Carry Out Comprehensive Substance Misuse Assessmen Essay Example for Free

Carry Out Comprehensive Substance Misuse Assessmen Essay Every individual is unique and even though many will show or feel similar sensations with regards to how a substance makes them feel, it is not always good to assume that the traits that they show will always be the most obvious. Over a period of time, substance misuser’s will adopt a technique of hiding the most obvious traits that give warning signs of substance misuse so as a professional need to be very observant and continuously engage with regular training courses to keep up to date with the latest drug trends and effects they have on the body and how they alter the mood. Many clients will show some obvious traits of substance misuse which will include gouching, which is the effect of the hit from Heroin/Methadone (Heroin substitute). Gouching is when the client will be quite alert at the beginning of a group session, but within 10 – 15 minutes they will start to appear as they are falling asleep. They may start to bow their head and if you call them they immediately wake up. Another of the physical signs of substance misuse of a client with a Heroin addiction would be the eyes rolling or the plain struggle to keep them open. I have found that clients with a Crack or Cocaine addiction tend to be the other scale as these drugs are stimulants. I have had clients high from a binge from the night before who have attended group sessions and been very talkative, eyes quite wide with an obvious redness of the lack of sleep. These physical signs can vary dependant on the lapse of time from finishing their misuse session to attending the group session, so for e. g. f the client had not yet been to sleep they would seem very hyperactive, jittery and very fidgety, but if they may have had a few hours sleep the physical signs can be quite different, so they are irritable due to tiredness. They would be quite slouched and not so conversational because they are on what it known as a come down. All the euphoria has now left the body and the body in a sense is returning to its normal state. Substance misuse can also just as easily affect a client’s whole behavioural pattern as well as their emotional and social in teractions. The behavioural indications can be the client just not being their usual self, this could be a few varying factors, but once you get to know a client you understand how they behave towards different things that affect them. They could easily become emotional too which could be the client is purely upset and feel like they have let their self down because they may have been abstinent for a while and not been able to handle a certain situation or simply had a trigger which they could not control and went and used on it. Many clients that I deal with on a day to day basis do suffer with a variety of ailments and illnesses and are prescribed medication for these. They range quite broadly from medication to manage a mental illness to taking medication in order to help keep their blood thin enough so not to suffer from DVT. Some of these prescribed medications will make our clients appear to be under the influence of a substance when really they are not. As professionals this is why you need to collate important information from the assessment stages so you can ask questions about a client’s medication and what the side effects may be as well as do your own research to back up any information already given. Within CRI as we have the consent to sharing information form if this has been signed you may want to contact the GP with a breakdown of what the side effects may be and the effect it would have on a client with substance misuse issues alongside the immediate risk factors too. Many of the prescribed medications for mental health illnesses and depression will make clients seem as they are falling asleep, not really focusing on what is going on and spaced out, but this is not the case and if you are aware of a clients conditions then you would know best how to assess the situation at the given time. I regularly attend training provided by CRI and local boroughs or other services within the locality so that I am fully up to date with the new trends and old trends of drugs that are available, where the bad batches are being distributed and the strength of what is about on the streets at the current time. This is down to you as an individual to also do your own research on the internet of what is going on in the drug scene and ask questions. If you hear of something that you are unaware of ask those questions, you never know when you will come across a client that may have a particular problem with that substance and you may be the person that needs to help them. I have found that clients can be quite knowledgeable so ask them questions too and go back and check on the information provided with others. I do not feel that one person will or can know everything, but this is when team members should draw upon one another to have a wide knowledge within a team so all areas are covered in most instances. Probation – This is a criminal justice service that works alongside all those who have committed a crime and have been sentenced to either serve a custodial sentence, suspended sentence, community order or DRR. Most people will have a period of licence that they will have to attend appointments to discuss what they are doing with their lives. This is where clients will attend to be tested for substances and these results are fed back to CRI – Stabilisation Day Programme. Probations service also has the ability to tap into other services and a certain amount of resources that will enable clients to gain help in ETE, Housing services or referral units, Drug Intervention groups. CASS – Community Alcohol Stabilisation Services – This service works with clients whose main or preferred substance of choice is alcohol. This service will help work with clients extensively and support them if they require a detox and hold support groups, some peer lead and coffee mornings. They also will be given a key worker who will work with them on a 1-2-1 basis. CDAS – Community Detox All of these services will complete an assessment of individuals to see the risks