acknowledge their restrictions in great inside informations during in the â€Å" Discussion † session foregrounding that they were clearly cognizant of the jobs within the survey. The survey besides adds usefully to bing cognition as it is the first to quantify the effects of down occupants to the rate of medicine mistakes and had shown that down occupants are significantly more likely to do medicine mistakes. However, it should be noted that this survey may non generalizable as it is done merely in three urban free standing kids ‘s infirmary therefore it did non account for the discrepancy in work load in different fortes and vicinity. Bibliography Fahrenkopf, A M et Al. ( 2012 ) .A Ratess of medicine mistakes among down and burnt out occupants: prospective cohort study.Available: hypertext transfer protocol: //www.bmj.com/content/336/7642/488. Last accessed 12th Dec 2012. Trisha Greenhalgh ( 2010 ) .A How to read a paper. 4th erectile dysfunction. Chichester: Wiley. p31-60. Part 2 A Report to the Minister of Health of Malaysia A survey on â€Å" Ratess of medicine mistakes among down and burnt out occupants: prospective cohort survey † by Fahrenkopf, A M et Al. A brief sum-up of the survey: This survey is carried in the United States by 9 research workers on 123 pediatric occupants across 3 kids ‘s infirmary to happen out if there is a relationship between depression and burnout to the rates of medicine mistakes. The writers identified down pediatric occupants are significantly more likely to do medicine mistakes whereas burnt out has no association to the rate of medicine mistakes. Key messages derived from the survey: High prevalence of burnt outs and depression among pediatric occupants The survey found that burnt out affected 75 % of the pediatric occupants and 20 % of the occupants were at high hazard for depression. Of the down occupants, an dismaying 96 % were besides burnt out. Depressed occupants made more than 6 times more medicine mistakes than their equals. Harmonizing to the survey, â€Å" Depressed occupants in pediatricss made more than six times the mistakes in medicine than their non-depressed co-workers † whereas burnt out had no association to the rates of medicine mistakes made. This calls for concern to patient safety as down occupants may potentially increase the figure of preventable patient mortality. Poor wellness and occupation public presentation evaluations Health and occupation public presentation evaluations conducted in the survey showed that both down and burnt out occupants scored significantly poorer. Depressed occupants were significantly more likely to describe their wellness as hapless, working in an impaired status more than twice in the old month and to describe hard concentrating at work. Burn out occupants on the other manus are significantly more likely to describe trouble concentrating on work and being worried that they are depressed. Sleep want may play a function in incidence of medical mistake Harmonizing to the survey, 47.2 % of all pediatric occupants studied reported to hold made â€Å" important † medical mistake due to kip want. This shows that the deficiency of slumber may impair the opinion of occupants and this call for concerns sing overworked occupants ‘ and their ability to supply quality attention for patients without compromising patient ‘s safety. Deductions of this survey: Bettering working conditions With about half the occupants describing that they had made important medical mistake due to kip want, the figure of work hours occupants are made to travel through at any point in clip should be reviewed to guarantee that occupants are able to supply quality attention at no via media to patient safety. As with the Health Facts 2012 released by the Ministry of Health, the current physician to patient ratio is now 1:791. A decrease in this ratio may help to distribute the work load more equally across the board which will take to a possible decrease in work hours and finally understating the degree of medical mistakes made due to kip want. Regular mental wellness showings for occupants With such a high prevalence in depression and fire out amongst occupants, regular mental wellness showing will assist guarantee that occupants who are confronting any signifier of upsets seek intervention early so as to cut down any possible side effects that may impact their ability to execute and at the same clip uphold patient safety so that medicine mistakes may be minimised to a lower limit. Further research on depression and fire out effects on occupants ‘ rate of medicine mistake in Malaya As the research was conducted in USA, the difference in vicinity and working environment could hold presented a different set of work stressors to the pediatric occupants at that place. A research conducted locally for the occupants in Malaysia will assist determine the effects of these upsets and besides assist place the cardinal countries for betterment to understate the incidence of preventable patient mortality caused by down or fire out occupants. How to cite Rates Of Medication Errors Health And Social Care Essay, Essay examples

