The story of my life Essay Example | Topics and Well Written Essays - 250 words

The story of my life - Essay Example The change in culture and familial environment did not improve my relationship with my mother, who remained distant and aloof. I felt she has absolutely no love for me. With her mind wandering back to my father in New York, I anticipated that day when she just rushed to my father’s arms. I was not in their plans of reuniting. I stayed with my grandparents to continue my education. The day my mother left me was the day my life changed for the worse. I met a boy who I fell in love with irresponsibly and immaturely. I stopped attending classes; my relatives learned of the relationship; my grandfather died; and I was sent back to New York. I run away and lived with my boyfriend’s relatives and soon led to unexpected pregnancy. I gave birth at a very tender age. Since I was not under the care of my parents, a social service worker from the Department of Social Services put me and my newborn under protective custody, endorsed in foster homes: first in Malden and then in Lynn. I eventually graduated from Lynn Vocational Technical High and have continued to search for meaning in my life. All thorns so far, with one rose, my child; and another, graduating from high school. I am looking forward to more roses in the near future.

Exposure - creative personal writing Essay Example for Free

Exposure creative personal writing Essay A quick, stealthy character moves across the office, photocopying top secret files. The information was very damaging stuff. He leaves as quickly as he enters. Who is this person? Why does he want this information? Will the press get hold of it? The Rayman walked down an alley, on the way to his hide-out. He was a short man, who had brown hair with flecks of grey. In places he was going bald, he had shaven his hair very short. He had a well shaven beard. His face was an average face with brown eyes. He wore brown trousers, with black shoes. On the top he wore a brown, well-ironed polo shirt. Over it he wore a leather jacket. When he was around people he walked with a limp. This hid his true identity. He got to his house, flicked on the televison to the news. He now heard about a break in at 10 Downing Street. Also he heard about the top secret documents that have been stolen. The next day he decided he wants these secret documents. He needed a team of mastermind criminals to work with. He got one of his closest colleagues, Rumbo. His plan was to get arrested with all these other mastermind criminals. He and his colleagues have been informed about a truck transporting guns around for the army. The Rayman and Rumbo were on the trail of the truck. The truck took a left down a empty road. The Rayman put his foot on the accelerator and zoomed past the truck then did a handbrake turn straight in front of the truck. The two of them jumped out of the car with their balaclavas on. They were both holding automatic shotguns, with the barrels sawn off. The Rayman opened the door on the drivers side and blew the drivers head off. Rumbo did the same to the passenger. The Rayman put the bodies in the back and started the truck up while Rumbo drove the other car off. The two of them met up again on the edge of the of the river. Here they moved all the guns from the truck into the car. Quickly they set light to the truck and pushed it into the river. Next, they drove back to the Raymans warehouse and offloaded the guns and hid them under the floor boards. Now they blew their car up. There was now no hard evidence on them. One of the biggest police investigations took place to find the murders. The police arrested the Rayman, along with Peat, The Accountant and Amen. The four were put in a cell together. It was here the Rayman put the proposal to them of getting the document. Peat and The Accountant thought it was a great idea. The problem was that Amen was going straight. Over the next two hours they tried to explain that it was good idea to get the documents. Amens girlfriend was a very good lawyer and got the four of them out quicker than the Rayman expected. Once out the Rayman cornered down Amen. At first Amen was reluctant to join the group. After a few slaps and a good two hours Amen was persuaded to join the group. Amen went home told his girlfriend that he was going to London to get these files. She decided to leave him. This filled Amen with rage against the Rayman. The next day the four of them went on a road trip to London. In London the four of them met up with some of their contacts. They met up at Ventura Hill at 8pm. Jack and Jill had followed them here from Liverpool and were watching them. The contacts told them of this up and coming gangster, the Shadow. He was one of the best thieves in England. The group were informed by Rumbo about a drug shipment, to a rival gang leader Jack the Hat. They contacted the Shadow and ask him to help them steal the drugs. The shadow was extremely keen to work with the hardcore gangsters. Jack and Jill found out about their plans and had the police lined up to arrest everyone, at the ship. Meanwhile Rumbo had come down to help and supply the guns. They were ready to attack the ship and infiltrated the ship through the cargo hole. The Rayman told Amen to stay out of the action and hide in the boxes. The Shadow shot the first person. Soon after that the gunfight opened up and it was a dangerous place. The Rayman followed the Shadow. When they where alone he attacked the shadow and got him to tell him where the secret documents were. Tell me where the documents are before I blast you to the pearly gates says the Rayman. Theyre in a sailing boat says the Shadow. WHICH ONE? says the Rayman. Enterprise K40421, at the mariner says the Shadow. Bang! the Rayman shoots the Shadow in the head. Then the police turn up and arrest everyone who is alive. The only person left is the Rayman, who got out and hide near the ship. When the Rayman was arrested he used his real name David Edwards. The good thing was that David Edwards had no criminal record to give the police a harder time. The only witness left was a dying captain and all he could say was Rayman, Rayman. The polices first question was, What happened. The story David Edwards told goes something like this. Have you heard of the Shadow? Well he was the one who stole the secret documents. The Rayman had the idea of getting them off him. He told us the idea when we all were arrested. says David Edwards. So who was the Rayman? says Jack. Amen, he said he was going straight so it would be less likely it was him. Anyway, I went along because I had no choice in the matter. The plan was to attack this ship bringing in drugs. While doing this the Rayman will get the secret documents and a lot of drugs. While doing this I hid behind some boxes so as not to get involved says David Edwards So you just got mixed up with the group because we arrested you? Well, I only have one choice, to let you go, says Jack. David Edwards walks out the police station. Then straight away stops walking with a limp. He gets into a cab and goes to the mariner. Here he finds Enterprise K40421. Under the front he finds a brief case. There is no code to put in. He presses the two buttons, Click, Click. On the top of the brief case in big writing is a sign, which says Have a nice day. Kaboom.