attached with the individual. The assessment will show if they can help the client, what treatment can be put in place for them and the extent of the problem that the individual is currently experiencing. If each of these individual services are unable to help an individual they will then refer them on to a service that can assist them better within the area that they require the support and help in. With most organisations there will be an eligibility requirement in order for a service to work with you as well as protocols for accessing these services. Our organisation work very closely with Oasis as an aftercare treatment provider for clients who are not abstinent, but we also have our own organisation that provides aftercare treatment, but you must be totally abstinent from alcohol and drugs for a minimum period of two weeks and you also cannot be on a script. The referral procedure for Oasis would initially be a phone call to the service and letting them know that you have a client is almost completed their 12 week period of their DRR with you and that they have for e. g. nother 12 weeks left on their order where they are required by law to continue to access drug services. An appointment is booked for you and the client to attend and on this visit to Oasis as a project worker you are required to bring along the clients care plans, the completed risk assessment with any updates or amendments and a TOPs form for statistical information to be provided to NDTA. On arriving at the appointment with the client, a key work session will take place and you will also give information to the new key worker with regards to the clients’ background. The care plan review will be completed with the client there and a copy retained by our organisation to be kept on their file. The new key worker will also discuss with them what their service can offer them in regards to follow on treatment and what days they will attend, the groups etc. A new treatment plan is formulated with the new key worker there and then. The eligibility for gaining access to Oasis is that you are from the borough, that you have a substance misuse problem and ideally want help and support with coping and dealing with these issues. Some of the other services have more stringent protocols and eligibility. For example if you were trying to get your client referred to go to residential rehab, you need to send a fully completed referral form to CDAS or the NHS, this is then discussed whether they feel that the potential client has shown the commitment required in order to put them before the funding panel of commissioners to prove that they are ready to take on a huge part of their recovery journey. If the decision to grant them the funding, the client then has to do a detox within the community for two weeks prior to being admitted to the residential rehab. If a client leaves the detox and does not complete this they will lose their place within the rehab or it may be put on hold until they have completed it. The organisation that I work in have clients sentenced on a DRR which means that they do not want to be here, but have no choice but to be there. We are usually the get out of jail card for most of them and unfortunately some of our clients are like revolving doors. However, I see this position as a vocation and not just a job and I am very aware that many of the clients do not want to be with us, but I hold hope that I still may be able to assist them on their individual journey on the path to recovery. I am also very conscious of the fact that not everyone can be helped and that is the nature of the career that I work within. My approach to those clients that do not want to be in services is to explain what my role here is and make them fully aware of all the things the onward referral services can do for them. I give clients as much information as possible about the service and highlight the things that would work for them. It is not always an easy task and some clients are very stubborn and when it gets to the brick wall stage where I feel I have exhausted every possible route to get them to engage with the onward service I remind them that they have a legal requirement to ttend the services and if they do not abide by the DRR it will be reported to their probation officer and may be classed as a breach, which means returning to court to answer to the judge and the order can be revoked and a prison sentence given in its place. When undertaking an assessment of a client, I make sure that I gather as much background information as possible. This may be from the DIP team that I work very closely alongside and if I have knowledge of them working with probation services I will contact their probation officer and request information from them also. I feel it is best to be very prepared so that you can summarise with them their history and spend more time dealing with the immediate things that are proving to be difficult and that they need the support and assistance to make their recovery journey as smooth as possible. If in my information gathering of a client, if something particular comes up that for e. g. they need to be escorted to their appointments. I will ensure that I speak with the person or key worker to ensure that the dates and times are suitable for all parties concerned. I have many clients that also have many appointments to attend in general, so trying to space them out so the client has sufficient time to attend or make appointments on a regular day and time so it will not interfere with any other obligations. If a client has many services involved in their life I will ensure that we have a meeting on a regular basis that includes everyone to minimise the amount of appointments the client has to attend and information is shared in one place at one time. All information is recorded on our CRiis system as soon as the meeting has finished. I think this is good practice so that you do not forget anything important that needs to be recorded for ease of reference for others if they have to see your client whilst you are away. This is also good for when writing review reports for the courts or the probation officers. When assessing a client I feel it is highly important to know their background, history of