Wednesday, October 16, 2019
IT Project Management Ch7 Assignment Example | Topics and Well Written Essays - 500 words
IT Project Management Ch7 - Assignment Example The main benefit of using its cost management feature is that it allows project managers to manage all the project related information at a single place. For instance, all the project related information such as resources, activities, schedule and costs can be managed in a single application at the single location. As a result, it becomes easy for them to integrate project activities with associated cost and schedule (Schaffhauser, 2010; Microsoft Corporation, 2015; Schwalbe, 2012). Every project manager uses a specific project management tool in order to manage their project management activities. For the cost management, they use specific criteria and some firms have their own software tools that allow them to calculate costs according to their available resources. In some cases, cost estimates are developed and maintained separately from the project plan. Though, MS Project 2010 encompasses all the features that are necessary to maintain a complete project cost management process, but it is still a new component for the majority of project managers, and it can take some time to get complete expertise (Schwalbe, 2012). The project completion opens a door for learning by measuring the performance and improving on the basis of mistakes. To evaluate the performance of any project, the Earned Value Management is quite a significant evaluation practice used in project management (Schwalbe, 2012). A study conducted by Dr. Song that is sponsored by the PMI (Project Management Institute) and CPM (College of Performance Management), is purposed at assisting the project managers to understand and measure the extent of practicing the Earned Value Management technique in project management as well as its practitioners’ base. This study’s important aspect is to deliver a cross sectional perspective of most of the recent EVM practices by surveying more than 600 project management experts. For getting a more useful and practical insight
Tuesday, October 15, 2019
Monday, October 14, 2019
Role of Social Media in Developing Awareness
Role of Social Media in Developing Awareness Part A: Use of social media Social media plays an important role in awareness creation. It provides the best mode of communication to many organizations in the present world. It involves the use of social networks such as Televisions, face book, websites among other broadcasting techniques. Social media build an idea environment for interaction where people can meet and share their idea. Communication in the social media covers a wide area since many people are accessible to the information, for instance, many people can access information posted to a Facebook page. Information posted can be spread to many people over a short period of time. Advancement in technology has played an important role in improving social media communication. People who are a distant apart can communicate to each other as if they are close to each other. Many organizations have utilized the social media to communicate their agenda to the mass. This text will focus on Acorns Childrens Hospice, one of the social care organizations by an alysing how the organization utilizes social media to create its awareness (Firth, Luff, Oliviere, 2005, 58). Acorn children hospice trust is one of the registered charity organizations that offers network of care and support to the life-threatened and life-limited children and their families across the entire central England. The organization constitutes a well community team that offers support to families in their homes. Aware creation is important since it helps the family to mobilize resources and seek for support from various organizations in order to support the charity work. Social media enhances the acknowledgement of the organization and its activities globally and therefore, anybody willing to support the organization can do it from wherever they are (Firth, Luff, Oliviere, 2005, 56). The organization uses various social media to communicate on their values. These include advertisement through the television. This provides an ideal method of awareness creation since most people are accessible to television in the present world. The advertisements are made at a given interval period of time repeatedly so that many people can acquire the information communicated on the advertisement. For example, the North West hospice club jointly came together to launch a joint TV advertisement. The main aim of the advertisement was to raise funds and creation of awareness about their existence They also use Face book to advertise their services and terms of operation. For more emphasis, they upload the group photo of the children supported by the organization and post it on face book. Through these, anybody who accesses their page will see their existence. Face book forms one of the most used social media today. Studies show that most youth today are addicted to Face-book, approximately more than half the youth population in the world access Face book every day. They access Face book through chatting with friend and in the process they can come across the adverts made via the Face book. They have form their Face book link and twitter link that people can follow to access their information They also have a website where they post their activities and news. Anybody can access the information posted on the website when he or she visits the website. They have a well-organized website where they description. They have pages and links on the website that people can follow in order to partner with them in their activities. One can reach their site by clicking www.acorns.org.uk. Websites are not very popular compared to the Facebook and twitters. The advantage in the website is that they provide a deep description of the activities of the company and therefore, one can