Funding Accommodation for NHS Service Users

Funding Accommodation for NHS Service Users The implications of providing and/or funding accommodation for service users under the NHS and Community Care Act 1990 and Mental Health Act 1983: Community care is wrought with conflicting duties, in the first instance carers in the community must preserve life and dignity but also fulfill the wishes of the client.[1] In respect to health and care management in the mentally ill there is various legal, moral and social implications for carers and the local authorities. The main question is whether the client should be moved from hospital to community care, because of their inability to care for themselves and the lack of services and accommodation.[2] In addition the reduction of costs on the state to have a fleet of 24/7 on calls aftercare services and the cost of providing individual housing[3]. Detention within a hospital unit is the biggest breach of human integrity, because the freedom of the individual has been taken away. In addition this may be the only avenue when the mentally infirm client refuses to take their medications and are unable to care for themselves and need 24/7 care, especially when there are no family me mbers able to care for them therefore leaving them as the responsibility of the state. It is a difficult position that carers are in, but extra resources and education sufficient care in the community is possible.[4] The following discussion is going to explore the duty that the local authorities hold to provide sufficient aftercare service, carers and housing to vulnerable persons once they have left the hospital scene. It will focus on the mentally ill, because there is a higher likelihood that housing and aftercare is needed for service users under section 117 of the Mental Health Act 1983 (MHA). Prior to this a discussion of detention and sectioning under the MHA will be discussed to illustrate that their human rights may easily be breached in the Local Authorities to provide sufficient aftercare, so that the individual may be further detained in the hospital facility. Under section 2 of the MHA an individual can be sectioned, which is detained for medical treatment on the grounds of mental illness, by an approved social worker or close family relative who is over 18. This means that the individual’s human right to liberty may be breached, therefore the law has to be certain that this right can be derogated in the circumstances. Under the 1983 Act the law requires that person sectioning the individual must have seen him in the last 14 days and this allows the individual to be detained for up to 28 days and the following admission procedure is adhered to: Two doctors must confirm that: (a) the patient is suffering from a mental disorder of a nature or degree that warrants detention in hospital for assessment (or assessment followed by medical treatment) for at least a limited period; and (b) she or he ought to be detained in the interests of her or his own health or safety, or with a view to the protection of others.[5] As a fail safe to incorrect detentions under section 2 of the MHA the individual can be released by the following individuals; RMO; hospital managers; the nearest relative, who must give 72 hours notice. The RMO can prevent her or him discharging a patient by making a report to the hospital managers. [Finally the] MHRT. [In addition] The patient can apply to a tribunal within the first 14 days of detention. [6] Therefore the law allows for the individual to be detained, but only if the person is honestly a threat to themselves and society, with mental illness it is highly that the person will be treated efficiently, but will need sufficient aftercare as mental health issues are usually long term. Under section 3 of the MHA it sets out the situation that the individual can be detained for; otherwise the individual should be given their liberty and given sufficient outpatient or aftercare service. Section 3(2) sets up three grounds that the individual can be detained for hospital treatment, which are: (a) he is suffering from mental illness, severe mental impairment, psychopathic disorder or mental impairment and his mental disorder is of a nature or degree which makes it appropriate for him to receive medical treatment in a hospital; and (b) in the case of psychopathic disorder or mental impairment, such treatment is likely to alleviate or prevent a deterioration of his condition; and (c) it is necessary for the health or safety of the patient or for the protection of other persons that he should receive such treatment and it cannot be provided unless he is detained under this section. All three grounds must be satisfied to detain the individual in hospital, otherwise there will be a breach of the individual’s right to liberty under the Human Rights Act 1998 (HRA). If hospital treatment is not warranted an application for guardianship for over 16’s can be made either by the Local Authority or the person seeking guardianship; again as this threatens the integrity and the right to make one’s own decisions that section 7(2) of the MHA states that the following two grounds must be complied with: (a) he is suffering from mental disorder, being mental illness, severe mental impairment, psychopathic disorder or mental impairment and his mental disorder is of a nature or degree which warrants his reception into guardianship under this section; and (b) it is necessary in the interests of the welfare of the patient or for the protection of, other persons that the patient should be so received. Therefore because the integrity of the individual is at threat and guardianship can include admission into hospital that the individual must be deemed as incapable for caring for themselves. The strict grounds stops the use of detention as a cheap option for Local Authorities over sufficient aftercare services; however an individual can get themselves admitted if they feel the need to be hospitalized for mental illness under section 131 of the MHA. In addition this act allows the individual to stop being discharged from the hospital, because the individual feels safe in the environment. As this is voluntary and the patient can decide to leave at any time this is not a breach of Article 5 of the European Convention on Human Rights (ECHR) as enacted through the HRA. Prior to moving on the provisions of Article 5 will be discussed as this is important to ensuring that the patient is discharged from forced detainment at the soonest possible moment and sufficient aftercare provided; other wise detainment could seen by the NHS and Local Authorities as a cost cutting measure to providing housing and aftercare services. Under Article 5(1)(e) it allows the detention of persons of unsound mind on the basis of lawful detention and procedure is prescribed under domestic law. The definition of unsound mind was left to an evolving definition in Winterwerp v Netherlands[7]; however detention can not be made merely on the basis that the individual’s belief system and behaviour are deviate from the norm. The use of detention under 5(1)(e) can only be for self-protection or the protection of the public, whereby the detention should only occur when; a medical disorder by an objective medical personnel; the nature and degree of the disorder is significantly extreme; and the detention is only as long as the medical disorder. In Ashingdane v UK[8] it was added that detention can only occur in a hospital or appropriate medical institution. The only circumstances that these requirements are weakened are with respect to emergency admissions but the detention should be properly assessed and continued detention should cease if the person is not of unsound mind[9]. Detention is an important part of mental health treatment and it is in these cases that treatment against one’s wishes will occur. The state is required to provide an adequate level of medical treatment, including psychiatric care.[10] However, the patient should be released from detainment as soon as these grounds are no longer met as per section 16 of the MHA and sufficient aftercare service provided. This is an area of great concern when providing care in the area of the mentally infirm has always posed a difficult area for carers, doctors, nurses and human rights and consent is the key problem, because where does the law draw the line for treatment and incarceration into supervised care against or without the patient’s will? In most normal circumstances no treatment can be performed without the patient’s consent; however how does this work if the patient has been determined mentally incapable of making r ational decisions and therefore unable or unwilling to give consent. If a doctor has ordered that treatment should be made the question arises whether the nurse should still proceed, as it is in the best welfare of the patient or withhold treatment because the patient is unable or unwilling to give consent? Prior to the enactment of the HRA the problem of consent was a lot less murky as rights were given on the basis that there was no law restricting them, i.e. civil liberties. Therefore if parliament deemed that that rights such as consent for medical treatment should be restricted because of one’s mental health this was justification enough, as parliament is supreme. The HRA changed this because a set of inherent rights were introduced which conflicted in cases with the will and supremacy of parliament, of which the right to a private life and the liberty and security of the person came to the forefront of the debate of consent and mental health, i.e. the person has the con trol to determine what happens to their body and freedom and this is not determined by the wishes, albeit good of parliament and using detainment as a cost effective measure and not providing a sufficient aftercare service is a breach of Article 5. In addition it breaches the statutory duty owed by the Local Authorities and the NHS under section 117 of the MHA and section 42 of the NHS and Community Care Act 1990 (NHSCCA). The following discussion is going to explore the duty to provide aftercare and consider whether it is being met, especially in the light of R v Ealing District Health Authority, ex parte Fox[11] where it was held under section 117 of the MHA: (1) that the authority has erred in law in not attempting with all reasonable expedition and diligence to make arrangements so as to enable the applicant to comply with the conditions imposed by the mental health review tribunal; (2) that a district health authority is under a duty under section 117 of the Mental Health Act 1983 to provide aftercare services when patient leaves hospital, and acts unlawfully in failing to seek to make practical arrangements for after-care prior to that patients discharge from hospital where such arrangements are required by mental health review tribunal in order to enable the patient to be conditionally discharged from hospital. Therefore the following discussion will explore these duties to provide sufficient aftercare services. In the case of the NHSCCA the case law and provisions are an amalgamation of a series of previous community care provisions, therefore these will be discussed and indicated to their standing within this act. Community care law and the provision of accommodation and after care services were provided as a statutory duty National Assistance Act 1948 (NAA). The NAA abolished the Poor Laws and imposed a duty on Local Authorities under section 21 to provide housing on those who by reason, illness, disability or any other circumstances are in need of care and attention which was not otherwise available to them. The NHSCCA amends section 21 to include nursing mother but upholds this duty to provide accommodation to the ill. This accommodation must be given to the individual free of charge or the Local Authority must pay for it, as they are unable to work under section 44-45 of the NHSCCA and section 117 of the MHA. As the cases of R v Manchester CC ex parte Stennet[12]; R v Redcar and Cleveland BC ex parte Armstrong[13]; and R v Harrow LBC ex parte Cobham[14] revealed that individuals that had been detained under section 3 and no longer fulfill these grounds must be provided sufficient aftercare services under section 117 of the MHA, sections 42-50 of the NHSCCA and the Health Act 1999 (HlthA) section 5 this soon not be provided at a cost to the individual. Under the NAA section 22 this charging regime did exist however this was repealed in the NHSCCA. In addition the Local Authority and Primary Care Trust it is also under a duty to provide services that are essential to the aftercare of the individual. Under section 29 of the NAA it was limited to only promoting other welfare arrangements, which included information, instruction and recreation in and outside their homes. The wording to promote welfare services was the downfall of the NAA because there was no obligation for the LA to provide these services, i.e. the LA has a discretion rather than a duty to provide such services.[15] However the Chronically Sick and Disabled Persons Act 1970 (CSDPA) where the Local Authority were obliged to provide services, including education and recreation; as well as sufficient adaptations to the home, access to holidays and meal provisions under section 2 of the CSPDA. This was confirmed in the case of R v Gloucestershire CC ex parte Barry[16]. Section 2 of the CSPDA has been called the finest community care statute[17] the disabled or chronic ally ill person under the act has a right to these resources regardless of whether the Local Authority has the availability of them, they must be provided upon request. This supports and strengthens the section 21 of the NAA, now section 42 of the NHSCCA[18] and section 2 of the CSPDA. However, the NHSCCA sections 46-50 and section 117 of the MHA have enforced the obligation to provide aftercare services after being released from hospital without charge[19]. This was confirmed in the case of Clunis v Camden and Islington HA[20]. In addition the Local Authority must provide payments or grants to ensure that the individual can live comfortably once released from the hospital, this is more applicable to physically disabled individuals and is confirmed under section 46-50 of the NHSCCA, for example section 47 determines the extent of aftercare services that the individual requires: (1)Â  Subject to subsections (5) and (6) below, where it appears to a local authority that any person for whom they may provide or arrange for the provision of community care services may be in need of any such services, the authority— (a)Â  shall carry out an assessment of his needs for those services; and (b)Â  having regard to the results of that assessment, shall then decide whether his needs call for the provision by them of any such services. These services and the extent that they are provided are contained in a variety of acts, for example if the person requires adaptations to their home the Local Authority is under a duty to provide a grant if the individual cannot afford it. This right is protected under section 23 and 24 of the Housing Grants, Construction Regeneration Act 1996 (HGCRA). Section 23 and 24 imposes an obligation in the LA to make grants to make the necessary adaptations to their home, which is confirmed in the case of R v Birmingham CC ex parte Taj Mohammed[21]. If the individual needs to be housed in a special nursing home then the Local Authority is either entitled to provide the service or pay the registered nursing home for their services. This is protected under section 46 of the NHSCCA. This service should be provided efficiently and immediately and as with the Fox Case this should not be prolonged detention within a hospital. Section 50 of the NHSCCA provides the duty and guidelines for these pr ovisions and failure to do so will result in the investigation of the Local Authority. Section 50 of the NHSCCA has tried to deal with the problems with the current care framework, which is that although healthcare is free community care and carers provisions cost the individual who needs the aid. The individual has a right for community care to be provided, but in a lot of circumstances the receipt of funds to pay or the provision of the service can be delayed due to the Local Authorities and Primary Care Trusts fighting over who should foot the bill. This controversy has been risen in R (T) v Hackney[22] but has not been sufficiently resolved; rather the most appropriate authority must provide the care. Therefore section 50 (7)(e) states that: The Secretary of State may, with the approval of the Treasury, make grants out of money provided by Parliament towards any expenses of local authorities incurred in connection with the exercise of their social services functions in relation to persons suffering from mental illness. The problem with this is that it does not provide grants for the physically disabled, which means for these individual’s aftercare services will continue to be delayed to arguments over who will be paying the bill for the cost. In respect to housing this is the duty of the Local Authority and either housing should be directly provided or payment to a housing association or private landlord should be made. The other avenue that the Local Authority has is that the individual can receive direct payments for aftercare under the Community Care (Direct Payments) Act 1998 (CCDPA) renamed the Health and Social Care Act 2001 (HSCA). The individual with this money can pay their housing and choose an pay an appropriate carer and aftercare services. To be eligible the carer and aftercare service must be sufficiently educated to deal with the individual’s needs. In limited and exceptional circumstances a family member can be paid carers allowance, but it must be sufficiently illustr ated that this individual can meet the individual’s needs as per the Direct Payments Regulations 2003 Regulation 6. If the individual is unable to deal with their own care payments then the Local Authority must provide an agency that can deal with the aid of community care payments to be made to the carer. Under English law these agencies are called Independent User Trusts that provide the payments services for either the Local Authority or the Primary Care Trust, as supported by the cases of A v B v East Sussex.[23] This system means that the aftercare services and payments are NOT being directly paid therefore this leaves the possibility that the individual will use the money for other purposes and therefore the aftercare has to be provided at extra cost to the Local Authority, because there is a duty to provide under section 117 of the MHA sections 42-50 of the NHSCCA and section 5 of the HlthA. On the whole Local Authorities do not promote the use of Direct Payments becau se of the limitations of not aiding mental health service users and the extra expense of the Independent User Trusts. The Local Authority is under no duty to provide Direct Payments or information about then, just the services and care that are a duty; therefore the Local Authority is more likely to provide direct care services rather than payment. This is why in respect to housing the Local Authority is more likely to provide housing in housing trusts and make the payments directly to these entities, as council owned properties are less available. The duty to provide accommodation is also cemented in the Housing Act 1996 (HA), which has obligated special duties for Local Authority to provide housing in the rental sector for vulnerable adults, which includes those that come under section 117 of the MHA and sections 42-45 of the NHSCCA. There are still problems with effective community care, because as the Fox Case and the Stennet, Armstrong and Cobham Cases illustrated is that Local Authorities and Primary Care Trusts do not want to foot the bill for aftercare services. In the Fox Case continued hospitalization was argued for because it was cost effective, but as section 117 of the MHA states that if the individual is no longer detainable under section 3 and does not voluntarily remain under section 131 then release must occur. This duty to release and provision of sufficient community care is argued the best method for the mentally infirm and disabled.[24] Gitlin Cocoran[25] argue that the main health concerns are that of safety when dealing with dementia (as with other mental illnesses and the physically disabled) living at home alone or with family members and all that is needed are specific modifications to the physical environment to address these issues, and guiding principles for implementing environmental changes. This is provided under the NHSCCA, MHA and grants are available under the HGCRA, therefore there is no excuse that the individual cannot receive community care when hospitalization is not necessary. This has extra costs to the state, as the Fox Case illsustrates, in re-education and in cases of non-affordability of the adaptations; however it is usually easier and more cost-efficient to hospitalize the client but it is necessary so a breach of the client’s human rights. Finally, studies such as Richards et al[26] and Schneider et al[27] argue that care of dementia is a much higher standard when within the community, because it reduces depression and gives a higher quality of life. As Barnett argues the individual should have a say in the caring strategy and forced hospitalization should only occur if section 3 of the MHA is fulfilled.[28] The law under the MHA, HlthA, NHSCCA and the HGCRA has made it a duty to the Local Authority that community resources should be ma de available therefore making hospitalization unreasonable and a breach of human rights[29]; however as the Fox Case has illustrated the Local Authorities will still attempt to dismiss this duty under the guise of necessary detention under the MHA or as with the Stennet, Armstrong and Cobham Cases charge the individual for their provision.[30] However, as these cases have enforced there is no charge and their provision is a duty at no charge and better cohesion between Primary Care Trusts and Local Authorities needs to occur to stop the passing of the bill from one agency to another, whilst the individual is either unfairly detained or without these essential services: Joint policies between PCTs/health authorities and social services are to be agreed to ensure the duty is met (HSC 2000/003). Where funding issues arise, and the health agencies are considering their obligation only to fund health costs under S.3 of the NHS Act 1977, regard may be had to the pooling arrangements for health and social care budgets under the Health Act 1999.[31] Bibliography: Alzheimers Disease Society, 1992, Safe as Houses Living alone with Dementia (A resource booklet to aid risk management) Alzheimer’s Disease Society London The Alzheimers Association, 2000, Guidelines for Dignity: Goals of Specialized Alzheimer/Dementia Care in Residential Settings, Alzheimer’s Association Chicago Antonangeli, 1995, Of Two Minds: A Guide to the Care of People with the Dual Diagnosis of Alzheimers Disease and Mental Retardation, Malden Barnett, 2000, Including the person with dementia in designing and delivering care: I need to be me! Jessica Kingsley Publishers Bowen, 2006, Human Rights Transforming Services, Social Care Institute for Excellence Brayne Carr, 2005, Law for Social Workers Oxford University Clements, 2004, Community Care and the Law London Legal Action Group (LAG) Cox, 1998, Home Solutions: Housing Support for People with Dementia, The Housing Associations Charitable Trust Day et al. 2000, The Therapeutic Design of Environments for People with Dementia: A Review of the Empirical Research, The Gerontologist 2000 (40) Day, 2002, The management of acute and chronic pain the community. Professional Nurse papers. 17(6) , Feb. 02. Department of Health, 2001, NHS Identity Guideline The Stationery Office Department of Health, 2004 Research Governance Framework Implementation Plan for Social Care DH ref 3402 Gitlin Cocoran, 2000, Making Homes Safer: Environmental Adaptations for People with Dementia Alzheimers Care Quarterly 1(1) Hoggett, 2002, The Family, Law and Society, LexisNexis UK Grubb, 2004, Principles of Medical Law 2nd Edition, Oxford University Press Hewitt, 2004, Between Necessity and Chance, NLJ 154(7124) Mahendra, 1998, Unto the Breach, The Practioner, in the NLJ 148(6857) Mind, Outline of the Mental Health Act 1983 http://www.mind.org.uk/Information/Legal/OGMHA.htm#s2 Mandelstan,1997, Equipment for Older or Disabled People and the Law Jessica Kingsley Mandelstan, 2005, Community Care Practice and the Law Jessica Kingsley McDonald, 1999, Understanding Community Care: A Guide for Social Workers Macmillan Meredith, 1995, The Community Care Handbook: The Reformed System Explained Age Concern NHS, Section 12(2) of MHA 1983 Website, can be found at: http://www.guideweb.org.uk/section12/section121.html Parsons, 2003, United Kingdom: Charging for Aftercare Services under s117 Mental Health Act 1983 – The Final Story, RadcliffesLeBrasseur can be found at: http://www.mondaq.com/article.asp?articleid=22439print=1 Percy Commission, 1957 Report of the Royal Commission on the Law Relating to Mental Illness and Mental Deficiency Cmnd 169 1954-1957 Richards et al, 2000, Cognitive function in UK community dwelling African Caribbean and white elders: a pilot study International Journal of Geriatric Psychiatry 15 (7) Sandland Bartlett, 2003, Mental Health Law: Policy and Practice, Oxford Schneider et al,1997, Residential care for elderly people: an exploratory study of quality measurement Mental Health Research Review 4 WHO, 2003, Mental Health Legislation and Human Rights, WHO Footnotes [1] Keady, 2003 [2] Alzheimer’s Association Chicago, 2000 [3] Alzheimer’s Disease Association London, 1992 [4] Antonangeli, 1995 [5] Mind, Outline of the Mental Health Act 1983 http://www.mind.org.uk/Information/Legal/OGMHA.htm#s2 [6] Mind, Outline of the Mental Health Act 1983 http://www.mind.org.uk/Information/Legal/OGMHA.htm#s2 [7] (1979-80) 2 EHRR 387 [8] (1985) 7 EHRR 528 [9] Article 5(4) and Megyeri v Germany (1993) 15 EHRR 584 [10] The Greek Case [1969] 12 Yearbook 1 ; Cyprus v Turkey (1982) 4 EHRR 482; Keenan v UK [2001] The Times April 18th 2001 [11] [1993] 1 WLR 373 [12] [2002] 2 AC 1127 [13] [2002] 2 AC 1127 [14] [2002] 2 AC 1127 [15] Bowen, 2006 [16] [1997] AC 584 [17] Clements, 2005 [18] R v Kensington Chelsea RLBC ex parte Kujtim [1999] 2 CCLR 340 [19] R v Manchester CC ex parte Stennett [2002] unreported [20] [1998] 3 AER 180 [21] [1999] 1 WLR 33 [22] [2006] 9 CCLR 58 [23] [2003] CCLR 177 [24] Day et al, 2000 [25] Gitlin Cocoran, 2000, pgs. 50-58 [26] Richards et al, 2000 [27] Schneider et al, 1997 [28] Barnett, 2000 [29] Cox, 1998 [30] Parsons, 2003 [31] Parsons, 2003