substances and the life line. If you have a thorough knowledge of the client it is easier to assess the risks to them and others accurately and ensuring that you follow out you duty of care to the client as well as others. This way you also cover yourself from potentially being in the firing line if you ensure you have done a thorough job of the risk factors and highlighting them to your manager if you feel that something is not quite right. It is extremely important to regularly review the risk assessments as things change very quickly with clients. Not any one day is the same for them and they live high risk lives. We ensure that our clients have a 1-2-1 key work session at least every two weeks and the risk is monitored, but if the client does not prove to have high risks it is reviewed every six weeks. Our service is quite small so the team de-brief after every group session and discuss each client that has attended and sometimes we highlight possible risky situations which will be noted as a risk and monitored until the risk has gone or the client has left. If the risk assessment is not reviewed you can put your client at risk as well as your service and everyone that your client comes into contact with. The client is fully involved in the assessment process as the main bulk of our information comes from the individual. I ask them to be as open and as honest as possible as I can only help them if they tell me the truth. At this point I will be taking into consideration traumatic events in their life, when substance misuse started and what the flow of substances are and of the individual poly drug uses. Many of our clients have been through services before, but I always ask if they know why they are here? Have they attended groups before? What are they like in a group setting? How they feel with mixing with others who are at different stages of treatment? By asking them various questions and listening to the clients’ feedback, body language non verbal reactions, I will then know whether they are suitable for the DRR or if they may need to access another service for more specialist treatment. I follow the assessment procedure and ensure all the necessary paper work is completed and all paper work signed by the client and I. I deal with chaotic, abusive and aggressive clients daily. I feel that with my aggressive clients that you need to remain firm and not lose control. I would not put myself in a situation that is overly risky, but you must be a little thick skinned and own the group. The boundaries must be put in place from the on start or this kind of behaviour will rear its ugly head too often. Each situation is different and with the more chaotic clients it’s more about trying to get them into some sort of structure. Ensure that appointments are written down or set in their phone so they remember. I will also text clients when they have an appointment with the service or are due in for group and we find in our service that some of the clients need this level of help. Even the clients that do not need that sort of assistance find it helpful because of they do not feel like attending the text message helps to plant the seed and makes them attend. On the completion of the full assessment, the client and I will look through the information gathered and highlight the priorities areas that we will focus on in the first instance. This are not fixed in stone and if things change as we go along through the course of the treatment process we will address them or re think the order of priority. I feel that if you have to make an assessment on a child or young person you do need to follow the same principles as you do for an adult. I would involve the main carer or person with the main parental responsibility whether this is a foster carer etc. The process would involve gathering as much information as possible with regards to the young person or child’s likes, dislikes, how they react to things, what they were like as a child, traumatic events that may have occurred in their life, what they are like at school, everything that could give me an incite to this young person or child’s personality. From gathering all the information, which would include talking to their school or educational facilities they attend, social services if they have been involved and any other agency that has had involvement with the child or young person, this should give me as a professional a very good idea of what the young person or child is like and then the final thing would be asking the young person or child questions and seeing what their response would be. I feel that I would not personally be able to assess their level of maturity at present as I am not qualified in that area, but if it was something that I had to undertake I would take the steps to involve a child psychologist to accurately assess the level of their maturity. I feel that this area is very specialist and any work that I would undertake would be of another form of information gathering in order to assist with any additional treatment plans that may be put in place to help the young person or child. There are guidelines and legislation that need to be adhered to when dealing with young persons or children which include: Victoria Climbe Report Baby P Which have highlighted areas in the past that have been missed and because of that we have unfortunately lost some very precious children. We also have the Children’s Act 2004 which was amended to include that responsibility of services, organisations, care homes foster carers with the duty of care to a child. During the initial assessment the client is informed of the complaints procedure and offered a copy of their care/treatment plan. The clients are encouraged to complete ITEP maps so they are more involved in the whole process and to recognise that once things are written down on paper how real they actually are. This is sometimes the point when everything becomes real to the client and they begin to take a different view of what is really going on for them in their life and realise that they do need support and help in some areas. We endeavour to keep a good working practice within our team and to sustain good working partnership with all other agencies that we work along side.

