Essay on First Union Case Study - 1750 Words

First Union: An Office Without Walls Introduction The purpose of this paper is to analyze the Integrative Case 5.0, â€Å"First Union: An Office Without Walls,† found on page 589 of the text book Organization Theory Design, by Richard L. Daft, and to respond to the questions relating to the case study. Problem Statement First Union Federal is a large savings and loan banking organization at which Meg Rabb has been employed with since she was 18. Meg has been recently promoted to Vice President of her division after serving the last five years as assistant V.P. At the time Meg was hired as an assistant V.P. there had not been a single female in the position of V.P. After a week in her new position, Meg was notified by her boss Dan†¦show more content†¦Disregard to ethics threats substantial harm to reputation and to other significant intangible corporate assets – including employee morale and productivity. The outcomes of unethical behavior can affect an organization’s ability to survive (Doorley Ga rcia, 2007, p. 30). In addition to these contributing factors, Meg was the first person to fall victim to strict adherence to the miscalculation of her office size. Not only that, but shortly before her promotion, the EEOC put pressure on First Union to hire female executives since none had been put in place. Meg was the first of her kind. The EEOC was trying to encourage diversity management. Diversity management is defined by the Government Accountability Office (GAO) as a practice intended to produce and maintain a positive work environment that recognizes the value of individuals’ similarities and differences, so that everyone can reach their potential and make the most of their contributions to an organization’s strategic goals and objectives (GAO, 2013, p. 5). What are the forces for cultural change at First Union? Cultural changes will need to start from the top down. According to Daft (2013), culture changes refer to changes in the values, attitudes, expectations, beliefs, abilities, and behavior of employees such as the mindset of the organization (p. 435). Miller and Tucker (2013) suggest the senior leadership must set the tone at the top for integrity and ethics including diversity (p. 56).Show MoreRelatedCase Study: Union Baristas at Starbucks? Essay906 Words   |  4 PagesCase Study: Union Baristas at Starbucks? Case Study: Union Baristas at Starbucks? After I read the case study what I had gained from reading it is that Starbucks does not want their employees under any circumstances to become unionized. The IWW believes that Starbucks does not treat their employee fair and equally because of the 42 percent of employees have company provided health insurance which is a lower percentage than Wal-Marts 47 percent. 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Different Styles Of Verbal Communication - 862 Words

There are many various styles of verbal communication. One style use is the passive style which is use when the patient finds it difficult to express his/her feelings and emotions. The use of words and body language are always recognize. Another style that is use is†¦ There are four different types of verbal communication. There is the verbal, nonverbal, written, and visual ways of communicat. Verbal include sounds, words, language, and speaking. This communication help express feeling and emotions. Second comes the nonverbal communication which is communicating without having to use word. This involves tone of voice, touch, expressions, sign language, and body language that are form of commutating nonverbal. Some of the styles of verbal communication is assertive, aggressive , and passive-aggressive. Some of the types of verbal communication is oral or written communication(Mayo Foundation for Medical Education and Research,2015). The element of the sender-receiver model of ora l communication involves sending and receiving messages. The sender begins the communication cycle creating the message to be sent. before sending the message the sender observe the receiver to determine what words to use or, and the best way to send out the message. The receiver interpret the meaning of the message, The receiver also is aware of the tone, pitch of the voice, and speed. The active listening techniques is when the listener is hearing to the patients because sometime they just want toShow MoreRelatedCommunication in Criminal Justice742 Words   |  3 Pagescandidates to possess strong oral and written communication skills. The essence of communication is the conveyance of a message from sender to receiver. Often times you will find that there is interference that may hinder your communication with the receiver. 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Study Drugs and College Students Free Essays

A. â€Å"As my classes started adding up my junior year, I seemed to have an immense amount of work and absolutely no time to do any of it. I had always heard about people taking Adderall to focus, study longer, stay awake. We will write a custom essay sample on Study Drugs and College Students or any similar topic only for you Order Now Essentially, to create the time that they needed. So, as the workload piled up, my search for Adderall began. Within twenty four hours I had five pills in my hand, costing me a mere five dollars. Five dollars for an A on an exam didn’t seem as if it were any kind of price to pay at all (In Their Own Words ‘Study Drugs’, 2012). B. We will now learn what types of study drugs are out there, why students take these drugs, and what types of effects these drugs have on students long and short term. II. What are the drugs that students use to help them in their studies? A. The most commonly used study drug is Adderall (mixed salts amphetamine) 1. â€Å"Adderall is indicated for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children ages three and older; it is also indicated for narcolepsy. † (Editorial Board, 2012) 2. Adderall works by stimulating the central nervous system, which increases mental awareness and also causes sleeplessness (Adderall (CII), 2010). B. Other commonly used study drugs are Ritalin, Concerta, Focalin, and Vyvanse. C. These drugs have similar effects in that they are classified as Psychostimulants, which raises the user’s blood pressure and increases focus. (Desantis, 2010) III. Because these drugs work in increasing alertness and decreasing fatigue students use them. A. A 2008 study by Alan DeSantis the head of Communications at the University of Kentucky said, â€Å"81% of students believed that the use of study drugs had little or no physical risk† (Desantis, 2010). B. The pressure put on students to get good grades is a reason that students look for ways to help them in their studies. C. The Exponent reported that almost 3% of college students admitted to taking stimulants without a prescription to improve academic performance (Adderall abuse during exams should be cheating, 2013). IV. Because Drugs work effectively they have the potential to be harmful and addictive. A. Study drugs such as Adderall and Ritalin are amphetamines and can cause irregular heartbeats, high blood pressure, loss of appetite, and sleeplessness (Adderall (CII), 2010). B. Another side effect of continued use is the inability to reach the same stimulation from everyday things (Adderall (CII), 2010). C. Because most of the study drug users don’t have a prescription for the drugs, they don’t know the dosages or how much to take (Review Staff, 2010). V. Conclusion A. Not only are students willing to break the law by using these medications without prescriptions, but some even crush the pills up and snort them. B. All drugs that alter your mood have the risk of addiction, even if they are prescription drugs. C. The chemical compositions of meth and Adderall are only differentiated by one hydrogen bond. Works Cited (2010, May). Adderall (CII). Food and Drug Administration. Retrieved July 1, 2013, from www.accessdata.fda.gov/drugsatfda_docs/label/†¦/011522s040lbl.pdf In Their Own Words ‘Study Drugs’. (2012, June 9). New York Times. Retrieved from http://www.nytimes.com/interactive/2012/06/10/education/stimulants-student-voices.html?_r=0#/#1 Adderall abuse during exams should be cheating. (2013, March 22). The Exponent. Retrieved June 30, 2013, from http://www.purdueexponent.org/opinion/editorals/article Desantis, A. D. (2010). †Adderall is Definitely Not a Drug†: Justifications for the Illegal Use of ADHD Stimulants. Substance Use ; Misuse, 45(1/2), 31-46. Editorial Board. (2012, July 19). Use of ‘study drugs’ gives unfair advantage. Iowa State Daily. Retrieved June 30, 2013, from http://www.iowastatedaily.com/opinion/article Review Staff. (2010, November 16). Adderall not a safe studying aid. The Review (University of Delaware). Retrieved July 2, 2013, from http://www.udreview.com/editorial/adderall-not-a-safe-studying-aid How to cite Study Drugs and College Students, Papers