Pros and Cons of Solitary Confinement Essay -- Prisons, Jail, Criminal

"Supermax" is short for "super-maximum security." It is a place designed to house violent prisoners or prisoners who might threaten the security of the guards or other prisoners. Some prisons that are not designed as supermax prisons have "control units" in which conditions are similar. The theory is that solitary confinement and sensory deprivation will bring about behavior modifications.   Ã‚  Ã‚  Ã‚  Ã‚  In general, Supermax prisoners are locked into small cells for approximately 23 hours a day. They have almost no contact with other human beings. There are no group activities: no work, no educational opportunities, no eating together, no sports, no getting together with other people for religious services, and no attempts at rehabilitation. There are no contact visits: prisoners sit behind a plexi glass window. Phone calls and visitation privileges are strictly limited. Books and magazines may be denied and pens are also restricted for the fact that it could be turned into a weapon. TV and radios may be prohibited or, if allowed, they would be controlled by guards.   Ã‚  Ã‚  Ã‚  Ã‚  Prisoners have little or no personal privacy. Guards monitor the inmates' movements by video cameras. Communication between prisoners and control booth officers is mostly through the vents. An officer at a control center may be able to monitor cells and corridors and control all doors electronically.   Ã‚  Ã‚  Ã‚  Ã‚  Typically, the cells have no windows. Lights are controlled by guards who may leave them on night and day. Fo...