get full details about the company from their website. Advertisement on the website is conducive for the current digital world, the advertisement can be read by any person in the world. The only disadvantage with this kind of advertisement is that the analogue people may not get the information and therefore they may not get accessed to the information. This mode of awareness creation only favours literate peop le and this that the information is limited to the learned people who can access the internet (Brown Warr, 2007, 35). The organization also uses social interaction and engagement in social activities to advertise their existence. This provides one of the best way of awareness creation, however, it is only limited to the region where the firm is located. The children home is the official charity of Aston Villa. They have the acorn’s day where they engage in so many activities. Since people like football, the association of the organization with football enhance the knowledge of people about the organization (Tuten, 2008, 68). Internet is used by people of all ages and therefore it forms one of the major medium of communication and is used to replace the TV advertisement, magazine and newspaper advertisement because of their limited coverage and lack of standardization. Online advertisement does not limit the volume of information that can be posted on the net and therefore, it allows the organization to give a full description of their activities. The organization can improve their awareness creation campaign using the social media by forming a link that link that can allow people to access the information using the phones via the text message. The information presented in this manner will reach the biggest percentage of people in the whole world including people who are not accessed to network. Communications on the social media are usually communicated in English which is a common language of the social network. This limits people who cannot understand English from acquiring the information. The information can be structured in that it is communicated in various language that at least many people if not all can understand. The information posted should give a detail of their programs, their ambitions and visions as an organization rather than just communicating their existence. People will get attracted to the company and be willing to visit their social websites and social Face book accounts after learning of the organizational visions and operational strategy. Evaluation according to appendix 3 Does your agency use social media? (since when, in what ways) Yes, the urgency uses social has been using social media since the period when it was formed. The group uses TV, and social networks such as Facebook to create awareness. How successful do you think it is? The use of social network has helped the organization to get donors who support the program. How many of your staff have social media skills? About a half of the staff members have some skills in social media Do you use social media in direct service delivery? Yes How might your agency/organisation use social media in the future? The organization can advance in its use of social media establishing a data base that will be used to update the organization’s program to the interested people. Is there anything else you would like to say on the use of social media in social care? Social media plays an important role in awareness creation about the social care organizations. Part B: Reflective Summery Effective communication is fundamental factors in an individual’s life. It is the key interpersonal skill and learning how an individual can improve communication skills is an important value in life. Communication involves the sending of the message and receiving of the message. Engagement in activities in these modules has enhanced my communication and interpersonal relations in various ways. Proper communication and interpersonal understanding enhances the individual’s relationship in the social area (Donnelly, Neville, 2008, 37). It helps in avoiding misunderstanding and possible conflicts that may arise between two individuals. People conflict over issues because of misunderstanding that arises from poor communication skills. Eloquent speech shows maturity and organization in an individual’s thinking. Through the module, my way of information presentation has improved in that I can now present information in a way that it can be understood easily. One of the important aspects in communication that I learnt is the art of listening. Listening is a critical element in a communication that involves more than one person. It mostly affects the verbal communication. Poor listening leads to misunderstanding in the communication and this may result to disagreement between the parties involved in communication (Donnelly, Neville, 2008, 39). There is need of using clarification and reflections in order to understand the meaning and the intention of the communication from the other party to avoid confusion. Interpersonal skills help us to communicate effectively and interact with people in our daily activities. People with strong interpersonal skills are usually successful in both the personal and professional life. Good interpersonal skills bring out the perception of calm, optimistic charismatic and confident in and individual and these qualities are usually appealing to others. Through the module I have acquired confident to relate positively with every person I interact with unlike in the past where I could segregate myself and chose people to communicate with. Effective communication is a communication that is bias free and does not tolerate prejudice. Some of the interpersonal skills learned in the module include verbal communication, non-verbal communication, negotiation, listening, problem solving, decision making and assertiveness. I can now express my ideas in an organized manner and in a scenario where there is need of