Health Promotion and Palliative Care †Free Samples to Students

Question: Discuss about the Health Promotion and Palliative Care. Answer: Introduction Palliative care in health care sector refers to the interdisciplinary medical specialty. These medical specialties focus on prevention and relieving of suffering, pain, and on sustain the ideal value of life for older patients along with their relatives facing severe complications of health. The original belief of palliative care and management of symptoms focus on the establishment and implementation of care plans in keeping with the values and preferences of patients. Therefore, palliative care in facilities for inhabitant aged care helps in the provision of consistent and sustainable communication among patient and all those people involved in caring for the older people who are sick or those who are about to die (Fernando, 2012). The care by different health professionals in these residential aged care facilities focuses on the provision of spiritual, practical, as well as psychosocial support to elderly patients and their relatives who are assisting in the delivery of attention. The palliative care among patients in Australia aims to relieve their suffering at all stages of occurrence of disease, but the care is not limited to ending of life care only (Ashley, 2011). Therefore, this paper explores concepts of palliative care approach in residential care in Australia while demonstrating synthesis of this method with evidence about its application in practice and policy. Australia as a country remains to be a nation with the relatively small and varied people. Calming care among seniors is deliverable through the series of professional from practitioners, relative and conventional mind nurses to massive tertiary recommendation services of calming care. The original state palliative care standards in Australia represent the set of philosophical standards while reflecting the need at the time to aid in promotion and articulation of the vision for the compassionate and proper ending of life care. Therefore, being with few older people, Australia is still lagging behind its fellow OECD nations in the stipulation of home-based calming care. According to Stephenson (2012), calming care remains to be an important public health issue in Australia. The approach of care for aged persons in residential care facilities concerns with the suffering, the dignity, the need of attention, along with the quality of lives of such individuals. Moreover, palliative care a pproach in Australia concerns with the care together with the support of their relatives and friends (Short, 2011). Therefore, palliative care approach is mostly the neglected topic in Australia, but it is one of the issues relevant to everybody in the region. Palliative care approach has resulted in increasing the overall life expectancy in Australia. For instance, the overall expectancy of life among people is increasing in Australia as well as other developed nations. More and more people have been able to tom live beyond sixty-five years of age due to the development of residential aged care facilities that make the application of palliative care to be easy among old persons. Ass part of the population in Australia are aging, the pattern of disease people suffer and die from is also taking drastic changes (White et al., 2011). The past decades before the development of palliative care approach, Australian population saw the dramatic increase in rates of decease from different communicable diseases in childhood along with childhood. Moreover, several individuals losses their lives at earlier stages following various poor health resulting owing to severe chronic situations that founded the extensive choices of social, mental, and psychol ogical tribulations. From To Bougheys (2013) report, systems of health in Australia have been able to focus on the establishment of palliative care approach in facilities for offering care for the aged to assist in meeting the needs of different older people. They address the desires of these individuals by helping in tumbling cases of pain and sustaining individuals of all age groups to exist well and preserve their excellence of life for provided they can. Palliative care has helped in caring for aging persons because as citizens come nearer to their demise, their indicator changes drastically and their want to interact with their relatives, associates, and medical practitioners also amendments. Therefore, the process of coming to the end of life remains to be ab intensely personal event that can be physically and emotionally demanding. Palliative care approach often provides help that the patients and their relatives need when they allow the rapid response as the need for different people increases (Hardy Currow, 2012). These requirements comprise of control of symptoms, comfort, sensitive communication, ensuring proper pain management, precise information, and the coherent package of care. These measures set in place within the palliative care approach in Australia assist people to live meaningfully until the end of life as well as supporting their relatives afterward upon their recovery. Even though older adults die, palliative car e approach in caring for the aged in residential facilities helps in the stipulation of much better being and conditions for recovery, management of pain, and well-being. The method can be applicable in planning for the appropriate treatment towards the end of life. The approach also is essential as it helps in anticipating the comfort patients and their relatives might find in religious along with cultural beliefs (OConnor, 2016). Besides, Australian healthcare systems lack an option of prevarication of activities involved in the provision of calming care in residential aged mind units for patients and their relatives or friends. Therefore, several people are already in need for better care towards the ending of existence within facilities for residing by the aged persons in Australia (Bradleys, 2011). The provision of palliative health care ensures that the Australian health care systems need to plan for the current care that they might need in their future endeavors. Models of health services delivery for older people in Australia Palliative care approach in Australia remained to be the appropriate model for care delivery among the patients in facilities for caring for the aged people. The plan has centered on needs of patients, their relative, and their friends at the ending of life. Besides, the models of health service delivery for elderly individuals within the facility for caring for the older adults in Australia comprises of models like wellness, user-pays, management of the case, along with