Passionate Shepherd to His Love

â€Å"The Passionate Shepherd to His Love† is a pastoral poem that is simple yet idealized. This poem was written by Christopher Marlowe who was an English dramatist. Marlowe is considered to be the father of English tragedy. Christopher Marlowe was the eldest son of a shoemaker and was born on February 6, 1564. Through the entire poem the speaker, who is a shepherd, wants a woman character to come live with him. The speaker goes on to ask her to sit on rocks, and spend time with him. The speaker will make his love gifts and do anything to please her if she will just come live with him. The speaker, form, use of poetic elements, and theme of â€Å"The Passionate Shepherd to His Love† will be the main discussion in this analysis.Marlow writes this poem in first person. The speaker, which is the shepherd of â€Å"The Passionate Shepherd to His Love† conducts his poem in a very dreamlike way. The shepherd opens with the invitation: â€Å"Come live with me, and be m y love.† He is not asking her to marry him but only to live with him. The offer is simply put and the speaker suggests that the woman should just as easily agree. The shepherd obviously only wants her for a period of time. Knowing this, it may make the woman question whether or not she should get involved with this man. The speaker lives in an ideal society where everything is perfect.The shepherd does not really have a care in the world because he lives in his world of simplicity, beauty, and love. Everything is good and happy, from the speaker’s point of view. The shepherd is engaged in romantic and innocent love affairs. â€Å"The Passionate Shepard to His Love† not only is written in iambic pentameter, but this form allows Christopher Marlowe to express his skill of pastoral poetry. This poem is very easy to understand because of the way it is written. The rhyme scheme is very obvious and helps with the flow and form of the poem. This poem has artificial lang uage, and the shepherd spoke just like a man who was only really interested in â€Å"spending time† with this woman.Marlowe added sexuality, and created his own tone in the poem. The tone of â€Å"The Passionate Shepherd to His Love† suggests the pastoral tradition. The shepherd asks the woman to imagine an ideal life that is impossible and ridiculous. In exaggerating and creating these fictional ideas, Marlowe creates a pastoral image of fantasy.The poetic elements of â€Å"The Passionate Shepherd to His Love† relate to some human senses. Seeing the shepherds feed their flock appeals to the sense of sight. Fragrant posies appeal to the sense of smell. This poem appeals to the human senses so that it appeals to the reader. â€Å"The Passionate Shepherd to His Love† combines images and involves song like images to the reader.The overall theme of â€Å"The Passionate Shepherd to His Love† is, in my opinion, love and innocence. This poem celebrates th e passion that young people think they have for others, but in reality they are just curiously looking for love. This poem is a carpe diem poem. The shepherd wants his love to â€Å"seize the day† and come live with him. As was stated earlier, obviously the shepherd wants the woman for just a period of time. This is a fantasy-like setting and the poem is much exaggerated, so carpe diem is to be personified in this type of work.Christopher Marlowe was a talented poet. Marlowe’s works were published at the same time as other world renowned writers, and are to be considered just as influential. A warrant was issued for Marlowe's arrest on May 18, 1593. No reason for his arrest was given, but it was thought to be connected to â€Å"allegations of blasphemy†. He was brought before the Privy Council to be questioned, after which he had to report to them daily. Ten days later, he was stabbed to death by Ingram Frizer. Whether the stabbing was connected to his arrest ha s never been resolved. The overall speaker, form, use of poetic elements, and theme of â€Å"The Passionate Shepherd to His Love† affects the reader’s attitude toward the poem. Only the present matters in this poem. The obvious theme of the poem is love. The form and poetic elements lead the reader to more sensually enjoy the expression of it.

3 Ways to Expedite Your Editing Process - Freewrite Store

3 Ways to Expedite Your Editing Process - Freewrite Store Some writers love editing. Others†¦ not so much. Either way, editing is an essential part of the writing process. And, like writing, it’s time-intensive. Fortunately, editing doesn’t have to take forever. If you want to refine your writing without spending endless hours on it, consider these three tips.1. Start with an OutlineIt’s hard to get anywhere without a map (or maybe a navigation app is more appropriate for 2018). Likewise, it’s hard to write without a destination in mind. To predetermine that destination, consider outlining.Your outline can be as simple or complex as you’d like. If you’re writing a standalone blog post, your outline might be bullet points. If you’re writing a novel, your outline might be several pages. Either way, spending time creating an outline in advance can save you major time in the editing process. If you’re wondering why, let’s refer back to our map metaphor.If we travel without a navigation app, we’re likely to get lost along the way. That means wasted time backtracking, rerouting, and making U-turns. The same goes for writing. An outline shows us where we’re going so we don’t get lost along the way. Without one, we might very well get to the editing process and realize that we went way off course. Then we’d need to spend extra editing time getting everything back on track. That’s no way to expedite our editing.You can read more about the importance of outlining in this post, Outlining for Writers Who Hate to Outline.2. Use Editing SoftwareThe robots haven’t taken over yet- but that doesn’t mean they aren’t super smart. In fact, there are many programs out there that can help edit your writing.Take ProWritingAid, for example. It works like your grammar checker but goes way beyond just grammar errors. It detects a huge range of writing issues that make your writing awkward or unclear, like passive voice, sticky sentences, repetitive phrasing, and inaccurate word choices. And it does all this at lightning speed.Try uploading a piece of your writing to the online tool an d run a summary report. It’s free to use and you’ll see the key changes that will most improve your writing. Or, to save even more time, you can use integrations for Microsoft Word/Office, Google Chrome, Google Docs, Scrivener, and more. It’s an easy way to edit faster (and more efficiently). Related:  10 Grammer Rules to Always Follow 3. Take a Break Between Writing and EditingI know. This sounds contradictory. Why would I recommend taking additional time for an article about saving time?Because it really works. You need not take a long break between writing and editing. It could be a day. It could be an hour. Whatever you choose, taking time between writing and editing will accelerate the entire process.There are a few reasons for this. First, the downtime allows your brain to switch gears. Though they are similar, writing and editing require different skills. Writing is about seeing what isn’t there; editing is about refining established ideas. It’s difficult to transition from one to the other. Taking a break after writing resets our brains for editing. And when we do that, editing goes faster.Furthermore, breaking before editing gives your unconscious mind time to reflect on what you’ve written. Here’s a non-writing example: Think back to the last time you lost your car keys. (I did it 20 minutes ago.) You probably found that you looked everywhere and couldn’t find them. Then maybe you stepped away for a while. When you returned, you might’ve suddenly remembered where you left your keys.No, the keys didn’t telepathically notify you of their location (though that would be pretty cool). That was the work of your unconscious mind. It works the same way for writing and editing. Your unconscious mind finds solutions to problems, even when you don’t know it.Alright, I’ve taken enough of your time. Go edit!      About the author: Kyle A. Massa is a speculative fiction author living in upstate New York with his wife and their two cats. He loves the present tense and multiple POV characters. When he grows up, he wants to be a professional Magic: The Gathering player. For more of his work, visit www.kyleamassa.com.

Free Essays on Bills

The U.S. military said 54 Iraqis were killed Sunday in the northern city of Samarra as U.S. forces used tanks and cannons to fight their way out of simultaneous ambushes while delivering new Iraqi currency to banks. Residents said the casualty figure was much lower and that the dead were mostly civilians. But by the American account, the battle was the bloodiest combat reported since the fall of Saddam Hussein (news - web sites)'s regime in a U.S.-led invasion. On Monday, assailants ambushed a U.S. military convoy with small arms fire about 50 miles west of Baghdad, killing one soldier, the U.S. military said. The U.S. military said attackers in Samarra, many wearing uniforms of Saddam's Fedayeen paramilitary force, struck at two U.S. convoys at opposite sides of Samarra, 60 miles north of Baghdad. Capt. Andy Deponai, whose tank was hit by a rocket-propelled grenade, said the guerrillas had deployed about 30-40 men near each of the two banks where the new currency was being delivered. "It was a large group of people," said Brig. Gen. Mark Kimmitt. "Are we looking at this one closely? Yes. Is this something larger than we've seen over the past couple of months? Yes. Are we concerned about it? We'll look at it and take appropriate measures in future operations." Deponai said he was surprised by the scale of the attack. "Up to now you've seen a progression - initially it was hit and run, single RPG shots on patrols, then they started doing volley fire, multiple RPG ambushes, and then from there this is the first well-coordinated one," he said. "Here, it seems they had the training to stand and fight," Deponai said. The scars of the battle were evident Monday. About a dozen cars lay destroyed in the streets, many apparently crushed by tanks, and bullet holes pocked many buildings. A rowdy crowd gathered at one spot, chanting pro-Saddam slogans. One man fired warning shots in the air wh... Free Essays on Bills Free Essays on Bills The U.S. military said 54 Iraqis were killed Sunday in the northern city of Samarra as U.S. forces used tanks and cannons to fight their way out of simultaneous ambushes while delivering new Iraqi currency to banks. Residents said the casualty figure was much lower and that the dead were mostly civilians. But by the American account, the battle was the bloodiest combat reported since the fall of Saddam Hussein (news - web sites)'s regime in a U.S.-led invasion. On Monday, assailants ambushed a U.S. military convoy with small arms fire about 50 miles west of Baghdad, killing one soldier, the U.S. military said. The U.S. military said attackers in Samarra, many wearing uniforms of Saddam's Fedayeen paramilitary force, struck at two U.S. convoys at opposite sides of Samarra, 60 miles north of Baghdad. Capt. Andy Deponai, whose tank was hit by a rocket-propelled grenade, said the guerrillas had deployed about 30-40 men near each of the two banks where the new currency was being delivered. "It was a large group of people," said Brig. Gen. Mark Kimmitt. "Are we looking at this one closely? Yes. Is this something larger than we've seen over the past couple of months? Yes. Are we concerned about it? We'll look at it and take appropriate measures in future operations." Deponai said he was surprised by the scale of the attack. "Up to now you've seen a progression - initially it was hit and run, single RPG shots on patrols, then they started doing volley fire, multiple RPG ambushes, and then from there this is the first well-coordinated one," he said. "Here, it seems they had the training to stand and fight," Deponai said. The scars of the battle were evident Monday. About a dozen cars lay destroyed in the streets, many apparently crushed by tanks, and bullet holes pocked many buildings. A rowdy crowd gathered at one spot, chanting pro-Saddam slogans. One man fired warning shots in the air wh...