negotiation; I know the approach to take. The study about communication skills and interpersonal skills is an important study that should be encouraged in any learning institution. Many people lack proper communication and interpersonal skills and therefore, they cannot address matters affecting them in the best way. This is the reason why there is a lot of wars and conflict in many parts of the world today. These skills are also important in the development and success of any business organization (Koprowska, 2010, 128). Building good communication skills help in reducing stress. Proper communication builds friendship and strong social support to an individual. One can easily vent out issues affecting them to the people they trust. On the other hand, interpersonal skills enable an individual to make appropriate decision on matters affecting him or her (Whitcomb, Whitcomb, 2013, 190). People usually face problems and challenges in the daily life and the major problem comes when an individual has to make a decision on a given matter at hand. This is the point where many people fail and because they don’t know the decision making skills, they end up making poor and informed decision that causes a lot of problems in their life. The module enhanced my decision making skills in that now I can take time, analyze the problem and eventually come out with an appropriate decision. Proper communication needs experimentation and practice. The skills are learned through experience and they improve along the course of life. Communication requires application of ethics and etiquette. In communication, I have learned to be honest and never to criticize anybody during the conversation. Communication involves allowing oneself to be challenged by other people’s idea. One should focus on the conversation during the communication process and avoid any form of interruption that may deter effective communication. Some of the ways in which an individual can improve the interpersonal and communication skills are as follows. An individual may seek an opportunity to lead in order to improve on the communication and interpersonal skills. Leadership provides a god ground for training individuals on their interaction with other people within the organization. To improve on the interpersonal skills, one ought to take up proactive initiative in any position they are. For instance, in a business setting, one may bring up fellow co-workers together to solve a problem within the institution or develop a concept that will help improve the performance of the business organization (West, Turner, 2011, 25). Through such activities, one learns how to effectively communicate with other people and at the same time he or she develops the interpersonal skills. Interpersonal skills are also perfected through practice. For example, people may learn to express themselves by engaging in writing activities since through it, it train it help a person to think before speaking out. Writing requires control and therefore, it helps people to communicate to themselves. Internal communication precedes the interpersonal communication; consistent writing can help a person improve on the interpersonal and communication skills. On the other side, practice can also be conducted by rehearsing communication skills by recording tool. Learners can record can record themselves and later on listen or watch themselves speaking. In the analysis, the person analyses the effective use of body language, language command, and tone of voice and the level of confidence. Acting is an art that offers a good opportunity to relate with various groups of people. It can enable a person to build on language command and confidence. Through acting, a person gets a chance to communicate on the stage in a manner that the audience can understand and appreciate. Through this, a person is able to build on his or her communication and interpersonal skills. There are several leaders in many spheres of life who expresses good communication and interpersonal skills. Taking time to watch and listen from speeches made by such leaders may also guide an individual to enhance the interpersonal skills. Communication and interpersonal skills determines how far an individual may go in terms of social related activities. This means that it also dictates personal success, poor communication and interpersonal skills result into failure in life (West, Turner, 2011, 23). SMART action plan Learning Objective How will objective be achieved? Action Plan How will objective be evaluated? To enhance the interpersonal and communication skills Form discussion forums and social interactions that will help people develop courage and confidence Analyse the ability of an individual to communicate in a group of people To enhance proper relations and ability to express ones idea Practice a lot of writing art Determine an individual’s ability to respond to situation and interact with various people. Enhance decision making skills Identify a problem and try to formulate a solution to the problem Analyze the effectiveness of an individual to handle a problem.
Sunday, October 13, 2019
Outline for Bicycle Safety :: essays research papers fc