active aging world health organization. The model of WHO aid in improving the value of patients life along with their relatives that face the same issue linked with life-soothing sickness (Silvester, 2011). The improvement value of life comes during avoidance and assistance of suffering during initial recognition of the issue affecting the person. It also comprises of flawless evaluation and handling of ache and other issues, physical, spiritual, and needs that are psychosocial (McGrath, 2013). The model of wellbeing ensures that the healthcare professionals can have skills for the provision of specialized medical care for patients with serious health complications in Australian society. The well-being model focuses on the delivery of the patient with relief from the pain, severe symptoms, and stress of the severe illness. Therefore, the model proposes for whatever diagnosis to help in improving the conditions of aging people within the residential aged care facilities. The goal of every model of health delivery services for older people within the residential aged care focuses on the upgrading of the value of life. They concentrate on civilizing the value of life for the patient, relatives, and their friends who might be having the responsibility to look after the sick when the health professionals are away to perform other duties. Therefore, palliative care aid in the provision of approaches that help in improving the quality of lives for such individuals. As reported by Gakh (2015), provision of palliative care by the health professionals like nurses, doctors, and another specialist who collaborates to work as a team with patients other doctors help in the provision of the extra layer of support. The collaboration facilitates the process of provision of an additional layer of support to every stakeholder like health professionals, patients, and their relatives in improving the quality of life (Halkett et al., 2013). It is, therefore, appropriate for any age group and at any stage in the serious illness to provide curative treatment to better lives of patients. Palliative care delivery can be profitable in the hospital, ambulance setting, nursing home, or at patients homestead. Besides, palliative care in Australia for homeless persons has remained as an important factor for the population around the nation. The provision of palliative by physicians or advanced nurse in Australia is reimbursable by the government along with commercial insurance sectors (Smyth, 2011). The delivery of health services may be under the specifications of hospice in the case when the patient has the prognosis of almost six months and is willing to focus care on palliative. The patient can also be prepared to concentrate on comfort-oriented services as opposed to treatments that are life prolonging. Hospital-base palliative care programs Hospital palliative care in Australia developed from national efforts to improve spiritual, physical, and psychological suffering of patients along with their relatives hospitalized with severe illness. Bradleys (2011) reports that in Australia, the number of hospitalized based palliative care programs has increased rapidly. The models of hospitalized based palliative care approach service comprise of the palliative care consult service, integrated palliative care, and dedicated palliative care unit models. Consultation services in residential aged care facilities refer to interdisciplinary and consist of physicians like specialists, generalists, and psychiatrists. It also includes nurse practitioners, social employees, registered nurses, chaplains, psychologists, volunteers, and pharmacists (Evan, 2013). Therefore, palliative care approach provides expert pain and management of symptom, communication, and education about achievable targets for health care. Moreover, the goals of the consultation service are to help in the provision of support to the referring clinician. Usually, consultation team provides necessary recommendations to the primary attending physicians. The program allows the palliative care providers to either assume main tasks for their patients in residential aged care units. The providers can also expect to continue in the consulting mode as desired by the first health professionals. Therefore, transfer of the patient to the palliative care unit continues to be the most appropriate idea following indications. It can help patients who have difficulties to control symptoms, medical requirements that cannot be manageable in another setting, and distressed family in need of the higher level of health support. As reported by Mills Mills (2016), high volume palliative care approach may assist in reducing costs incurred during hospital care by matching treatments provide to sick persons and relatives to help in determining goals for health care. Additionally, comanagement models of palliative care results due to the increasing number of integrated models. Successful models for integration of medicine in palliative care approach remain s to be the intensive care unit. Currently, surgical and trauma cases that need intensive care have existed in many hospitals in Australia (Kerr, 2013). These intensive care units focus on how to improve the quality of dying patient who is often preferable to hospitals when there lack improvement and have serious health complications of care in residential amenities. From Smyth (2011) study, models of integrating calming care approach into emergency departments focus on several services. These services include education of urgency room staff on management of symptoms, planning for advanced care, palliative care differs for consultation, and advanced care is planning to access palliative medicine specialists for consultation purposes. Rationale for palliative care approach in Australia The provision of quality of health in residential aged care remains to be tough for health practitioners. Some of the factors that lead to such difficulties among the aging population in Australia include the need to use and achieve the success of high-technology medicine at prolonging lives of the individuals who remain to have severe illness and the increasingly fragmented health system in the region. From Ashley (2011) investigation, a multicenter study that comprises of at least nine thousand severely ill patients in residential aged care facilities in Australia found that cases of pain, depression, anxiety, and dyspnea to be the standard and distressing symptoms among the critically ill patients. Some of the studies that followed this conclusion in the Australian tertiary care centers also conclude the same effect to affect the provision of healthcare in the region. In most cases, soothing care within amenities for provision of care among elderly adults in the area strives to as sist patients with a severe or life-threatening illness. The approach supports such patients to achieve several goals in for their wellbeing. Some of the goals include achievement of a sense of control and adequate control of pain and other health symptoms (Hudson, 2011). Palliative care also aims to relieve the burden of the family member and to strengthen relations between the patients and their relatives. It also helps the patients and their relatives to gain the realistic understanding of the nature of the illness and their future expectation. Therefore, palliative care assists in improving the knowledge of the advantages and disadvantages of available treatment alternatives while weighing them in the context of goals and values of patients admitted in amenities for provision of care among elderly adults. Palliative care also helps in naming the decision makers in cases of loss of decisional capacity (Jane, 2013). It also helps the patients, their families, and their friends who are responsible for the wellbeing of the sick person to have their