Defendant Ling’s Market Essay Example for Free

Defendant Ling’s Market Essay Facts: Kim was shopping for dinner at Ling’s Market, as Kim entered she slipped and fell due to the water accumulated on the floor (that the manager was aware of) because of the high winds and rain that blew into the Market each time the door was opened. Kim suffered a back injury as a result of the fall. Kim filed suit against Ling’s Market, the defendant, arguing that Lings performed a â€Å"tort of negligence† due to their absence of a warning about the wet floor, and disregard in the exercise of a â€Å"reasonable degree of care to protect business invitees. † Issue: To prove that the defendant, Ling’s should be liable for Kim’s injuries, the plaintiff, must prove that Lings did not in fact exercise a reasonable degree of care to protect Kim and warn her about the wet floor hazard due to the absence of a warning sign or cones, and committed a tort of negligence. Is the lack of a warning sign a tort of negligence, and should it be mandated that Lings is liable for Kim’s injuries suffered as a result of the fall? Decision: The plaintiff feels that the defendant, Ling’s Market, should in fact be liable for Kim’s injuries she suffered as a result of the fall, and a tort of negligence has been committed due to the lack of a reasonable degree of care to protect business invitees. Reasons: At www.barronstad.com it states that â€Å"A business owner is required to use due care to keep the premises presumably safe for customers, or at least to warn them of dangers that might arise from their use of the premises.† According to the author of the text, explains that a â€Å"tort of negligence occurs when someone suffers injury because of another’s failure to live up to the required duty of care.† The defendant, Lings, owed a duty of care to Kim and had breached said duty. As a result Kim suffered a legally recognizable injury. By not providing a caution sign of some sort, Lings did not adhere to the â€Å"duty of care†. The plaintiff argues that the lack in a caution sign or warning of the half inch of water standing on the floor, with the manager knowing about the danger, is in violation of Lings, duty of care. The manager knew the condition of the floor, which was a direct result of more than the mere tramping of many feet under the conditions of weather then existing. The plaintiff argues that the excess water standing on the floor (one half inch) was a foreseeable risk that the business operator (manager) was aware about and should have posted a warning about the danger. If the defendant had posted a caution about the inherent danger the plaintiff, Kim, would have been more liable to avoid the outcome (Kim’s back injury). Citations: http://www.barronstad.com/resources/resources_personal_injury http://www.lawteacher.net/tort-law/cases Miller/Jentz, 9th Ed. Text, Ch 4, pg 112-115.