Hamlet Essays (2557 words) - Theatre, Literature, Fiction

Hamlet Essays (2557 words) - Theatre, Literature, Fiction Hamlet Hamlet is a play written by William Shakespeare that very closely follows the dramatic conventions of revenge in Elizabethan theater. All revenge tragedies originally stemmed from the Greeks, who wrote and performed the first plays. After the Greeks came Seneca who was very influential to all Elizabethan tragedy writers. Seneca who was Roman, basically set all of the ideas and the norms for all revenge play writers in the Renaissance era including William Shakespeare. The two most famous English revenge tragedies written in the Elizabethan era were Hamlet, written by Shakespeare and The Spanish Tragedy, written by Thomas Kyd. These two plays used mostly all of the Elizabethan conventions for revenge tragedies in their plays. Hamlet especially incorporated all revenge conventions in one way or another, which truly made Hamlet a typical revenge play. Shakespeares Hamlet is one of many heroes of the Elizabethan and Jacobean stage who finds himself grievously wronged by a powerful figure, with no recourse to the law, and with a crime against his family to avenge. Seneca was among the greatest authors of classical tragedies and there was not one educated Elizabethan who was unaware of him or his plays. There were certain stylistic and different strategically thought out devices that Elizabethan playwrights including Shakespeare learned and used from Senecas great tragedies. The five act structure, the appearance of some kind of ghost, the one line exchanges known as stichomythia, and Senecas use of long rhetorical speeches were all later used in tragedies by Elizabethan playwrights. Some of Senecas ideas were originally taken from the Greeks when the Romans conquered Greece, and with it they took home many Greek theatrical ideas. Some of Senecas stories that originated from the Greeks like Agamemnon and Thyestes which dealt with bloody family histories and revenge captivated the Elizabethans. Senecas stories werent really written for performance purposes, so if English playwrights liked his ideas, they had to figure out a way to make the story theatrically workable, relevant and exciting to the Elizabethan audience who were very demanding. Senecas influence formed part of a developing tradition of tragedies whose plots hinge on political power, forbidden sexuality, family honor and private revenge. There was no author who exercised a wider or deeper influence upon the Elizabethan mind or upon the Elizabethan form of tragedy than did Seneca. For the dramatists of Renaissance Italy, France and England, classical tragedy meant only the ten Latin plays of Seneca and not Euripides, Aeschylus and Sophocles. Hamlet is certainly not much like any play of Senecas one can name, but Seneca is undoubtedly one of the effective ingredients in the emotional charge of Hamlet. Hamlet without Seneca is inconceivable. During the time of Elizabethan theater, plays about tragedy and revenge were very common and a regular convention seemed to be formed on what aspects should be put into a typical revenge tragedy. In all revenge tragedies first and foremost, a crime is committed and for various reasons laws and justice cannot punish the crime so the individual who is the main character, goes through with the revenge in spite of everything. The main character then usually had a period of doubt , where he tries to decide whether or not to go through with the revenge, which usually involves tough and complex planning. Other features that were typical were the appearance of a ghost, to get the revenger to go through with the deed. The revenger also usually had a very close relationship with the audience through soliloquies and asides. The original crime that will eventually be avenged is nearly always sexual or violent or both. The crime has been committed against a family member of the revenger. The revenger places himself outside the normal moral order of things, and often becomes more isolated as the play progresses-an isolation which at its most extreme becomes madness. The revenge must be the cause of a catastrophe and the beginning of the revenge must start immediately after the crisis. After the ghost persuades the revenger to commit his deed, a hesitation first occurs and then a delay by the avenger before killing the murderer, and his actual or acted out madness. The revenge must be taken out

Learning Theories Essay Example | Topics and Well Written Essays - 5000 words

Learning Theories - Essay Example Behaviorism is an important approach in educating younger students. Young learners may sometimes be unmanageable especially when they are left on their own (Casas, 2011). In teaching, behaviorists usually lay down the rules to the students at the beginning of the year. This helps to avoid misbehavior. Teachers also use positive and negative reinforcements to affect students’ behavior. As such, it is imperative for teachers to know their students’ behavior and plan out reinforcements to influence negative behaviors and make them positive. Rewards that are meaningful to the students should be in place to strengthen positive behaviors, and rules must be set at the very start to avoid negative behaviors. Classroom management is one aspect that a behaviorist teacher focuses on. Students have different personalities but when they come to school, they act in uniformity according to the policies and regulations set by the school and its teachers. Establishing classroom rules is thus the first step to a well-managed classroom. Teachers should make it a point to establish rules at the beginning of the year and have them posted. In particular, classroom rules may be memorized by students and recited as part of routines. Rules may be posted on the bulletin board to remind students of their responsibility. In terms of assignments, it is best to make contracts for parents or guardians to sign. There should be an assignment notebook where students will write all their assignments. The teacher signs the assignment page, whether it was completed or not, and students will ask their parents to countersign the page so as to monitor students’ effort in doing their assignments. ... Rules may be posted on the bulletin board to remind students of their responsibility. In terms of assignments, it is best to make contracts for parents or guardians to sign. There should be an assignment notebook where students will write all their assignments. The teacher signs the assignment page, whether it was completed or not, and students will ask their parents to countersign the page so as to monitor students’ effort in doing their assignments. Practicing routines is another beneficial aspect of the behaviorist classroom. Routines help to make students become organized individuals. Students who learn routines in school will learn to keep a routine at home and eventually, in their professional field. With routines, performance and processes will be perfected. As part of everyday routine, students should greet the teacher and their classmates, check attendance by counting off (each should be assigned a class number), recite classroom rules, and report current news. The re porting of current events should be done in turns, based on the class number. These routine activities are supposed to prepare students for the day ahead, and to condition them to behave the way they should in school. Setting the mood of students is a must in the behaviorist classroom. In every lesson, the teacher should always give students some idea on what to expect for the day. This gets the students in the mood for activities, games, etc. For example, if the teacher says, â€Å"Today, we will play a game.† The students will know how to behave or react, and they will respond accordingly to the situation. If some serious activities need to be accomplished, then the teacher could say, â€Å"Have you made a Diorama? Today, I will teach you how to

Extending Retail Services in China Research Paper

Extending Retail Services in China - Research Paper Example Coca-Cola, an American-based soft drink manufacturer has had to adapt to the Chinese environment so as to emerge as a leading soft-drink manufacturer in the country. Thus, this paper gives the history and nature of China and its people and the etiquette of business in the country. It further evaluates the cultural, economic, political and legal environment in the country. Using information from various secondary sources, the paper analyses the experience of Coca-Cola in China, as a case study of the impact of a country’s economic, cultural, political and legal environment on international business. The Political and Legal Environment in China China has been governed by the Chinese Communist Party, CCP for about 63 years since 1949 when it assumed power through a civil war victor. Nonetheless, Ambler, Witzel and Xi (2009) observe that there has been tremendous transformation in the political culture and institutions over this period of time. Even though this party upholds a mon opoly of power and does not tolerate being questioned, Lawrence and Martin (2013) consider the political system as being neither rigidly hierarchal nor monolithic. This form of centralized government is referred to as Maoism by Peteghem and Zhang (2010). The formal political culture of the Chinese upholds collective leadership, the military as a wing of the CCP and strong legislature on paper but weak in practice. In China, politics go hand in hand with commerce and discipline could be executed by the Communist party. The government of China is largely involved in the primary businesses in the country. Devonshire-Ellis (2011) observed that out of the 46 Chinese companies that were listed in the Fortune 500, 40 were state-owned. This author notes that as soon as a business becomes viable, government interest takes over. Apparently, instead of the returns from these businesses ending up in state coffers, they filter down to state officials (Hamilton & Zhang, 2012). Similarly, to succe ed in business, there is need to establish appropriate networks with these officials, referred to as guanxi (Peteghem & Zhang, 2010). This causes difficulties with regards to transparency in China and among the business executives that are engaged in business in the country. This becomes particularly difficult when dealing with the US and EU companies where corruption amounts to a serious crime. China’s legal reform process began in the past about a decade aimed at motivating the opening of its markets having joined the World Trade Organization, WTO. One of the legislative policies of China is to reduce its control over state-owned enterprises (Sweeney, 2010). The authorities of China have the approval process relatively centralized such that it integrates national, regional and local authorities vertically. The law in China distinguishes companies depending on their capital source. Domestic companies typically have less than 20% foreign shareholding while Foreign Investment Enterprises, FIEs could be Foreign Invested Companies Limited by Shares, FICLS, Wholly Foreign-Owned Enterprises, WFOEs or joint ventures. A legal entity would be determined majorly by the kind of investment being undertaken, such as being a direct acquisition or joint venture. Even though the laws of China could allow foreign investors to make a choice from a variety of investment entities, it could occur that the investment destination could be