financial affairs in order during such hard moments. Strategies to reform in the delivery of aged care services The policy makers must be ready to invest their resources towards providing public funds to help in boosting operations among the medical staff. The study by Parker Clifton (2014) has shown that across the range of severe illness like cases of dementia, cancer, end-stage renal disease, and kidney failure, the use of palliative care approaches can aid in improving patients symptoms. Palliative care approaches in such situations of severe illness help in improving the value of care towards patients at dying moments. Therefore, the palliative approach allows patients within the facilities of residential aged care to avoid hospitalization and to remain safely and receive adequate care from their homes. The approach helps in increasing the utilization of hospice thus leading to better patient and satisfaction of family members (Pearson et al., 2016). Moreover, palliative care approach to the amenities for provision of care among elderly adults in Australia helps in reducing cases of prol onged grief and posttraumatic disorder of stress among the family members who are grieving the loss of their loved ones. In most case, calming approach to worry for the elderly and dying persons at the surban aged worry unit help in lowering the costs of delivering care matched to patients and the needs of their relatives (Short, 2011). The approach enables occurrence of cases of avoidance of unnecessary hospitalization, diagnostic, treatment, interventions, and development of emergency departments for the provision of adequate care to patients. According to sediments by Wilkinson Fullerton (2012), patients hospitalized in intensive care units tend to receive benefits of early proactive involvement of palliative care. Such care comprises of more along with previous meetings of relatives at the ICU section and shortening the length of staying when the sick person is under intensive care. The implementation of palliative care procedures among aged care sector aims at proper design an d installation of equipment that enables medical professionals to admit patients quickly with proper documentation of every treatment they give to the sick person. Appropriate strategies facilitate the provision of the palliative care method to be efficient. Health sector within Australia have to be in a position to that can help them to plan and budget for every operation within the facility of residential aged care. Contemporary aged care issues Different problems affect the provision of calming care to sick persons and their relatives in residential aged care units. Some of these matters comprise of legal, political, ethical positions, and philosophical factors. The changing disease patterns in the society form another contemporary issue. Palliative care has anciently offered to people who have cancer and other severe illness, but persons above sixty-five years of age are more likely to die from serious life threatening condition like kidney failures and heart attacks. Proper meeting of the needs of older adults in the future needs the administrations within the health sector to improve and widen the access to palliative care. The idea can include people dying from the disease other than cancer and who have several illnesses. The Australian should be able to provide proper policies that allow implementation of palliative care in the health sector (Sallnow et al., 2016). The government can commence their development plans of its palliative care strategy through endorsement by health authorities. The state is calming care plan that assists general advances to occur in the remit of operations along with areas of medical systems (Palliative care nursing in Australia in a time of national health and hospital reform by David Stephenson, 2011). Availability of funding, relevant philosophical factors, and legal stands are necessary for implementing various activities towards the provision of soothing approach for elderly persons within the residential aged care facilities. The political values for calming care in housing aspire to increase the value of life among patients and their relatives (Stephenson, 2012). Political issues within the care sector need to target focus on the provision of the healthy operating environment. The contemporary issues should receive proper care to help the Australian health sector to compete with the regulation of attention to the increasing number as well as the insight of calm ing care patients, as the population continues to grow in areas. Conclusion Management of residential aged care team in Australia requires a significant set of business along organizational knowledge. Guidance to requirements leads to the creation of various amenities by Australian administration and frameworks of business that enable the process of systematic operations regarding management and development. The people concerns with the whole process of development of palliative care in residential aged care team must comprise of proper skills, desirable, and organizational understanding that are essential in improving provision of health services. The operations of hospital need to follow guidelines based on the delivery of soothing concern in residential elderly care team. The idea assists towards the reinforcement of recommendations that aids in improving the sanitary conditions of sick persons within residential aged care and their relatives. Therefore, palliative care approach helps in articulating the needs of the dying population for what they focus o n attaining dying moments. The implementation of calming care approach in Australia and any other nation around the world must focus on the provision of services in the range of setting that comprise of the aged care homes and palliative care units. References Ashley, C. (2011). Handing over the reins - establishing long-term strategies for embedding advance care planning in rural and remote communities in Australia. BMJ Supportive Palliative Care, 1(1), 75-75. https://dx.doi.org/10.1136/bmjspcare-2011-000053.33 Bradley, S. (2011). 'I know I should, but I haven't': advance care directive decision-making by baby boomers in South Australia. BMJ Supportive Palliative Care, 1(1), 106-107. https://dx.doi.org/10.1136/bmjspcare-2011-000053.143 E Evan, E. (2013). A Qualitative Approach to Understanding Quality of Life in Pediatric Palliative Care. Journal Of Palliative Care Medicine, 01(S1). https://dx.doi.org/10.4172/2165-7386.s1-005 Fernando Jurez. (2012). A statistical, epidemiological and financial health approach to the retail trade sector in Colombia. AFRICAN JOURNAL OF BUSINESS MANAGEMENT, 6(16). https://dx.doi.org/10.5897/ajbm11.1911 Gakh, M. (2015). Law, the Health in all Policies Approach, and Cross-Sector Collaboration. Public Health Reports, 130(1), 96-100. https://dx.doi.org/10.1177/003335491513000112 Halkett, G., Ciccarelli, M., Keesing, S., Aoun, S. (2013). Occupational therapy in palliative care: Is it under-utilised in Western Australia?. Australian Occupational Therapy Journal, 57(5), 301-309. https://dx.doi.org/10.1111/j.1440-1630.2009.00843.x Hardy, J., Currow, D. (2012). Sector-wide approach to phase III studies. Palliative Medicine, 26(6), 864-864. https://dx.doi.org/10.1177/0269216311435269 Hudson, R. (2011). Advance Care Planning (ACP) within a palliative approach for residential aged care. BMJ Supportive Palliative Care, 1(1), 109-109. https://dx.doi.org/10.1136/bmjspcare-2011-000053.152 Jane Brooke, N. (2013). Palliative Care has a Place in Residential Aged Care. Journal Of Palliative Care Medicine, 02(02). https://dx.doi.org/10.4172/2165-7386.1000e114 Kerr, E. (2013). Back to basics: aged-related macular degeneration. Nursing And Residential Care, 15(7), 484-487. https://dx.doi.org/10.12968/nrec.2013.15.7.484 