Conservation Assignment Essay --

Ailuropoda melanoleuca, also known as the Giant Panda, is one of the most endangered species. It was first found and ranged throughout the region of southern and eastern China, as well as northern Myanmar and northern Vietnam indicated by the fossil records (Là ¼, 2008). Today, giant panda is only found and restricted to six fragmented and isolated mountains including Qinling, Minshan, Liangshan, Qionglai, Xiaoxiangling, and Daxiangling in Shaanxi, Gansu and Sichuan Provinces. The current population is estimated to be around 1000-2000. Wild giant panda subpopulation is estimated to be around 50. It exhibits a female-biased dispersal due the larger amount of female compare to male and competition for mating. This led male pandas to set up territories near the birthplace, creating a uniform dispersion. Giant pandas live in coniferous and temperate forests along with dense stands of bamboo at elevations around 5000-10,000 feet. They tend to not hibernate but generally descend to lower places in the winter and take places such as hollow trees, caves and rock crevices as their temporary shelters. They spend around half of their day feeding on different species of bamboos depending on the seasons to maximize the ingestion of energy, which comprises 99% of their diets. They obtain the water that they need from bamboos. Wild pandas occasionally eat grasses, small rodents and musk deer fawns but these only make up 1% of their diets. The giant pandas that live in the zoos eat mostly bamboo and occasionally other food that wild pandas don’t eat such as sweet potatoes, carrots and some special high-fiber biscuit (national zoo, 2012). One of the main causes of the giant panda population decline is the degraded and restricted habitat. Gian... ...hough the increased amount of panda isn’t as high, it still worked. Works Cited Amsel, Sheri. â€Å"Environmental Issues.† Endangered Species -The Giant Panda. Exploring Nature Educational Resource. 2005. Web. 14 Mar. 2014. National Zoo. "Giant Panda." Facts. National Zoological Park, 2012. Web. 14 Mar. 2014. Loucks, CJ. "Result Filters." National Center for Biotechnology Information. U.S. National Library of Medicine, 16 Nov. 2001. Web. 14 Mar. 2014. Là ¼, Z, Wang, D. & Garshelis, D.L. (IUCN SSC Bear Specialist Group) 2008. Ailuropoda melanoleuca. In: IUCN 2013. Web. 14 Mar. 2014. World Wildlife Fund. "Panda's Natural Enemies and Defenses." WWF. World Wildlife Fund, 2008. Web. 13 Mar. 2014. Zhan, XJ. "Molecular Analysis of Dispersal in Giant Pandas." National Center for Biotechnology Information. U.S. National Library of Medicine, 16 Sept. 2007. Web. 14 Mar. 2014.

Mine Okubos Citizen 13660 - Japanese Americans Have No Rights :: Mine Okubo Citizen 13660 Essays

Mine Okubo's Citizen 13660 - Japanese Americans Have No Rights â€Å"We hold these truths to be self-evident†¦Ã¢â‚¬ (Weiler). As stated in the Declaration of Independence, all American citizens are â€Å"endowed by their Creator with certain unalienable Right †(Weiler) website. However, the United States did not hold true to this promise when removing all Nisei, Japanese Americans, from the pacific coast and transporting them to various relocation centers. In these relocation centers, the Nisei, also referred to as evacuees, were burdened to live in harsh environments, secluded from the outside world. The novel Citizen 13660 describes how the United States stripped the Nisei of their unalienable rights nor other rights entitled to United States citizens. All American citizens are entitled to the right to vote. While in the relocation centers the Nisei had very little contact with the outside world. In an act to solidify and come together as a camp, the evacuees decided they would try to form a type of self-government which would consist of a Center Advisory Council. For some this would be a completely new experience. â€Å"The election gave the Issei their first chance to vote along with their citizen offspring† (Okubo 91). The Issei, not being American citizens having emigrated from Japan, did not have the right under the United States Constitution to vote. However, their only chance at voting was shortly taken away when army orders said that only American citizens would be able to vote. Soon however, all forms of voting for the self-government were disassembled when army orders stopped the planning of the Assembly Center government. This goes against Amendment XV of the United States Constitution which stat e, â€Å"The right of citizens of the United States to vote shall not be denied or abridged by the United States or by any State on account of race, color, or previous condition of servitude† (â€Å"The American Presidency†). Also, when taken to the relocation camps, the Nisei lost all representation in the United States government. They no longer had a representative to tell about problems with the camp or to even protest being there. By being relocated they lost their right to vote a representative. In the United States, it is illegal to hold a person against their will without probable cause yet the Issei and Nisei were both stripped from their homes and brought to a foreign location.