Political science Essay Example | Topics and Well Written Essays - 750 words - 1

Political science - Essay Example It can also be said to have been a mother’s attempt to protest against the racism in the south and a bid to appeal for justice for her son. The media all over the world spread the news of Emmett’s death and this ensured that the story became quite common not only at the local level but also at the international level. The injustice of this story is that an all-Caucasian jury acquitted those who had committed this heinous crime and as a result, there was no justice for Emmett Till. It is indirectly because of this incident that the civil rights movement came to develop and it can be said that it is due to Emmett’s sacrifice that this movement developed in strength. African Americans have for a long time been depicted in a negative light in which they have been presented in a way that has made them to be considered a race of criminals, or worse, animals. African Americans, for instance, are portrayed as being some of the most violent people in the United States, an d this has created a stereotype where all African Americans are often profiled as being potential criminals, an allegation which does not hold any truth in the reality of this nation. In addition, the view of African Americans in American society has been influenced by the long history of racial relations in the United States where the Caucasian dominated hierarchy tended to look down upon it. In addition, because of the unconscious Caucasian belief that African Americans are inferior, this has formed a mentality where individuals look upon this minority group as being the enemy of the public. It is a fact that the presentation of African Americans by the media has to be brought under control because at the moment, it has developed into a fierce social problem that has to be dealt with firmly. This is because of the fact that the development of equal rights for all human beings has become a fundamental aspect of human lie and to deny African Americans their own would be to go agains t the ideals of the society. One of the most noteworthy cases that have raised the same emotions as that of Emmett Till that have developed in the current world is the Zimmerman case which, through the media, has gained the attention of people not only in America but also the entire world. Almost the same events, which took place in the Emmett case recurred in the Trayvon Martin, case where the jury despite the fact that he had murdered an innocent African American teenager freed the perpetrator, Zimmerman. One of the issues that have been given prominence by the most of the individuals following this case has been the fact that this is not the first time that such a crime has been committed in the United States and the murderer has gotten away with it. Despite this being the situation, it can be said that these cases tend to be made more prominent than normal by the media. This has ensured that many of the people in the world have come to the realization that despite the developmen t of Affirmative action, the racial situation in the United States has remained more or less the same. In addition, this situation has also developed into a negative one because of the media’s tendency to sensationalize the news concerning the murders of such African American individuals such as Emmett Till and this has made it difficult for juries to provide justice because of the racial tensions that come about as a result. Therefore, instead of coming up with solutions

Level One Computer Systems Essay Example | Topics and Well Written Essays - 2500 words

Level One Computer Systems - Essay Example the â€Å"de-perimeterization of security† where it has become difficult to demarcate the line between a firm and its clients, suppliers and partners (PGP Corporation, 2007). Enforcing effective security standards is a challenge in this complex milieu. There are many reasons as to why information is on longer safe and there is a need for data protection and security. The notion that sensitive information is within the walls of the organization and so is safe is no longer justified. With the advancement in technology and the new computing form factors, information can be accessed by malicious insiders. The people who are responsible for administrating the systems can also present a risk to the bypass of sensitive information. It is not easy to define who has access to what information. This also necessitates that an effective security protocol must be present to ensure that sensitive data is not leaked out. Data protection is also necessary to build a bond of trust with the cus tomers. When a customer approaches an organization, the organization is bound to protect his or her privacy. Not doing so can bring bad repute to the organization and cause it to lose its customers. A comprehensive data security system encompasses an assessment of the associated risks and threats to data security. A strategy that includes a thorough assessment of these risks enables the organization to understand the value of the data that is at risk and the consequences of any loss. Data could be lost by many ways. One can be due to malicious infections. System crashes and natural happenings such as floods can also cause the loss of significant amount of sensitive data. When considering data protection, the organization needs to review who has access to what type of data, who used the Internet, who should be given limited access, what type of firewalls and anti-malware solutions need to be in place, the usage and maintenance of passwords and the training being given to staff (Spam laws,

Syria and Israel Dissertation Example | Topics and Well Written Essays - 12750 words

Syria and Israel - Dissertation Example It analysis certain key events during this period and brings to light the disparities in the interpretation of these events from Syria's point of view. The Brainchild behind the Syrian foreign policy behavior will be the charismatic President Hafiz al Asad who led the country from the 1970s up to the early 1990s. The paper further examine the period after President Hafiz al Asad in Syria during which power was handed to his son Bashar al Asad. The concentration here will be an interpretation of certain events like the disorder that resulted from the U.S. led invasion of Iraq and how the disorder created by this invasion has made it difficult to carry on with the peace process. Adding to these will be the recent developments in U.S.-Syria relations under President Bashar al Asad and how these development have been thwarting prospects to achieve peace in the Middle East Certain writers and politicians have made analysis in the Syrian Israel peace track and their analysis would also be of great importance to this study. According to Cobban (1991), the collapse of the communist bloc was a determinant reason for Syria's change of policy. He explains that because Syria had nobody to lean on she was forced to reshape her foreign policy to suit the demands of this new development in the Middle East and the World at large. This is important to this study because changes in world politics affected changes in Syrian policy towards peace with Israel. Hinnebusch (1991) holds that the reason why peace could not be achieved between Israel and Syria could be explained from the rigid nature of President Asad who stood firm to respect and uphold Arab principles. As a result he was never ready to accept Israeli demands especially if... The paper examine the period after President Hafiz al Asad in Syria during which power was handed to his son Bashar al Asad. The concentration here will be an interpretation of certain events like the disorder that resulted from the U.S. led invasion of Iraq and how the disorder created by this invasion has made it difficult to carry on with the peace process. Adding to these will be the recent developments in U.S.-Syria relations under President Bashar al Asad and how these development have been thwarting prospects to achieve peace in the Middle East. This report of the study entails a brief understanding of the theoretical framework that will guide the investigation in to the developments in the Syria Israel peace track. This specifically will be the realist or neo realist approach to the study of international politics. This is important to the study because it is this approach that runs through Syria’s positions during the peace process over the last seventeen years. Furthermore various U.S. decisions as the main negotiator in the peace process have been closely guided by the theory of realism. The approach of realism to international politics was born after the First World War. During this period it was widely held that other theories had failed, so it became necessary to seek for new theories that could give more meaning and understanding to international politics. According to this theory, human nature, character and the persistence of state power forms the basic foundation of international relations.

Effects of inflation Term Paper Example | Topics and Well Written Essays - 1750 words

Effects of inflation - Term Paper Example The reduction in investments level will lead to a reduction in economic growth levels which depend on the level of investments. Inflation makes it hard for firms to plan for the amount of output to produce since the firms cannot forecast the demand for their product at the higher prices they will have to charge to cover costs. High inflation causes speculation on prices and interest rates which in turn increases the risk among potential trade partners, discouraging trade. Inflation reduces the value of depositor’s savings and as well reduces the value of bank loans. In the long run, the company’s revenue and earnings should increase at the same pace as inflation. But it could also reduce the confidence of investors by reducing confidence in investments that take a long time to mature. When there is a high rate of inflation a firm may look as if it is doing well when inflation is the reason behind the growth (Wildermuth, 2012).The effect of inflation on investment occurs directly and indirectly. People are not ready to enter into contracts when inflation cannot be predicted making relative prices uncertain. This reluctance to enter into contracts will affect economic growth. High inflation leads to financial repression as governments take action to protect certain sectors of the economy.Inflation is particularly detrimental to retirees whose pensions and financial investments have to be adjusted for inflation. Pension payments are now indexed to inflation in order to reduce the effects of inflation... When there is a high rate of inflation a firm may look as if it is doing well when inflation is the reason behind the growth (Wildermuth, 2012). The effect of inflation on investment occurs directly and indirectly. People are not ready to enter into contracts when inflation cannot be predicted making relative prices uncertain. This reluctance to enter into contracts will affect economic growth. High inflation leads to financial repression as governments take action to protect certain sectors of the economy. Inflation is particularly detrimental to retirees whose pensions and financial investments have to be adjusted for inflation. Pension payments are now indexed to inflation in order to reduce the effects of inflation Inflation can lead to a poor performance in the stock markets. In times of high inflation, if the firms cannot pass on the extra cost to the consumers they will most likely end up making losses. This will reduce the viability of their stocks and lead to the investors w ho had invested in the firms' stocks will suffer financial setback as the company makes losses. It leads to the changes in the preferred assets held by the wealthy individuals in a country. In the initial stages the three would be a preference for intangible assets so as to make a killing from the interest rates but as inflation increases there is capital flight from the stock markets by foreign and domestic investors and who instead invest their wealth in tangible assets whose value is not likely to be eroded swiftly by the inflationary tendencies. Inflation leads to a reduction in the balance of payments. When the domestic price level rises faster than it is rising

Level One Computer Systems Essay Example | Topics and Well Written Essays - 2500 words

Level One Computer Systems - Essay Example the â€Å"de-perimeterization of security† where it has become difficult to demarcate the line between a firm and its clients, suppliers and partners (PGP Corporation, 2007). Enforcing effective security standards is a challenge in this complex milieu. There are many reasons as to why information is on longer safe and there is a need for data protection and security. The notion that sensitive information is within the walls of the organization and so is safe is no longer justified. With the advancement in technology and the new computing form factors, information can be accessed by malicious insiders. The people who are responsible for administrating the systems can also present a risk to the bypass of sensitive information. It is not easy to define who has access to what information. This also necessitates that an effective security protocol must be present to ensure that sensitive data is not leaked out. Data protection is also necessary to build a bond of trust with the cus tomers. When a customer approaches an organization, the organization is bound to protect his or her privacy. Not doing so can bring bad repute to the organization and cause it to lose its customers. A comprehensive data security system encompasses an assessment of the associated risks and threats to data security. A strategy that includes a thorough assessment of these risks enables the organization to understand the value of the data that is at risk and the consequences of any loss. Data could be lost by many ways. One can be due to malicious infections. System crashes and natural happenings such as floods can also cause the loss of significant amount of sensitive data. When considering data protection, the organization needs to review who has access to what type of data, who used the Internet, who should be given limited access, what type of firewalls and anti-malware solutions need to be in place, the usage and maintenance of passwords and the training being given to staff (Spam laws,

Effects of inflation Term Paper Example | Topics and Well Written Essays - 1750 words