McGrath, P. (2013). End-of-Life Care in Hematology: Update From Australia. Journal Of Social Work In End-Of-Life Palliative Care, 9(1), 96-110. https://dx.doi.org/10.1080/15524256.2012.758608 Mills, S., Mills, J. (2016). Future directions for community engagement as a public health approach to palliative care in Australia. Progress In Palliative Care, 24(1), 15-18. https://dx.doi.org/10.1179/1743291x15y.0000000012 O'Connor, M., Peters, L. (2014). A Clinical Scholarship Program to improve capacity among palliative care health professionals in Victoria, Australia. Progress In Palliative Care, 22(5), 258-263. https://dx.doi.org/10.1179/1743291x14y.0000000086 O'Connor, M., Tan, H., Lau, R. (2016). Outcomes from applying a Palliative Care Satisfaction Survey Instrument in Victoria, Australia. Progress In Palliative Care, 24(2), 93-97. https://dx.doi.org/10.1179/1743291x15y.0000000008 Palliative care nursing in Australia in a time of national health and hospital reform by David Stephenson. (2011). Progress In Palliative Care, 19(1), 58-58. https://dx.doi.org/10.1179/174329111x12967522394498 Parker, D., Clifton, K. (2014). Guest commentary: Residential aged care: The de facto hospice for New Zealand's older people. Australasian Journal On Ageing, 33(2), 72-73. https://dx.doi.org/10.1111/ajag.12092 Pearson, C., Donald, E., Stajduhar, K. (2016). P335 Integrating Health Promotion and Palliative Care for a Palliative Approach: A Scoping Review. Journal Of Pain And Symptom Management, 52(6), e152-e153. https://dx.doi.org/10.1016/j.jpainsymman.2016.10.341 Sallnow, L., Richardson, H., Murray, S., Kellehear, A. (2016). The impact of a new public health approach to end-of-life care: A systematic review. Palliative Medicine, 30(3), 200-211. https://dx.doi.org/10.1177/0269216315599869 Short, C. (2011). Developing a culture of medication safety in the rural palliative care home setting New South Wales (NSW) Australia. BMJ Supportive Palliative Care, 1(1), 92-92. https://dx.doi.org/10.1136/bmjspcare-2011-000053.91 Silvester, W. (2011). Evolution of advance care planning in Australia - launching the new international advance care planning and end of life care society. BMJ Supportive Palliative Care, 1(1), 66-66. https://dx.doi.org/10.1136/bmjspcare-2011-000053.3 Smyth, D. (2011). Politics and palliative care: Australia. International Journal Of Palliative Nursing, 17(3), 153-153. https://dx.doi.org/10.12968/ijpn.2011.17.3.153 Stephenson, D. (2012). Palliative care nursing in Australia in a time of national health and hospital reform. Progress In Palliative Care, 18(6), 330-334. https://dx.doi.org/10.1179/1743291x10y.0000000007 To, T., Boughey, M. (2013). Referral patterns to a palliative care service in rural Australia servicing indigenous Australians. Internal Medicine Journal, 40(11), 772-776. https://dx.doi.org/10.1111/j.1445-5994.2009.02064.x White, B., Willmott, L., Ashby, M. (2011). Palliative care, double effect and the law in Australia. Internal Medicine Journal, 41(6), 485-492. https://dx.doi.org/10.1111/j.1445-5994.2011.02511.x Wilkinson, J., Fullerton, S. (2012). End-of-Life Care for Aged Care Residents Presenting to Emergency Departments. Journal Of Palliative Care Medicine, 02(05). https://dx.doi.org/10.4172/2165-7386.1000121

Sexual Deviances Essays - Psychiatric Diagnosis, Human Sexuality

Sexual Deviances Sexual disorders are categorized into three general groups. The groups are sexual dysfunctions, sexual deviations, and homosexuality. These are not necessary abnormal, but what is considered out of the norm by either the mental health establishment, or society, or both. The first group, sexual dysfunctions, have increased significantly over the last decade. Which, in turn, has increased the progress in the study and treatment of sexual dysfunctions. One important aspect that came out of William masters and Virginia Johnson's research is classifying the various forms of dysfunctions. Closely related is Kaplan's system which groups sexual dysfunctions according to the phase in the sexual response cycle in which they occur. There are three phases in the sexual response cycle. The first one, called the desire phase, involves sexual fantasies and interest in sexual activity. Failure to feel this in either a man or woman is called hypoactive sexual desire. The second phase is called the excitement phase. In this phase, the sexual fantasy, or encounter is usually followed by physiological changes. The absence or weakness of these responses is called erectile dysfunction (or impotence) in men, and general sexual dysfunction in women. The third phase is called the orgasm phase. This is the phase of sexual response. If the man is unable to exert control, and ejaculates very quickly, this is called premature ejaculation. If, on the other hand, ejaculation is greatly delayed, or does not happen at all, this is called retarded ejaculation. A delay or absence of orgasm in women is called orgastic dysfunction. There are two more types of sexual dysfunction that do not fit completely with this typology. The first is a female disorder called vaginisimus. This occurs when, during coitus, the walls of the vagina contract involuntarily, making insertion of the penis difficult or impossible. The second disorder is dyspareunia, or pain during intercourse. This occurs in both sexes, but is usually a female complaint. To make these types even more specific, Kaplan subdivides these disorders into two dimensions. They are primary and secondary. Primary dysfunction has been with the individual as far back as their earliest sexual experiences. In a secondary dysfunction the response has been normal on at least one occasion, but is abnormal at the time of diagnosis. Sexual inadequacy is a common fear among men and women alike. Many psychologists state that this fear is almost always present in cases of individuals growing up of strict religious orthodoxy households, and that were taught that sex is sinful and repulsive. ?One woman seen by Masters and Johnson was told by her mother on her wedding day: It would be her duty as a wife to allow her husband ?privileges?. The privileges were never spelled out. She also was assured that she would be hurt by her husband, but that ?it? would go away in time. Finally and most important, she was told that ?good women? never expressed interest in the ?thing?. Her reward for serving her husband would be, hopefully, in having children.?(Acocella 266) Sexual deviations, which are now spoken of casually, were talked about in whispers no more than twenty-five years ago. There are ten different areas of sexual deviations. These ten are: fetishism, transvestitism, exhibitionism, voyeurism, pedophilia, incest, rape, sadism, and masochism. Fetishism is the strong sexual attraction to inanimate objects. The most common objects of fetishism are women's shoes, underpants, wigs, and fur. One case was cited about a man being sexual gratified by the sight of well-formed automobile exhaust pipes. Virtually all of the reported cases of fetishism involve males. This does not necessarily mean that there are not any cases involving females, but, it just means that females are much less likely to be arrested, or even reported, than males. A woman with obvious sexual quirks or abnormalities may attract attention or scorn, but most people do not consider her dangerous. Males, on the other hand, with this behavior, tend to be viewed as a public menace. Transvestites are similar to fetishists in that they are sexually excited by inanimate objects. But, transvestites go one step further, and actually put on their fetishes, which are the clothes of the opposite sex. Because of the association with female clothing, transvestitism is easily confused with homosexuality, but they are two quite separate patterns. Some homosexuals do cross-dress, but these individuals are referred to as ?drag queens'. ?..according to one study of 262 transvestites (Buckner, 1970), the cast majority of transvestites think of themselves as heterosexuals.?(Acocella 273) Transvestitism is thought to be relatively rare, but as with female sexual aberrations, the reported rarity may be due to lack of public exposure of public alarm. Many transvestites lead quiet, conventional lives, cross-dressing in