Environmental Impact Essay

Sanchez and Hudson opened small pediatric office in Riverside, California is an example of having a dream come true without planning for the future. The building has become too large for the staffing that the Two Doctors /entruenpuers have been in for five years, Records are being lost, and waiting rooms packed medical records systems are overloaded with the possibility of patient’s records getting lost. Long lines cause patients to get in patients and staff to get stressed from their inability to serve their customers. The Two business men are spending most of their time now working on expanding the building hiring staff, talking to community services all important things with the except ion of continuing to fulfill their dream of excellent care for their patients. Sanchez and Hudson have to immediately implement immediate organizational change plan and organize for success. Some steps that could be taken to assist change would be to research other clinics of the same size or Hire a consultant firm. The company should research how the Economic, Political, Techno logical, legal and Social/Culture, Demographic trends impacts their continued growth in the community. There are many ways the company could move forward, they will have to look inside and take a complete inventory of the whole clinic, from the paper, the qualifications of employees, the job description of employees, how many employees will be needed or eliminated. Since cast study says they are busy working on the expansion, it’s safe to assume that they have either found a new location in the community and that they do have the financial backing of the banks and the stakes holders involved during the process. Managing the change for this company will be challenging for all that is involved, so there will definitely have be a Leader chosen to lead the transition team forward and to motivate the team during this time of change. The eight stage model for change used in our class room will be a go example of how Hudson and Sanchez should move forward. The first thing they should do is hire a consulting firm to manage the day to operation of the office. During this will free up Hudson and Sanchez to begin to develop a more in-depth business plan for future operations. The consulting firm will research the company’s operations to see how it can be improved, they will talk to the management team, and (if there is one in place) they will look at staffing and staffing schedules. Also they will talk to the clients to discussion their wants and needs. The consulting firm will also go outside through the community to find out how they feel about new improvements and thoughts of expansion. I had firsthand experience working with a team of consultants during an organization change at the University of Maryland. The team came 6 months before the present organization was to leave and revamped the entire system. The consulted did all of the things mentioned above plus they provided counseling, resume writing, interview procedures, and job search assistant for employees and managers that were not being retained. This consulting team tried to ensure that people remained motivated by holding classes, having lots of one conversation with staff and consistently informing the staff of almost every change that was going too happened before it happened. This would help the Hudson team because of their stress level and insecurities’ about the future of the company would motivate them. The consulting team system works even for the people who will not be retained in the company. Having a consulting team would let them always have a place to go for answers during the change. Using other people to create constructive change can only help team members feel better about the transition that is happening. (www. managing-change. net) when people don’t trust what is happening they become distrustful and resistant to the change which can cause a slowdown of events. Leaders must communicate the need for change widely and how that change will help everyone. Leaders need to be proactive and talk to and listen to what the employees have to say, this will help them feel involved and important doing the process. Researching how the Economic, Political, Techno logical, legal and Social/Culture, Demographic trends impacts their continued growth in the community. The economic trends if expanding the company is feasible at this time, financial concerns of the clients have a direct effect on the progress of the company. Such as what kind of disposable income are available, interest rates, inflation and the unemployment rates? All this reflect on the manner of how the company will received payment for services rendered. If unemployment is too high some previous clients will not be able to afford services, , but if inflation and interest rates drop there would be more money for surgery and other projects that could be done around the building. The political trends could involve official’s policies and the wants and needs of their constituents throughout the community. For instance if Hudson and Sanchez where to offered abortions and it wasn’t an excepted norm in that neighborhood it could cause a political hot spot with people for and against their expansion. At the same time if they offered a service the community badly needed like, free health screenings, of cancer, high blood pressure, or diabetes officials would jump on the brad wagon to help promote the expansion of the organization Technological trends will help identify the different resources available to improve the service given by Hudson and Sanchez. They can see what agencies/companies are using to keep medical records. At one hospital I worked they now keep all records on computer and no paper copies. At another Unit all medical records are stored using cloud technology where all information is sent to another location and pulled up on the computer when needed, which saves time, space and money. Technology can also provide quicker way to set-up appointments, review medicines the doctor has prescribed. Legal trends can help with knowledge about legal actions taken on the patient area; this will provide valuable information about compensation and liability cases. Social/Culture trends will indentify the culture and belief that are the norm in the area of the clinic. All of these trends will help Hudson and Sanchez to develop a better plan for the growth of their clinic and help with the change that will be occurring as they move forward. After the research is done Dr Harold s Resnick of worksystems suggests that there are 10 steps to change management, Confirming the compelling need for change, identifying the boundary conditions, creating the vision of the desired end state, developing the core work processes, defining key roles and responsibilities, modifying the organizational structure, establishing the key performance measure, reviewing system wide tools, develop training that enables performance ,aligning the reward system. http://worksystems. com) His steps correlates with the 8 stage model of planned organizational as outlined in our text manual. T o be successful should follow the procedures outlined in both. Stage one identify the problem Hudson, cannot provide service, they are not happy with the service provider, so this should be communicate to the staff. They should get the feedback from the staff and their feelings. Hudson and Sanchez should provide them with the research they have found. Stage 2 with this knowledge base they can get the consultant team they can get in this case indentify who should be managers, supervisors , team leaders so that they will be involved in the process moving forward. Here they can devise how new policies and procedures will be enacted and who perform what tasks. The consultant team I was involved with spoke to all managers daily to see if the implementation of new policies or procedures where going well or if there was problems. Problems where dealt with immediately. Stage 3.  Develop their Vision what kind of clinic do they want to be now, 5 years, ten years or 20 years from now. Developing a â€Å"Mission Statement â€Å"which is a summary of their Vision will help both the public and staff understand what the company striving for. When they first started it was â€Å"To provide excellent care to children† Now it might be to provide the best care possible children and families of the community meetings with ’. The Vision has to be where they want to take the practice. Stage 5: Empowering the employees to put the vision together and performance to level necessary to reach the goals. One way would be to have daily team meetings, monthly client meetings, and semi-annual town meetings for the whole community to express ideas, complaints and to get know one another better to develop a partnership. Stage 6 when something goes well let the team knows. One example My Shock trauma Team used was to mail Thank You notes to employee’s homes for jobs well done, birthday cards and when the budget allowed gift cards. This made team members feel special, motivated, they enjoy sharing with co-workers and family members. Stage 7.  When one thing is accomplished keep striving for the vision of the big picture. Stage 8 Inspect what you expect, people have a tendency to fall back on the old way doing things once the urgency seems to settle down. It is up the supervisors, manager not to fall bad into the habits of doing things. In closing the main changes I see that Hudson and Sanchez will have to do start their organizational change is Establish a unified set of policies and benefits, intergrate management structure and redefine all reporting relationships Establish best-in- industry cost structures. ross train employees to perform non-crictal tasks, add new computer system or invest in a networking system with other healthcare services in their area. Every new decision will need to be evaluated to determine if it will suit their operation, . All goals should be specific, attainable, realistic and measurable. If Hudson And Sanchez stand firm their company will grow and they will be force in the commun ity for years to come.