Outline for Bicycle Safety          General Purpose: To inform Specific Purpose: To explain to listeners how they can operate a bicycle safety. Central Idea: You can keep yourself safe on a bicycle if you follow a few safety rules: wear protective clothing, obey the rules of the road, and be aware of your surroundings. Introduction I.     Teaching anyone to ride a bike is a most memorable experience, but having them obey the rules and regulations when riding is one of peoples first exposures to obeying the law. Cycling is a great way to exercise as well as a convenient mode of transportation. But before you start riding you should take a few minutes to consider some important safety precautions. II.     According to the Bicycle Helmet Safety Institute, bicycle related crashes kill about 900 people a year and injure over half a million. Most bicycle deaths or accidents occur between 3-9 pm, and most often occur during the summer months. We can prevent these numbers by: wearing protective equipment, obeying the rules of the road, and being aware of your surroundings. (Transition: Let’s talk about the first rule) Body I.     Wear protective equipment. A.     Wear a helmet 1.     Studies have shown that wearing a helmet can reduce your chances of head injury by 85% 2.     Select a helmet that fits comfortably. 3.     Wear a helmet to set examples to others if necessary. 4.     Helmets are required in many places so you should check with the police in your area. B.     Wear visible clothes 1.     Wear bright colors such as white and yellow. Never wear black. 2.     If you have the means get reflective straps or hats. Don’t wear loose articles of clothing. C.     Never carry anything in your hands. D.     If you can get reflectors to put on the back , front, and side of your bike so cars can better see you at night (Transition: You have on the right protective gear. Now What?) II.     Obeying the rules of the road. A.     Riding a bike is much the same as driving a car 1.     Obey traffic signals 2.     Obey road markings B.     Look in all directions 1.     Seven out of ten accidents occur at intersections and driveways 2.     Walk your bike across busy intersections and at crosswalks. C.     When making turns use had signals to alert motorists. 1.     Form an L with the left arm upwards to signal a right turn. 2.     Form an L with the left arm downwards to signal stop. 3.     Extend the left arm outwards to signal a left turn. (Transition: You know the rules of the road so what next?) III.     Be aware of your surroundings A.     Ride only in safe places 1.     Parks 2.     School grounds 3.     Bike trails 4.     Sidewalks 5.     Any other bicycle designated areas B.     Make sure your bike is adjusted for riding conditions Outline for Bicycle Safety :: essays research papers fc Outline for Bicycle Safety          General Purpose: To inform Specific Purpose: To explain to listeners how they can operate a bicycle safety. Central Idea: You can keep yourself safe on a bicycle if you follow a few safety rules: wear protective clothing, obey the rules of the road, and be aware of your surroundings. Introduction I.     Teaching anyone to ride a bike is a most memorable experience, but having them obey the rules and regulations when riding is one of peoples first exposures to obeying the law. Cycling is a great way to exercise as well as a convenient mode of transportation. But before you start riding you should take a few minutes to consider some important safety precautions. II.     According to the Bicycle Helmet Safety Institute, bicycle related crashes kill about 900 people a year and injure over half a million. Most bicycle deaths or accidents occur between 3-9 pm, and most often occur during the summer months. We can prevent these numbers by: wearing protective equipment, obeying the rules of the road, and being aware of your surroundings. (Transition: Let’s talk about the first rule) Body I.     Wear protective equipment. A.     Wear a helmet 1.     Studies have shown that wearing a helmet can reduce your chances of head injury by 85% 2.     Select a helmet that fits comfortably. 3.     Wear a helmet to set examples to others if necessary. 4.     Helmets are required in many places so you should check with the police in your area. B.     Wear visible clothes 1.     Wear bright colors such as white and yellow. Never wear black. 2.     If you have the means get reflective straps or hats. Don’t wear loose articles of clothing. C.     Never carry anything in your hands. D.     If you can get reflectors to put on the back , front, and side of your bike so cars can better see you at night (Transition: You have on the right protective gear. Now What?) II.     Obeying the rules of the road. A.     Riding a bike is much the same as driving a car 1.     Obey traffic signals 2.     Obey road markings B.     Look in all directions 1.     Seven out of ten accidents occur at intersections and driveways 2.     Walk your bike across busy intersections and at crosswalks. C.     When making turns use had signals to alert motorists. 1.     Form an L with the left arm upwards to signal a right turn. 2.     Form an L with the left arm downwards to signal stop. 3.     Extend the left arm outwards to signal a left turn. (Transition: You know the rules of the road so what next?) III.     Be aware of your surroundings A.     Ride only in safe places 1.     Parks 2.     School grounds 3.     Bike trails 4.     Sidewalks 5.     Any other bicycle designated areas B.     Make sure your bike is adjusted for riding conditions
Saturday, October 12, 2019
The Decline of Literacy Essay -- Argumentative Persuasive Topics
An decline has occurred in the amount of time young people spend reading. The loss of interest in teenagers for reading has resulted from the invention of the moving picture. No longer do teenagers open their imaginations to create a vision of stories portrayed in books. The visions have already been provided for them in the forms of movies, video games, and television. A common pastime for teenagers is movie watching. Every weekend, and occasionally week nights, one can find hundreds of young people at movie theaters. Great stories that were once only obtainable through reading have been made into movies, attracting millions of young people to watch. I recently went to see the movie remake of Stephen King's book The Green Mile. I had beforehand read the book. To me, the movie did not accurately portray King's book. Most of the young people I asked to compare the movie and the book told me they had never even heard of the book version of The Green Mile. I found the fact that movies have replaced the thrill of reading for teenagers very discouraging. Video games ar...