Essay Sample on Philosophy of Supervision

Essay Sample on Philosophy of Supervision Introduction Supervision is an integral part of a job, and its presence is more than wanted for employees to complete work successfully. As such, it is crucial for a company, an institution or an establishment to setup a supervisory body not only to ensure that work is completed but also accomplish other necessary roles. Thus, supervisors need to have an implementable plan to use while at work. This allows them to plan their way around their job, and succeed in overseeing everything that matters. Moreover, supervisors work to provide the expected results to the stakeholders or management body they are working for in a clinic, for example. How and When to Implement Multiple Roles in Supervision In a clinic, the management or stakeholders employ supervisors who are in charge of other subordinate staff members. In this job position, it is expected that the supervisor checks whether the other workers are accomplishing their work as per the management’s expectations. Thus, the supervisor checks on various factors related to the work being done in the establishment. For instance, the supervisor is responsible for checking the time other staff members report for work. This ensures that all members of the workforce deliver their services within the expected period. Hence, for one to gain that position as a supervisor they have to possess various commendable qualities, for example, being diligent workers who are always on time to deliver their services as expected. When other staff members are reporting, the supervisors have to reach the place of work before everybody. This gives provides them with the opportunity to note the time when other members reported (Sarnat, 2012). Supervisors have the overall duty to check the quality of other members’ jobs. Hence, the supervisors must have the appropriate knowledge and skills to determine whether a subordinate’s work is up to standard or not. If a subordinate’s work is substandard, for example, the supervisor needs to know exactly what to adjust or ask the staff member to change. As mentioned earlier, it is essential that supervisors possess various characteristics, in this case, vast knowledge about the field they are overseeing. Such are examples of cases that prompt supervisors to exhibit multiple roles in their work. This is yet another unique feature that supervisors need to have to perform their work as expected. Moments at work change according to current conditions that may need the supervisor to implement different skills. Supervisors, for instance, need to exhibit authority in situations where confusion is thriving among the subordinates. In such times, the supervisors need to take charge of the situation and guide their subordinates accordingly. Some members of the staff may be overwhelmed by work, and a customer is dissatisfied with the services. In such a situation, a supervisor can swoop in to take care of the matter. Therefore, a supervisor needs to display flexibility at work by implementing multiple roles in their work at any time. Management also expects the same from the supervisors (Watkins, 2012). How to Build a Supervisory Alliance Supervisors need to deliver their work successfully as per the expectations of the superiors. One of the significant factors that impact the quality of the supervisors’ work is their environment. They need to work in a proper environment for them to complete and execute their plans successfully. Other members of the staff are a part of the supervisor’s environment, and it is necessary for one to know the most preferred way to deal with them. It is at this point that supervisory alliances are deemed necessary in maintaining an appropriate working environment. Supervisory alliances are forms of groupings that supervisors coin with their supervisees. The supervisees are placed in the care of their supervisors for various reasons. For example, it is important to have a leader who is ready to take control of things, in this case, the supervisor. Indeed, the supervisor has authority over other members of staff, but alliances are a preferable way for both parties to work toget her. Alliances between supervisors and supervisees work best when there are mutual agreements between the two parties. These agreements can be reached when forming the alliances. The most probable way of coming up with the alliances is the supervisor or management floating the idea to the members of staff. This is followed by collecting data and information in regards to the members’ response. When most of the members agree to create an alliance with their supervisors, the concerned parties sit for meetings. It is during such meetings that all members, including supervisors, come up with the required regulations purported to guide the way things are to be executed (Watkins, 2012). In addition, it is at this point that the two parties come to terms with the reasons behind the formation of the alliance. Taking these steps at the commencement of the alliance binds both the supervisors and supervisees to follow the rules. In case any party breaks the rules they are eligible for punishm ent without objection since they are all aware of the regulations. For example, if a subordinate staff member delivers substandard work, the supervisor has the mandate to request for an explanation from the supervisee. As such, the subordinate member is obliged to provide reasons for submitting substandard work. How to Assess and Enhance Supervisee Development Supervisors have different roles in their jobs, and guiding their supervisees is among their primary jobs. Acting as guides to their supervisees is an elaborate way of helping a clinic gain diligent workers and eventually help the establishment gain success. In addition, supervisors help supervisees know where they have made mistakes in their work. This is necessary as not all employees would work as per the company’s expectations. It is crucial for supervisors to assess their subordinates’ work, which they can do using different means. One of the common means is making direct and physical supervision of the work as it is being done. Consequently, they view the workers’ job in person. Ultimately, they can request them to make amendments or repeat the work. This is to ensure that work is completed within the company’s standards (Scott, Ingram, Vitanza, Smith, 2000). In other areas, the work done may be too large for the supervisor to make a physical visit to check whether the work done is standard or not. Such a case calls for efficient measures to keep track of the employees’ works. The supervisor may choose to scrutinize an employee’s products, but only a few samples. This way, the supervisor attains a general picture of the rest of the products. In other situations, a supervisor requests reports from the workers in concern to the work already done. Consequently, supervisors are furnished with the full details of the completed work (National Board for Certification in Occupational Therapy, 2012). In all these cases, not all the employees present commendable jobs. Such jobs need corrections and the supervisees require development. The most appropriate way to make these changes is exposing the employees to the preferred training session. Training provides employees with the necessary skills required by the clinic. Employees are taken in for a job position because they have the required skills, but these may