Key Practices of Performance Management Essay

The requirement for effective performance management: The performance management acts as a key measure to ensure that the goals and objectives are being consistently met that too in an effective and efficient manner. The management of performance focuses on the performance of the overall enterprise, all departments, employees and even the products or services. However, it does not just stop here as with performance management companies can align their resources, systems and employees which will help them attain their objectives and priorities. The goals of performance management programs: Only when the employee and the system align with one another can they ensure the delivery of strategic and operational goals. Some skeptics argue that there exists a relation between the use of performance management programs or software with improved organizational results. When considering the public sector, the performance managers changes from negative to positive which suggests that the difference in the characteristics of the system, and the different context that they are implemented play an important role in success or failure of the performance management. Sometimes using an integrated software rather than a spreadsheet based recording system will help in delivering a significant return of investments through the range of direct and indirect sales benefits. Measuring the operational efficiency will help in unlocking the latent potential of the employees that work. The benefits will include everything from the direct financial gain to a motivated workforce to the improved management. For the financial gains, it will grow sales, stop the overrunning of projects, and align the enterprise in direct manner to the CEO’s objectives. For the motivated workforce, it simply means optimization of incentive plans that defines the objective even for the over achievement and not for just the business as usual. Lastly, in the improved management control, the employees become more flexible and open to the management needs. They also display data relationships and helps audit to comply with the legislative requirement. Lastly, the process enables careful documentation and scenario planning. Types of performance management implementation Erica Olsen noted that in many businesses, even the ones with well made plans actually failed to implement appropriate strategy. For most, the issue lay in the ineffective management of the employees even with a business plan in place. Of course, they have conducted the necessary survey and collected the data, and also ensured management retreats to decide their organizational direction, but even with an expensive software in place, their plan can fail. Most of the time, their performance management and appraisals overlap and three types have been so far identified: Long cycle performance management: Usually done on a annual or a biannual or quarterly basis, from implementing this management, this the area that has received the most attention. These techniques predate the use of computers and therefore do not need any expensive software. Short cycle management performance: This overlaps with the principles of the agile software development which is mainly done on a week, monthly or bi-weekly basis. Usually this kind is industry specific. Reference: http://classof1.com/homework-help/human-resource-management-homework-help