Friday, October 11, 2019
Complicated Rheumatic Mitral Stenosis Health And Social Care Essay
A 76 twelvemonth old lady with a recent diagnosing of arthritic mitral valve disease and a history of repeated lower respiratory tract infections, came with symptoms of gastritis unrelated to the primary disease but farther workup in the infirmary revealed atrial fibrillation, grossly dilated left atrium with two big left atrial thrombi and mitral valve country & A ; lt ; 1 cm2. Mitral commissural calcification and important pneumonic high blood pressure were besides noted. After legion treatments it was decided that the best possible attack in our patient was mitral valve replacing with mechanical prosthetic device, despite the usual tendency of utilizing bioprosthesis in aged. The determination was influenced by the fact that patient would necessitate chronic anticoagulation for atrial fibrillation anyhow. The intent of our instance presentation is to exemplify an remarkably late showing instance of arthritic bosom disease with assorted associated complications ensuing in a challen ge to take the best possible direction. Our patient, an aged lady with late diagnosed arthritic mitral valve disease presented with legion challenges in seeking to make up one's mind the best possible intervention: old age, atrial fibrillation necessitating long-run anticoagulation, left atrial thrombi, mitral valve calcification and grossly dilated left atrium. By showing this instance we aim to supply a logical attack in make up one's minding the intervention for similar instances with an accent on old age and long-run endurance benefit. We besides aim to foreground how the intervention should be individualized, taking into consideration all the factors in a peculiar patient. A 76 year old female, occupant of Mumbai, and a homemaker came to the casualty of Sir JJ Hospital with ailments of 5-6 episodes of purging since forenoon that twenty-four hours. The puke was non-bilious and contained nutrient atoms. Past history was positive for perennial admittances for lower respiratory tract infection and a history of arthritic bosom disease with mitral stricture diagnosed 3 old ages back. The patient did non retrieve holding any symptoms suggestive of arthritic febrility in her childhood. On scrutiny, she had irregularly irregular pulsation at the rate of 108/minute, blood force per unit area of 100/70 millimeter of Hg, normal jugular venous force per unit area and a pale visual aspect. Chest scrutiny revealed apical urge on the left 5th intercostal infinite and a tangible parasternal haeve and diastolic daze. Auscultation of the thorax revealed first bosom sound ( S1 ) of variable strength, loud P2 and a systolic mutter in the tricuspid country which increased on inspiration. Electrocardiogram showed right package subdivision block and atrial fibrillation with rapid ventricular rate. Chest X ray showed enormously dilated left atrium and right atrium and ventricle. Computed imaging of the thorax revealed a massively dilated left atrium ( 11 x 10 centimeter ) , right atrium ( 9.5 x 8 centimeter ) and right ventricle with reflux of blood seen in inferior vein cava and hepatic venas. Mitral valve showed calcification. It besides revealed two make fulling defects/thrombi, one attached to the anterior wall of left atrium of size 6.5 ten 3.7 centimeter and 2nd attached to the posterior wall of size 3.2 ten 2.1 centimeter. Consequences of 2D echocardiography included: thickener of mitral valve, mitral valve commissural calcification with a valve country of 0.9 cm2 on planimetry, an echo mark of 8/16 and grounds of thrombi in left atrium- one superiorly 4.6 centimeters x 3.7 centimeters and other attached to the sidelong wall 3.1 centimeter x 2.1 centimeter. M-mod e echocardiography showed decreased left ventricular internal dimensions at diastole and systole, decreased terminal systolic and diastolic volumes, a normal expulsion fraction ( 60.2 % ) and the left atrial dimension of 8.6 centimeters x 7.8 centimeter. Colour Doppler showed a mitral valve country of 0.9 cm2, estimated pneumonic arteria systolic force per unit area of 70mm of Hg ( normal: 15-30mm of Hg ) and grade 1 mitral regurgitation. She was diagnosed as a instance of gastritis in a known instance of arthritic bosom disease and mitral stricture complicated by pneumonic high blood pressure, atrial fibrillation and left atrial thrombi. The gastritis seemed to be unrelated to the implicit in arthritic bosom disease, but the workup drew attending to the primary job of terrible mitral stricture. The patient later underwent mitral valve replacing with mechanical prosthetic device. She was besides started on anticoagulation with Coumadin with a mark INR scope of 2.0 to 3.0. Patient showed good recovery in the immediate post-operative period and