fall short of what the employers expect. Instead of firing such employees, the employers find it preferable to take the subordinates through training. In turn, the employees hone their skills appropriately and in accordance to the employers’ expectations. Caring for employees is a sure way that employers can advance supervisee development. This is because the employees feel cared for and important to the establishment. Additionally, with such a mentality, it is clear that employees will work diligently and for the benefit of the whole institution (Milne, Aylott, Fitzp atrick Ellis, 2008). How to Monitor Ethical and Legal Compliance Clinics and other establishments often have Codes of Ethics to act as guidelines that determine how all employees function while at work. Ethical and legal compliances at work are two important factors that employees need to observe and practice. It is for the interest of the clinic and the clients that compliance of ethics must be observed. Therefore, the management has the ultimate duty of enforcing these practices and finding ways to ensure that all employees follow them. It is not easy to follow laws, but the consequences are too serious to ignore. Hence, employees at time abide by the rules to avoid facing the negative impacts. As much this may be true to many employees, it is in the interest of several employers to make the workplace as comfortable as it can be for various purposes. One of the key purposes of making a workplace comfortable is for employees to have a proper working environment. In turn, they are able to deliver their services as per their employers’ expec tations (Scott, Ingram, Vitanza, Smith, 2000). Employers have so far formulated means of helping employees work within the ethical standards provided. Use of supervisors to communicate to other employees about the ethical and legal compliances at the place of work forms a key implementation management uses to reach out to its staff members. Supervisors have authoritative capacities they can use to implement ethical standards in an establishment. The initial step the supervisors need to do is familiarize with the set ethics. With that done, the supervisors have ample knowledge to recognize when an employee has gone astray. Moreover, the supervisor will know the most appropriate means of correcting the mishap that happened. Supervisors have several ways they can use to monitor whether employees are following the ethics at work. One of the means the supervisors can use is to be physically present among the employees and make observations. In turn, the supervisors check whether the employees are acting and working as per the expectations of the employers. If they are not following the guidelines and ethics of the establishment, the supervisor has the mandate to act on the spot or later. The vital thing is to amend the situation using the correct means, for example, via word of mouth or in writing. In cases where the ethical violation is too challenging to handle, the supervisor may forward the matter to the management (Milne, Aylott, Fitzpatrick Ellis, 2008). How to Provide Effective Feedback in Supervision Feedback at work is an essential part of helping everyone work with a common goal. Supervisors expect supervisees to provide appropriate feedback to them. Concurrently, the management expects appropriate feedback from the supervisors concerning the job. In addition, feedback can be given from the management to the supervisor. The same can happen from the supervisors to their supervisees. The information provided by each party is crucial for the benefit of the institution and everyone working in it. Hence, there is a proper need for the information to be relayed effectively among the involved parties. This not only guarantees the information is relayed fast but also to the appropriate party. One of the key ways to provide effective feedback in supervision is to use a means that all the concerned members comprehend. In addition, accessibility to the means is essential because it gives the concerned parties a clear mode of acquiring the feedback. In turn, everyone is supplied with information related to the feedback and acts appropriately. The effectiveness of feedback is measured through various ways. Firstly, feedback is categorized effective if it reaches all the concerned parties. Additionally, the feedback should reach all the intended parties within the stipulated time (Milne, Aylott, Fitzpatrick Ellis, 2008). Effective feedback is also measured by the reaction of the parties who receive it. For example, if the recipient parties act according to the feedback given by the supervisor, the information relayed can be categorized as understandable. Apart from relevance, it is always necessary for the supervisor or supervisee to give feedback on time. This saves crucial time and avoids cases where the feedback loses meaning because the time to use it has elapsed. It is also vital to provide unbiased feedback at the place of work. This way, employees do not feel that the feedback given is unjust. They are able to work efficiently because the feedback targeted everyone. However, cases arise where feedback has to be directed to specific people at the workplace. It is essential for employees to recognize that such feedback is aimed at helping them become more effective at work and not a way of being biased to them. How to Balance Clinical (Client Welfare) Needs and Training (Trainee Development) Needs A supervisor in a clinical setting has the ultimate goal of maintaining the client’s welfare and trainee development. A clinic has a vital job of safeguarding its goals, which include promoting the clients’ welfare and maintaining high standards of services. Apart from that, the clinic has a crucial goal of providing the required support to see to it that the trainees work their way to become certified physicians. Thus, supervisors are a fundamental part of this journey as they keep the trainees on track. Supervisors have a duty to execute multiple roles while at the clinic, a situation best seen when they take care of trainees and the clinic simultaneously (National Board for Certification in Occupational Therapy, 2012). When clients visit the clinic, they hope to get the best services from the employees at the establishment. The supervisor expects the same from the workers. Thus, much effort is directed to ensure that the workers attend to all customers accordingly. In such situations, a trainee may be shown how to handle customers by the supervisor. However, it is essential that the supervisor and supervisee work without interfering with the client. It is challenging for a supervisor to keep track of the trainees’ progress while at the same time take care of the clients. A supervisor has to strike a clear balance between the two factors, which is best achieved by having a clear plan of handling things. This plan may involve the supervisor making observations of how the workers conduct their work. Atop that, it is necessary for the supervisor to note the strengths and weaknesses of the supervisees. Once the supervisors have ample information concerning their workers, they can sermon them at an appropriate time. The supervisors have to be meticulous not to interfere with the clients. Thus, the timing to make amendments or commend the workers needs to be perfect lest they interfere with the client’s schedule. This way, the client’s comfort and expectations are met, and the trainees’ development is maintained. As such, balance is struck between the two important factors that are vital to the functionality of the clinic. How to Demonstrate Competence in Responding To Diversity in its Many Forms in Supervision Supervisors are bound to experience diversified situations in their work because of the different supervisees they oversee. Supervisees have varying backgrounds, separate