Sunday, May 3, 2020

Social Policy on British Society

Question: Write an essay critically discusses the impact of social policy on British Society? Answer: Introduction The common problems faced by mature welfare states today are poverty, unemployment, increasing population and scarcity of resources. The main theme of social policy making in Britain is the provision of social welfare by the state (Arts Gelissen, 2002). Social policies can be defined as the programmes aimed at the enhancement of the well being and life of the individuals. In the current scenario, it is of utmost importance as it aims to uplift the status of the people and provide desirable way to the economy as a whole. Historical Influences The United Kingdom was once known as the Land of Rising Sun as it ruled more than half the World. Nevertheless, post the World War II slowly Britain started losing and freeing economies that proved that Britain had lost its Superpower status. The World War II had a major drill on the economy and the Labor Party had to impose severe restrictions to improve the financial health, as the Treasury was almost bankrupt. It took nearly a decade to return to the pre-world war prosperity levels. The first most important reform was the National Health Service in 1948 that aimed at providing free medical aid to everyone especially the poor and the nationalization of various industries. Over the years, Britain has continued to focus on the health, poverty, education and employment issues (Dean, 2006). The Beveridge Report was considered the Bible for Social welfare. The level of success and significance of this report is seen further. Socio-Political Influences Economic Climate Clement Attlee, the Labor Prime Minister was faced with the challenges of national planning for which reforms like more taxes for the rich, expansion of the welfare state, and providing free medical aid for everyone were the prime focus areas. The election of Winston Churchill ploughed back the faith in the institution of social welfare (Zeitlin et. al, 2005). The nation building process proved successful for a few years until Britain realized that it cannot afford to support such a massive population and so this led to colonization (Mau, 2003). Margaret Thatcher was the next most influential leader who introduced initiatives like deregulation, making labor markets accessible and flexible, privatization of state run and state owned enterprises, reducing the influence of the trade unions, so on and so forth. Thus, we can see how various rulers to ensure the public good at all times implement the social welfare policies (Dean, 2006). This reflects the importance of social policy and is evident that the policy was considered at all times. Right Left Ideologies The Right is supposed to be the Party of Order (Conservative Party or UKIP) and the Left is supposed to be the Party of Movement (Labor Party) with an aim to address the complex issues of social, economic and political dimensions. Left Wing is more progressive with laws on the good welfare system, healthier people and protection of women and minorities. The Right Wing believes in economic freedom, equality and survival of the fittest. Hence, a strong impact is by the right wing is seen (Kleinman, 2002). Consider the impact of Beveridge Report and its implications today On 1 December 1942, the Beveridge report was published by the Parliament and it stressed on the functioning of national insurance where flat rate was of main use, paid by the contributions of flat rate, would help during the time of old age, ill health and unemployment (Gallie Paugam, 2000). After 70 years it was seen that such factors were clearly spotted in the welfare state. The National Insurance is still entrusted with the task of entitlement to jobseeker allowance, support allowance, etc. (Ebbinghaus Mannow, 2001). Still such a happening is infused with complexity. The Basic State Pension (BSP), that is endowed with so many benefits and has taken a place of special importance for contribution has taken a universal role. BSP entitlements were set up by those who looked for the unemployed, the sick and those having a soft corner for children. In the current scenario, very little similarity is seen as compared to the system witnessed in the Beveridge Report. Till a certain extent, it can be remarked as the difference that exist between the scenario in which the report was made and the world in which we live in. the proposals were mainly for a country in which for the major extent the only lone parents were widows and the expectancy were lower as compared to the pension age. In the current scenario, UK is totally a different destination. In 1949 the percentage of working age men was 96% , but fallen to 76%, on the other hand working age women percentage has risen from 40% to 66%. When the reports were prepared, the report was lower than one in 20 births was married outside; and presently more than one in five children is brought up with a single parent. The life expectancy has enhanced from 63 in 1940 to 78 in 2010, on the other hand the male state age pension is the same provided in the Beveridges day. The variations in the employment, family composition, and longevity exposed the disadvantages of the report. A system related to the contributory mechanism cannot accommodate groups in seek of help, but apart from the contribution history like lone parents and the unemployment in the long-term (Eilperin Mufson, 2015). Challenges The history provides a strong statement that sheds light on the recognition of the welfare system to be adapted in a manner that adheres to the changes (Eilperin Mufson, 2015). The amounts paid to the social insurance framework are mostly looked upon as an additional tax burden. Even after 70 years of the Beveridge Report, there is a strong challenge for the government because big choices need to be fulfilled; that will enable strong cut to the budget of the security budget. Such decision needs to be implemented with long-term perspective and to enhance the system that can be affordable, as well as effective in nature. Factors influencing the Social Policies Social Policy makers are influenced by main factors, including the media, political ideologies, pressure groups culture, and the economy. Over years, the technological advancement has also led to better services and so the social policies are to be altered accordingly (Spicker, 2015). As the Beveridge Report failed due to the factors listed above. Illustration of Present day policies for Health: The Public expenditure on healthcare is close to 7.8% of the total Gross Domestic Product. According to the 2014 Report, the healthcare system of United Kingdom is placed first in terms of Quality of care, Efficiency, Equality and access to healthcare. The NHS provides the primary healthcare facilities whereas the hospitals provide specialized facilities (Spicker, 2015). NHS has also introduced Telephone advisory services for non-emergency medical aid, guidelines for best practices and cost control. This is of immense benefit to the citizens and helps to promote the economy. Conclusion The role of national government as well as EU in development of social policy is the major point of attraction. Colonization has been done and different polices has been framed by different countries, but the role of the European Union has been huge, It has contributed towards the welfare of all countries and this is highlighted by the similarity in the services, as well as facilities that are offered by the NHS and the comparative standards that are set by all the countries (Spicker, 2015). Majorly, the welfare of the European Union is taken into consideration and the polices are drafted keeping this viewpoint. References Arts, W. and Gelissen, J 2002, Three worlds of welfare capitalism or more? A state-of-the-art report, Journal of European Social Policy, vol. 12, no. 2, pp. 137158. Dean, H 2006, Social Policy. Cambridge: Polity Press. Eilperin, Juliet, Mufson, Steven 2015, Obama calls for social policy changes in wake of Baltimore riots, The Washington Post. Ebbinghaus, B. and Manow, P 2001, Comparing welfare capitalism, London: Routledge. Gallie, D. and Paugam, S 2000, Welfare regimes and the experience of unemployment in Europe, Oxford: Oxford University Press. Kleinman, M 2002, A European Welfare State? European Union Social Policy in Context, Houndmills: Palgrave. Mau, S 2003, The Moral Economy of Welfare States. Britain and Germany compared, London: Routledge Spicker, Paul 2015, An introduction to Social Policy, viewed 26 January 2016, https://www.rgu.ac.uk/ Zeitlin, J., Pochet, P., Magnusson, L 2005, The Open Method of Coordination in Action: the European Employment and Social Inclusion Strategies, Brussels: Peter Lang.