regular follow up for a month later, showed a good response to the surgery and better ventricular rate control with drugs. There was a gradual autumn in pneumonic arteria systolic force per unit area following surgery. Arthritic bosom disease has been the cause of important morbidity and mortality in the development states. Bing an autoimmune upset, it has been known to preponderantly impact younger persons following a throat infection with group A streptococcus. Mitral stricture, associated with arthritic bosom disease, can stay symptomless and present every bit tardily as in-between age or beyond. In such instances, the patient may non ever retrieve about an onslaught of arthritic febrility in childhood, giving the feeling of late onset arthritic bosom disease. We report a instance of an aged adult female who was late diagnosed with arthritic bosom disease and mitral stricture. Though it is hard to notice when the disease really started in our patient, we believe that the bosom disease had been benign until its presentation at an age good beyond the usual age of presentation in arthritic bosom disease. By this instance study we besides try to discourse the possible attacks to an aged patient with critical mitral valve disease with important calcification. Though antecedently symptomless, the demand for intercession in our instance was reiterated by the presence of grossly dilated bosom and important pneumonic high blood pressure. In critical mitral stricture that requires surgery, normally valvular fix is given the first consideration. The challenges in the direction of our patient were: old age, significantly enlarged left atrium, presence of left atrial thrombi, mitral valve country & A ; lt ; 1cm2, mitral valve calcification and pneumonic high blood pressure. Significant calcification of commissures and valve cusp inspissating with decreased cusp country are contraindications to mitral valve fix [ 1 ] . A survey conducted by Wei T and co-workers [ 2 ] concluded that patients with mitral commissural calcification with an echo mark of & A ; acirc ; & A ; deg ; Â ¤ 8/16 have small betterment in valve country after balloon mitral valvuloplasty, ensuing in a hapless result. Because of the commissural calcification and left atrial throm bi in our instance, it was decided to travel with mitral valve replacing. The presence of atrial fibrillation with left atrial thrombi raised the possibility of long-run anticoagulation. With grossly dilated left atrium and the chronicity of atrial fibrillation, cardioversion would hold been unsuccessful. Anticoagulation in aged must be used with cautiousness because of important hazard of haemorrhagic complications and the lowest effectual dosage should be used. [ 3 ] Proper monitoring of the dosage and INR is necessary as the effectual dosage for anticoagulation in aged is frequently lower than in the younger topics. Another inquiry was the pick of prosthetic device: mechanical or biological. In patients & A ; gt ; 70yrs of age, biological valves are preferred [ 4 ] . This is preponderantly because of lower life anticipation in these patients, non-requirement of anticoagulation with these type of valves and lower rates of bioprosthetic impairment in aged [ 4,5 ] . Sidhu P and co-workers [ 6 ] performed a comparing survey over the long term efficaciousness of mechanical and bioprosthesis over a period of 20 old ages in patients over the age of 70. The survey concluded that bioprosthesis does non supply any survival benefit over mechanical valves in aged. Mechanical prosthetic device has been known to be more lasting but this advantage is offset by anticoagulation-related mortality in patients non necessitating anticoagulation otherwise [ 4,6 ] . Since our patient already required long-run anticoagulation, anyhow, usage of mechanical prosthetic device became possible and suited. [ 7 ] Figure 5 illustrates an algorithm for taking the type of prosthetic valve in a patient. [ 8 ] From the instance study and the reappraisal of literature we can reason that: The presentation of mitral stricture may be delayed as the valve upset may follow a benign class compatible with normal life. It is non uncommon for mitral stricture to show every bit tardily as old age. Anticoagulation in aged with atrial fibrillation demands to be used with cautiousness. Proper hazard stratification and monitoring are required and the lowest possible dosage of anticoagulation demands to be used. Balloon mitral valvuloplasty may non be an effectual option in patients with important commissural calcification. The pick of prosthetic device should be determined on an single footing, sing the presence of co-morbidities and other conducive factors like demand for anticoagulation.
Thursday, October 10, 2019
What Care Services Are Available to People with Long-Term Health?