lines of thoughts, act differently at work, and respond diversely to a situation. Hence, supervisors have the ultimate duty to identify each supervisee’s characters that direct their conduct at the place of work. Comprehending these personal characters helps supervisors plan out a way that suits everyone at the clinic. Indeed, the supervisor has to be stringent in his work, but for the sake of promoting effectiveness, it is essential to leave room for understanding if a worker behaves in an unexpected manner. Supervisors demonstrate competence in responding to diversity by listening to explanations given by workers once they act in an unexpected way. Such are cases when a worker is questioned by the supervisor in concern to an inappropriate behavior or action displayed at work. The supervisor has the mandate to attain as much information as possible about an occurrence that has unfolded at work. Supervisors need to be just and offer chances to supervisees to explain their unwarranted behavior. Indeed, a clinic’s code of ethics, for example, expects supervisees to work in line with the rules. However, due to diversity, they end up functioning according to their understanding, which in this case is wrong. At this point, the supervisors need to take appropriate actions that respond to such behavior from their supervisees. Firstly, the supervisors need to identify the problem and seek a solution. Correcting the supervisees needs to be the next agenda in the plan to resolve the problems. Although the problem may be too big to handle, the supervisor needs to deal with it before handing the matter to the management. All these actions are taken as precautions to accommodate diversity and the adverse effects it has at the place of work. In addition, these actions are meant to formulate an appropriate way of resolving the issues at hand. What is needed in the Current State of Supervision Knowledge Supervisors and supervisees have vital responsibilities at the clinic with regards to customer satisfaction and deliverance of quality services. One of the leading responsibilities that both parties have is displaying adequate knowledge in relation to their clients. The ultimate goal of the two parties is to deliver quality services and meet clinic’s expectations. Hence, it is appropriate to have ample comprehension on the services their clients require and the most preferable way to deliver them. Clinic stakeholders expect supervisors to know the supervisees’ duties. In turn, the supervisors identify whether the work is done to the expected standards or not. Additionally, being familiar with the supervisees’ work makes it is easy for the supervisors to make proper corrections where the work results are substandard. In a clinic, there are several laws that all workers need to adhere to while working. Thus, all employees, supervisors and supervisees, have to be aware of as they carry out their duties. Laws and policies act as proper guidelines that each worker is expected to follow. Therefore, familiarizing with each law and policy avoids situations where employees break them without their knowledge. A supervisor is also at an advantage if they are familiar with the set laws and policies at the clinic. Firstly, they are able to identify a situation where a supervisee breaks the law. Additionally, the supervisors have the knowledge to correct the situation as per the clinic’s laws and policies (National Board for Certification in Occupational Therapy, 2012). Proper communication is a vital factor to uphold while working at the clinic. Supervisors and supervisees have vital information to relay to each other while at work. Thus, there is a dire need for both parties to communicate professionally and in accordance to the clinic’s expectations. This is yet another necessary factor that all parties in a clinic must have knowledge about to ensure that all things run smoothly. In addition, this creates functional relationships among all the workers in the clinic and patients. Clients are crucial in a clinic, and they need to be addressed accordingly, which is best achieved by proper communication. Conclusion Indeed, supervision is a necessity in a clinical setting for various vital reasons. Supervisees need an elaborate guide who is always present to ensure that the work delivered is up to the expectations of the clinic. This provides both clinic satisfaction and customers’ contentment. All parties in a clinic are essential and are expected to function in a way that gets the job done and in the expected standard. Supervisors, for instance, have the obligation to implement multiple roles to keep everything functional at the clinic. Moreover, they form alliances with supervisees to encourage cooperation between the two parties. When the supervisors and supervisees work together, the work is done as per the expected standards. It is extensively crucial for supervisors to observe the ethical and legal measures in the clinic. Also, it is essential for the supervisors to ensure that the supervisees work within the same ethical and legal measures. As such, discipline is maintained at the clinic and extended to the clients. Proper communication is vital to maintain in the clinic as it fuels effective feedback. Consequently, both supervisors and supervisees are aware of the occurrences unfolding at the clinic. Client welfare and trainee development are two crucial factors that supervisors find ways to maintain at the clinic. They are both necessary for the development and maintenance of proper services at the establishment. Visit CustomWritings.com paper writing service to order a custom essay, research paper or term paper on any topic. We work with the best academic writers.

Strategies and Resources for Success Coursework Example | Topics and Well Written Essays - 500 words

Strategies and Resources for Success - Coursework Example ges that an online learners may anticipate may be like: how to build on the existing base of knowledge and how to evaluate the multifaceted online resources. In addition it might be very difficult for them to find an appropriate comparison groups that can help them in solving data collection problems and even in the interpretation of the program maturity impacts. This paper seeks to evaluate the challenges that the online learners may anticipate when undertaking their online studies and to give strategies that they can use to ensure that they succeed in their learning experience. One of the challenges that the online learners are experiencing is lack of the self-discipline that is needed to devote enough time to class in courses that may not have regular time schedule to meet the synchronous online (Ottenbacher & Harrington, 2010). Setting and following the specific study hours is one of the factors that can work for online learners. For example evening hour can be designated for reading the lessons and the weekend can be used for doing the writing assignment. It is very important to note that designating specific hours to read, completing the assignments and even post dialogues to other learners may be very helpful. Professional online learning requires resources like the technology, materials and even time. All these resources are dependent on the availability of funds. How these resources will be prioritized so that they can be in line with the professional needs may greatly affect the quality, access and effectiveness of the experience of the educators. When the learners are committed to ensure equity in the allocation of these resources and they have thoughtful consideration of their priorities, the intended outcome for both the learners and the educators can be achieved. Interactions of most students commonly take place through online threaded discussions that gives the instructors and the students’ time to interact in a synchronous manners. This may