Effects of inflation - Term Paper Example The reduction in investments level will lead to a reduction in economic growth levels which depend on the level of investments. Inflation makes it hard for firms to plan for the amount of output to produce since the firms cannot forecast the demand for their product at the higher prices they will have to charge to cover costs. High inflation causes speculation on prices and interest rates which in turn increases the risk among potential trade partners, discouraging trade. Inflation reduces the value of depositor’s savings and as well reduces the value of bank loans. In the long run, the company’s revenue and earnings should increase at the same pace as inflation. But it could also reduce the confidence of investors by reducing confidence in investments that take a long time to mature. When there is a high rate of inflation a firm may look as if it is doing well when inflation is the reason behind the growth (Wildermuth, 2012).The effect of inflation on investment occurs directly and indirectly. People are not ready to enter into contracts when inflation cannot be predicted making relative prices uncertain. This reluctance to enter into contracts will affect economic growth. High inflation leads to financial repression as governments take action to protect certain sectors of the economy.Inflation is particularly detrimental to retirees whose pensions and financial investments have to be adjusted for inflation. Pension payments are now indexed to inflation in order to reduce the effects of inflation... When there is a high rate of inflation a firm may look as if it is doing well when inflation is the reason behind the growth (Wildermuth, 2012). The effect of inflation on investment occurs directly and indirectly. People are not ready to enter into contracts when inflation cannot be predicted making relative prices uncertain. This reluctance to enter into contracts will affect economic growth. High inflation leads to financial repression as governments take action to protect certain sectors of the economy. Inflation is particularly detrimental to retirees whose pensions and financial investments have to be adjusted for inflation. Pension payments are now indexed to inflation in order to reduce the effects of inflation Inflation can lead to a poor performance in the stock markets. In times of high inflation, if the firms cannot pass on the extra cost to the consumers they will most likely end up making losses. This will reduce the viability of their stocks and lead to the investors w ho had invested in the firms' stocks will suffer financial setback as the company makes losses. It leads to the changes in the preferred assets held by the wealthy individuals in a country. In the initial stages the three would be a preference for intangible assets so as to make a killing from the interest rates but as inflation increases there is capital flight from the stock markets by foreign and domestic investors and who instead invest their wealth in tangible assets whose value is not likely to be eroded swiftly by the inflationary tendencies. Inflation leads to a reduction in the balance of payments. When the domestic price level rises faster than it is rising

Psychological Abnormality Essay Example for Free

Psychological Abnormality Essay There are many ways of defining psychological abnormality; the two I will be discussing is deviation from social norms and failure to function adequately. Deviation form social norms is a person’s thinking or behavior being classified as abnormal if it violates the rules or norms about what is expected or acceptable behavior in a particular social group. An example of this can be anorexia, more common in females where the person sees themselves as overweight even when extremely thin and person is terrified of weight gain. The media create unrealistic, and for most people ideal images, especially of women. Most models are well below normal weight for their age and height Sufferers desperately want to be accepted and valued and tend to feel that they are not. However self-starvation is seen as abnormal in terms of social norms. Strength of deviation from social norms is that this definition takes into consideration the effect that behavior has on others in which deviance is defined in terms of breaking social rules which are usually made in order to help people live together. There are many limitations with the definition of deviation from social norms, beliefs about abnormality and social norms or morally acceptplable behavior changes over time for example homosexuality was included in the American classification system for disorders up to the 1960s. Since then attitudes have changed and homosexuality it no longer seen as a disorder. Another limitation is that context is import as we distinguish between normal and abnormal according to social norms of the time. Much of our behavior is context specific and take out of context may seem bizarre for example if you saw a person suddenly jump up from a park bench and start talking to themselves you might think of them as being very strange on the other hand if you saw a camera crew you would have thought of it being bizarre. Also culture relativity can be a limitation as different cultures have different ideas about acceptable behavior fro example some African societies cut themselves as a sign of inner beauty but in Western societies we se it as self harm. Another definition of abnormality is failure to function adequately this is when abnormal behavior interferes with daily life/functioning i. e. people are unable to live a normal life. An example of this can be when people cannot work and lose the motivation to care for themselves properly and agoraphobia or fear of crowds which is defined as an abnormal behavior where a person may have a fear of open space and can’t go shopping, school and do other everyday things because they have a fear of crowds. Strength of this definition is that it is easy to judge who is failing to function adequately because it is easy to . ist behaviors that show people are not functioning properly in their everyday lives e. g. unable to dress themselves, can’t get up in the morning etc. Limitations of this definition can be the context as starving yourself is irrational, unpredictable and maladaptive. However it is understandable when political prisoners go on hunger strike as a political pro test, so context is important. Also some people may not have psychological disorder but still have failure to function adequately e. g. dues to economic conditions it may not be possible to hold down a job and support family. Another limitation is that some people are able to maintain an adequate or high level of functioning even if they have a psychological disorder for example some people with anxiety or depression can still function. Similarity between both definitions is that they both have a limitation of culture relativity as different societies have different rules and norms of what’s normal and abnormal. A problem with both definitions is that context is important as we distinguish what is normal and abnormal behavior according to what is expected in a given situation according to the social norms at the time.