What care services are available to people with long-term health conditions and why is it important that these services should take into account individuals sensitivities and circumstances? â€Å"According to Talcott Parsons being sick is a role (a deviant one) which is a temporary role that all people (regardless of their status or position) enter at some stage of their life. Its main function is to control illness, and to reduce its disruptive effects on the social system by ensuring that sick people are returned to health as speedily as possible†(Parsons 1951).However if you are seen as enjoying playing the sick role, people might label you as a malingerer. â€Å"A malingerer is someone who shirks their duties by pretending to be ill†(Block 1 who cares, p-67), this also has its problems as you start to feel isolated, depressed and loss of self-esteem from hiding daily activities from people. Therefore, before you even contemplate on seeing a doctor you will have al ready taken on the sick role. The NHS is split into two, Primary and Secondary health services they both look after people who suffer from long-term illnesses i. . diabetes, asthma and coronary heart disease. It is estimated that there are around 15 million people in England that have a long-term illness (DH 2006). ‘Your local doctors’ surgery or GP practice provides a wide range of family health services’ (NHS Choices, 2007). I myself will often refer to a study of a man named Anwar Malik that I have been studying, who himself has used most of the health services. Anwar Malik is a 54 year old green grocer and lives with his wife Hansa and their youngest son Iqbal.Anwar originally was born in Pakistan and came to live in the UK when he was a young man. Anwar’s first language is Punjabi and Urdu, but can speak English as Hansar and Anwar speak it in their shop. Anwar had been feeling unwell for a while, lethargic, tired and generally thirsty. Anwar’s wife noticed that he had become less active and frequenting the toilet more often. Hansa his wife became concerned for her husband’s health and advised him to visit his doctor. Anwar’s G. P referred him to hospital for further tests where it was discovered he in fact was diagnosed with diabetes.Primary care services are normally the first point of contact if you have a health related issue, an appointment with your GP (general practitioner), dentist, nurse or optometrist. It is estimated that around 90% use this service and most can be accessed in the doctor’s surgery, although Anwar could have gone to his local walk in center or even telephoned NHS direct. If your illness requires further tests your G. P will refer you to a secondary health care provider, this is what happened to Anwar Malik. Secondary care is defined as a service provided by medical specialists who generally do not have first contact with patients.Secondary care is usually delivered in hospit als and patients have usually been referred to secondary care by their primary care provider (usually their GP) (Dr Foster 2001). What can people expect to find in a hospital setting? Consultants, nurses, health care assistants and domestics are just a few to name. There are different departments that split the hospital, intensive care; different medical wards i. e. Neurology, surgical, and also not forgetting the Accident and Emergency department. Communication between primary and secondary care breaks down quite easily, especially if you are receiving long term care.If you are being seen as an outpatient for long periods, the GP will need to be informed of their treatment and progress, as this could have an impact on the GP’s own treatment for the patient. Social care supports people for whatever reason that is unable to function without support or supervision in their own homes. Some families struggle to fund this kind of service as it is not always free and requires servi ce users to use their own money in order to obtain the service. Home care workers work to a care plan which determines what they do for each service user.However there needs to be clear boundaries between the home care worker and the service user in being friendly and being a friend, otherwise this could lead to considerable emotional demands on the home care worker. There are a combination of factors why some are reluctant to use this service, as it requires ‘strangers’ going into the service users own home and carrying out personal care. Service users can also get very frustrated with home care as there are frequent changes in staff and some are even poorly trained.The service can be unreliable due to staff sickness or not receiving a call due to adverse conditions, leaving the service user stranded. However there are a majority of service users that enjoy home care as it is delivered in the comfort of their own homes, takes pressure off families and can even postpone or stop the need to go in hospital or care homes. Everybody’s illness differs from person to person so it is always important to take into account individuals sensitivities and circumstances, like Anwar were his taken into account?It is not just the individual with the illness that needs to be thought about, the family is often affected to. As we are aware Anwar originated from Pakistan and maybe he did not fully understanding English properly, also Hansa cannot read English very well and this proved difficult when trying to plan and follow meals for Anwar from a leaflet given to her by the nurse. The menu showed typical ‘English’ food; had anyone taken into account that Asians eat western food and their eating patterns differ from our own culture, this can lead to cultural barriers.Should the hospital have translated the diet sheet into the appropriate language that Anwar and Hansa are familiar