Is Education A Common Good - 1299 Words

We, in the United States of America, live in an inarguably market-driven economy where he who has the most or the best usually wins. Whether its the most wealth, the most power, the most influence, or when speaking of education, the most opportunity; starting out on top has life altering advantages. Many Americans would argue that Education is a common good, a stepping-stone through which students can make something better of their futures. Therefore, should society set up a system to create winners and losers in education? There are also those who believe that serving children, stakeholders, and our communities can come from market-based reforms. So where did we come from and in what direction are we headed in the future of education? Several key early American leaders such as George Washington, Benjamin Rush, Thomas Jefferson, and Noah Webster argued that it was important build a powerful domestic system of education so that Americans could receive the highest-quality education a t home rather than going overseas for their education (Jeynes, 2007). These founders of America’s post–Revolutionary War education system were extremely well educated and consequently established rigorous standards in the nation’s schools and colleges which made the fledgling country both progressive and competitive. American students who continued their education were expected to become fluent in two or three languages and have well-developed interdisciplinary expertise inShow MoreRelatedThe Education Of The United States1575 Words   |  7 PagesStates, few have seriously argued the importance of education to society. 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My school mission statement is, â€Å"The mission of the Wadsworth City Schools, in cooperation with families, school personnel, and community, is to provide an education in a safe environment that will enable all students to reach theirRead MoreThe Common Core State Standards1733 Words   |  7 PagesCommon Core, these two words have come to mean more, in the past four years, than two words with no similarities. 43 out of 50 states are signed on to the Common Core State Standards as of now (Khadaroo). This paper will review the good, the bad and the alternatives to the Common Core, from the eyes of a student that is affected by these standards everyday. Through researching this topic, it has become apparent that the common core has good intentions, however bad implementations. Forty PercentRead MoreCommon Core Should Be Enforced Across The United States1523 Words   |  7 Pagesto whether the Common Core should be enforced across the United States. 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The subject of education in the United States is an incredibly divisive one, and for good reason, due to the large and overreaching impacts education has on our society as a whole. Historically, the issue of education has been controversial in nature, one that begets passion, and prevents objective thinking from taking root. Past decisions remain heavily contested for their efficacy, and new ideas suffer the same fate. Even just

The Legal And Ethical Issues Of Health Care Of A Child Essay

Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient s confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over. There are many legal and ethical situations that healthcare providers will be faced with when providing medical treatment to either a child or an elderly adult. While there is often much discussion regarding the elderly and do not resuscitate orders, there are often times when the decisions for health care of a child may be overlooked. Some of the legal issues that may be faced by healthcare professionals are informed consent, confidentiality, reproductive services and child abuse. Patients have the right to decide what is done to their own bodies, but for children under eighteen, their parents decide for them. A major issue faced by healthcare professionals is parental refusal for treatment. Healthcare providers will be faced with many conflicting ethical and legal situations regarding refusal of a minor’s healthcare and treatment. These issuesShow MoreRelatedParental Decision-Making Essay example1517 Words   |  7 Pagesbefore any health care decision can be made (Bo onstra Nash, 2000). These laws do not include health sensitive medical care like prescriptions for contraception, abortion of fetus, pregnancy care or drug addiction rehabilitation. 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This begs the question, ‘are children capable of participating in the decision making process of their own informed consent?’ According to the ANA Code of EthicsRead MoreEthical Considerations When You Are Caring For Children And Teens?828 Words   |  4 PagesDiscuss ethical considerations when you are caring for children and teens? Nurses often encounter ethical and social dilemmas that affect individuals and families for whom they provide care. These situations may present more commonly when caring for the pediatric population. Nurses must know how to approach these issues in a knowledgeable and systematic way. Ethics involves defining the best course of action in a presented situation. 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