with? What about communication and visual aids? Should the hospital have provided a translator, so that both Anwar and Hansa fully understand the effects of diabetes? The hospital also could have shown Anwar and Hansa photos of a gangrenous foot or even an amputee, this could have made Anwar think twice about his own health (this could be me). Two per cent of the UK suffers with diabetes, South Asian residents of the UK are 4 times likely to be affected by diabetes than the rest of the population (Block 1, who cares p-85).What about financial worries? Having to follow a healthy eating plan can cause financial burden on the whole family. â€Å"Families struggle to eat healthily amid rising food bills and shrinking budgets†(Guardian 2012), could this be another obstacle in the way of Anwar’s treatment. Can they afford to change the whole family’s diet, or have they enough money for extra food just for Anwar? Should the hospital be taking this into account for the sake of people’s health? However it is also important to th ink about a person’s psychological needs, do they understand what is being asked of them, are they fully aware of the condition that they have.Living with a chronic illness is a demanding job and can often lead to bouts of depression; many people are so overwhelmed by complications that may arise with their health and may experience a number of other emotions apart from depression, anger is also common as to why this is happening to them, mood swings, frustration and fear of the unknown. If such emotions do arise it is important for the health care professionals to support them and encourage them to communicate their concerns straight away, otherwise this can have a long term effect on how they and their families manage their illness, thus helping to improve a erson’s health for the see able future. Over the last century health care has been totally transformed by biomedical science to understand what causes illness and diseases, and to find a cure. However biomedical science is not enough to encourage people to administer their own care. To provide effective health care involves educating, informing, engaging and supporting people and their families, so that they can manage their own treatment. This means you would have to look at things from the service user perspective, asking them how they feel and helping them make sense of their illness.Any treatment that has to be given must take into account peoples cultural, social circumstances and lifestyles. Word Count-1420 Good practice 1) Liz appears to be ensuring Clarice gets the level of support she wants, to do the things she wants, in the way she wants. Liz doesn’t appear to impose an agenda of her own or one defined by Somebody Cares. I think this is supporting Clarice s rights to appropriate services. 2) When Clarice is in conversation with Liz, not only does Liz listen but lets her lead the conversation.Liz puts no time pressure on Clarice and lets her do what she can for herself and only helps when asked by Clarice. Liz is supporting Clarice in maximising her potential to being independent. 3) Clarice opens the door to Liz; they then have a little chat before any tasks are done. Not at any point does Liz talk about another client and lets Clarice lead the way to the bathroom. I think Liz is maximising Clarice’s potential by letting her be as independent as possible and by not divulging confidential information onto Clarice about another client. Bad practice ) Marjorie does not engage Iris in two-way conversation at any point. She talks over her all the time. Consequently, Iris has no chance to give voice to her views or wishes. She doesn’t get a chance to make her point even in her own room. This is not supporting Iris to have a voice or be heard. 2) Iris’s room is treated like a public place, where Marjorie comes and goes as she pleases. Iris is given no dignity in her own room shouting â€Å"do you want the lavvie? †Marjorie moans about another person to Iris, leaving Iris wondering â€Å"does she speak about me to other people†.I think Marjorie has no concept of people’s rights to privacy and confidentiality. 3) Iris is capable of having a bath; she probably would find it a pleasure but unfortunately Marjorie runs it for her. This is not taking into account Iris’s capabilities’ or wishes and definitely not maximising Iris’s potential to run it herself. Word count-346 My tutor’s feedback has helped me to develop my writing, thinking skills and to actually believe in myself. The only negative I had was no reference list, but I did send one (maybe didn’t receive it).The most difficult task I’ve found while doing TMA02 was not to ramble on and miss the point. References The Open University (second edition2010), block 1 who cares, Malta, Gutenberg Press Limited (p-67) & (p-85) Parson, T, (1951) the Social System, Glencoe IL, the Free Press. Department of He alth (DH) (2006) Our Health Our Care, our Say: A New Direction for Community Services, Norwich, The Stationary Office; also available online at www. dh. gov. uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4127453 (Accessed 26 February 2008).NHS Choices (2007) About NHS Services: NHS GPs/Doctors [online], www. nhs. uk/AboutNHSservices/doctors/pages/DoctorsSummary. aspx (Accessed 17 December 2007 www. guardian. co. uk/society/2012/nov/18/families-rising-food-prices-budgets (Accessed 10 November 2012). www. uwic. ac. uk/shss/dom/newweb/Sick_role/Introduction. htm (Accessed 10 November 2012). www. drfosterhealth. co. uk/medical-dictionary/terminology/secondary-care. aspx (Accessed 12 November 2012). www. medicalprotection. org/uk/booklets/common-problems-hospital/communication-between-specialties (Accessed 17 November 2012).
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