Reflection on theory and knowledge in nursing

Reflection on theory and knowledge in nursing The aim of this report is look at a critical incident that occurred in practice and relates this to the theory and knowledge regarding communication and interpersonal skills, so as to demonstrate an understanding of my views on the art and science of reflection and the issues surrounding reflective practice; that is to say, what skills were and were not used at the time of the incident. Confidentiality will be maintained as required by the Nursing Midwifery Council Code (NMC, 2008).    There is a discussion appraising the concept of reflection both generally, and in my particular area of practice of urgent care. Reflection is part of reflective practice and is a skill that is developed. It can be seen as a way of adjusting to life as a qualified healthcare professional and enhancing the development of a professional identity (Atwal Jones, 2009). Reflection is defined as a process of reviewing an experience which involves description, analysis and evaluation to enhance learning in practice (Rolfe et al 2001).  This is supported by (Fleming, 2006), who described it as a process of reasoned thought. It enables the practitioner to critically assess self and their approach to practice. Reflective practice is advocated in healthcare as a learning process that encourages self-evaluation with subsequent professional development planning (Zuzelo, 2009). Reflective practice has been identified as one of the key ways in which we can learn from our experiences. Reflective practice can mean taking our experiences as an initial point for our learning and developing practice (Jasper, 2003). Many literatures have been written in the past that suggest the use of reflective assignments and journaling as tools to improve reflection and thinking skills in healthcare (Chapman et al, 2008). Reflective journals are an ideal way to be actively involved in learning (Millinkovic Field, 2005) and can be implemented to allow practitioners to record events and document their thoughts and actions on daily situations, and how this may affect their future practice (Williams Wessel, 2004). MODELS In order to provide a framework for methods, practices and processes for building knowledge from practice there are several models of reflection available. All can help to direct individual reflection. Some may be particularly useful for superficial problem solving, and other better when a deeper reflective process is required. Reflective models however are not meant to be used as a rigid set of questions to be answered but to give some structure and encourage making a record of the activity. Johns (2004) reflects on uncovering the knowledge behind the incident and the actions of others present. It is a good tool for thinking, exploring ideas, clarifying opinions and supports learning. Kolbs Learning Cycle (1984) is a cycle that reflects a process individuals, teams and organisations attend to; and understands their experiences and subsequently, modifies their behaviour. Schà ¶n (1987), however, identifies two types of reflection that can be applied in healthcare, Reflection-in-action and Reflection-on-action. Reflection-in-action can also be described as thinking whilst doing. Reflection-on-action involves revisiting experiences and further analysing them to improve skills and enhance to future practice. Atkins and Murphys model of reflection (1994) take this idea one step further and suggest that for reflection to make a real difference to practice we follow this with a commitment to action as a result. Terry Bortons (1970) 3 stem questions:  What?,  So What?  and  Now What?  were developed by John Driscoll in 1994, 2000 and 2007. Driscoll matched the 3 questions to the stages of an  experiential learning cycle, and added trigger questions that can be used to complete the cycle. Gibbs (1988) reflective cycle is fairly straightforward and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion where other options are considered and reflection upon experience to examine what you would do if the situation arose again. CHOSEN MODEL The reflective model that I have chosen to use is Gibbs Reflective Cycle (1988) as a framework, because it focuses on different aspects of an experience and allows the learner to revisit the event fully. Gibbs (1988) will help me to explore the experience further, using a staged framework as guidance ad I feel that this is a simple model, which is well structured and easy to use at this early stage in my course. By contemplating it thus, I am able to appreciate it and guided to where future development work is required. Before the critical incident is examined it is important to look at what a critical incident is and why it is important to nursing practice. Girot (1997), cited in Maslin-Prothero, (1997) states that critical incidents are a means of exploring a certain situation in practice and recognising what has been learned from the situation. Benner (1984, cited by Kacperek, 1997) argues that nurses cannot increase or develop their knowledge to its full potential unless they examine their own practice. Context of incident In the scenario the patients name will be given as Xst.   Ã‚  The consequences of my actions for the client will be explained and how they might have been improved, including what I learned from the experience. My feelings about the clinical skills used to manage the clients care will be established and my new understanding of the situation especially in relation to evidence based practice will be considered.   I will finally reflect on what actions I will take in order to ensure my continued professional development and learning.    Description Miss Xst is 55 year old woman who has a 10 year old daughter.   She suffers from psychiatric problems, lack of motivation and has difficulties in maintaining her personal hygiene and the cleanliness of her flat. She was one of my mentors clients to whom I had been assigned to coordinate and oversee her care. Mental health Nurses owe their patients a duty of care and are expected to offer a high standard of care based on current best practise, (NMC 2008).   Ã‚   Miss Xst had been prescribed Risperidone Consta 37.5mg fortnightly, which is a moderate medication. Risperidone belongs to a group of medicines called antipsychotic, which are usually used to help treat people with schizophrenia and similar condition such as psychosis. Although her condition is acute, it is not extreme and the reason for this medication is to help Miss Xst to stabilise her thought so she is able to support herself in the community (Healey, 2006). Miss Xst did not like attending depot clinic and she missed three consecutive appointments. My mentor decided after the third non-attendance to raise the issue in the handover meeting where it was decided to see Miss Xst in the morning but when we arrived she was not there. We left a note for her to call the office. We did not hear from her and a further home visit was carried out to arrange for her next depot clinic appointment. I called a meeting of the multi-disciplinary team (MDT) who agreed that there would be a problem if the next injections were missed. The social worker who was part of the team said that she will arrange for a community support worker to help clean Miss Xsts flat on a weekly basis (Adams 2008). We waited for about an hour for Miss Xst to attend the clinic for her depot injection but she failed to attend. I then informed the Community Psychiatry Nurse (CPN) that Miss Xst had expressed negative feelings about her medication and thought she did not need them; she had claimed she was already feeling well and therefore wanted the medications to be discontinued.   At a subsequent meeting with the patient, she agreed a joint visit with the CPN and myself to re-assess her condition and consider if it was necessary to   Ã‚  refer her case to the consultant (Barker, 2003).   I was given the opportunity to carry out the initial assessment, which showed that her behaviour was very unpredictable and very forgetful. Her inability to take her medication and to manage her personal hygiene clearly demonstrated that she was not well. The assessment tool I used was the Mental State Examination which helps determine the level of her insight into her illness and indeed I found out that she was in denial (Barker, 2004). I talked to Miss Xst about her non-concordance with her medication, but she persisted in saying she was well.   I reminded her that continuous use of the medication would benefit her mental health and protect her against relapse.   We agreed that she could discuss this with the doctor on her next outpatient appointment, with the option of reviewing or reducing her medication. I stressed the importance of her communicating any side effects or reservations she may have about the medication to doctor. She appeared to understand this and following the discussion, she finally complied with her depot injection. Even though the NMC (2008) maintains that nurses have a responsibility to empower patient in their care and to identify and minimise risk to patient. The principle of beneficence (to do well) must be balanced against no maleficence (doing no harm) (Beauchamp and Childress, 2001).   All these transactions were recorded in Miss Xsts care plan file and in computer. Good record keeping is an integral part of nursing and midwifery practice, and is essential to the provision of safe and effective care. It is not an optional extra to be fitted in if circumstances allow NMC (2009).   The consequences of my actions for the patient and her daughter were that she attended to her daughters needs and to her personal hygiene, and made regular fortnightly visits to the clinic. Her mental condition was improved, she was allowed to continue on her moderate medication and she did not have to be readmitted in the hospital. Feeling During the handover, I was nervous as I felt uncomfortable about giving feedback to the whole team. I was worried about making mistakes during my handover that could lead to inappropriate care being given to Miss Xst or could cause her   readmission to hospital. As a student nurse I felt I lacked the necessary experience to be passing information to a group of qualified staff members.   However, I dealt with the situation with outward calm and in a professional manner. I was very pleased that my mentor was available during the handover to offer me support and this increased my confidence. Evaluation What was good about the experience was that I was able to carry out the initial assessment and identify what caused Miss Xst failure to comply with the treatment regime.   From my assessment I documented the outcome and related what had happened to the MDT with minimal assistance. Accurate documentation of patients care and treatment should communicate to other members of the team in order to provide continuity of care (NMC, 2008).   The experience has improved my communication skills immensely, I felt supported throughout the handover by my mentor who was constantly involved when I missed out any information. Thomas et al, (1997) explains that supervision is an important development tool for all learners. The team were very supportive throughout the process as they took my information without doubt.   What was not good about the experience was the fact that my mentor had not informed me that I was going to handover the information; as a result I had not mentally prepared myself for it.   I also felt that I needed more time to observe other professionals in the team carrying out their handovers before I attempted to carry out mine.   During the original MDT meeting, I felt that we did not provide enough time to freely interact with Miss Xst to identify other psychosocial needs that could impact on her health. However, in any event, she was unable to fully engage because of her mental state. Turley (2000) suggests that nursing staff should include their interaction with the patient when recording assessment details, which can be used to provide evidence for future planning and delivery of care. Dougherty and Lister (2004) have suggested that healthcare professionals should use listening as part of assessing patient problems, needs and resources.      Analysis The literature regarding communication and interpersonal skills is vast and extensive. Upon reading a small amount of the vast literature available, the student was able to analyse the incident, and look at how badly this situation was handled. I realised communication is the main key in the nursing profession as suggested by Long (1999) who states that interpersonal skills are a form of tool that is necessary for effective communication. I found it difficult to communicate with a patient because I did not understand her condition. It was also difficult for me not to take her behaviour to heart and show emotion at the time, it is clear that this is an area I need to build on for the future. However, Bulman Schutz (2008) argue that this is failure to educate and for us to learn from practice and develop thinking skills. I would agree with them, as I learn best from practical experience, and build on it to improve my skills. With this is mind, I am now going to focus on my weaknesses, in both theory and practice, and state how, when and why I plan to improve on these. Through effective communication I was able to convince Miss Xst of the need to take her medication. I was able to pass on the information to the MDT for continuity of care.     Roger et al (2003) concluded that communication is an on-going process but can be a difficult process when dealing with mental health problems.   During the handover I was pleased that the MDT members were supportive and interested in what I was saying and they asked questions.   The patient had no recollection of what she had said to me and since the incident she has made these comments to other staff, which has put me at ease and made me realise that I had done nothing wrong. My mentor explained that a patient with Parkinsons can often behave like this as they develop dementia, which Noble (2007) also confirms. Since the incident I have read about Parkinsons and am now aware that the patients expressionless face Netdoctor (2008), also made her comments appear more confusing and aggressive. Conclusion   In conclusion, I have learnt that through effective communication, any problem can be solved regardless of the environment, circumstances or its complexity.   Therefore, nurses must ensure they are effective communicators.   I have identified the weaknesses that should be turned to strengths. I am now working on strengthening my assertiveness, confidence and communication skills. Participating in the care of Miss Xst, I have realised that a good background information and feedback about mental health problems before providing care to a clients can assist in accurate diagnosis and progress monitoring.  Ã‚   A good relationship between client and staff nurse is therapeutic and help in building trust.   This can be achieved by a free communication that allows the client to express their feelings and concern without the fear of intimidation.   From the experience, I feel the knowledge I have acquired will aid me in future while in practice should such situation arise again. ACTION PLAN FOR MY LEARNING NEEDS So that I could identify my strengths and weaknesses in both theory and practice easily, I found that the use of a SWOT analysis provided a good framework to follow. I have then built on this by producing a development plan that focuses on my weaknesses and how, when and why I plan to improve on them. I will now begin to work on these, the main reason being of course, that I am determined to be a competent, professional nurse in the future. I am now more prepared for any future patients with this disease as I have researched it. I will take the time to talk to them, to make sure they are at ease with me, before providing any care. If they appear distressed I would get another member of staff to help me to reassure them. Learning Need Planned action to meet this learning need Target time to meet the learning need. To improve my knowledge about patients illnesses and the risks of relapse associated with not taking Medication. Read books about different illnesses and causes of relapse End of third year To identify and have good background information and feedback about patients mental health problems before providing care to them To read my patients notes. On- going To ensure a good rapport exist between my patient and I, in order to build up a therapeutic relationship with them and to gain their trust. I will have regular meeting with my client On-going Effective communication with the patients and other members of the multidisciplinary team A locating time to talk to patients and their relatives participating in the ward round. On-going skills to develop throughout the training. Being prepared Talking with senior members of staff On-going CONCLUSION I have clearly demonstrated that by using a reflective model as a guide I have been able to break down, make sense of, and learn from my experience during my placement. At the time of the incident I felt very inadequate It was also difficult for me not to take her behaviour to heart and show emotion at the time, it is clear that this is an area I need to build on for the future. According to Bulman Schutz (2008), nursing requires effective preparation so that we can care competently, with knowledge and professional skills being developed over a professional lifetime. One way this can be achieved is through what Schon (1987) refers to as technical rationality, where professionals are problem solvers that select technical means best suited to particular purposes. Problems are solved by applying theory and technique. REFERENCES Adams, L. (2008). Mental Health Nurses can Play a Role in Physical Health. Mental Health Today. October 2008 pp27 Barker, P. (2004). Assessment in Psychiatric and Mental Health Nursing. Cheltenham, Nelson Thornes Barker, P.   Ed (2003). Psychiatric and mental health nursing: The craft of caring Arnold, London Beauchamp, T. and Childress, J. (2001) Principles of Biomedical Ethics, (5th   Edition): Oxford University   Press. Bolton, G. (2001) Reflective Practice. Writing and Professional Development. Paul Chapman Publishing Limited, London. Bulman, C. Schutz, S. (2008) An Introduction to Reflection. In: Bulman, C. Schutz, S. (ed.) Reflective Practice in Nursing, 4th edition. Oxford, Blackwell Publishing Ltd, pp 6 8 Burns, T. Sinfield, S. (2008a) How to organise yourself for independent study. In: Essential Study Skills The Complete Guide to Success at University. 2nd edition. London, Sage Publications Ltd, p 64. Burns, T. Sinfield, S. (2008b) Going to University. In: Essential Study Skills The Complete Guide to Success at University. 2nd edition. London, Sage Publications Ltd, p 16. Dougherty, L. and Lister, S. (2004) Royal Marsden of clinical nursing procedures. 6th edition. London: Blackwell publishers.   Gamble, C and Brennan, G (2005) Working with serious mental illness: a manual for clinical practice. Oxford: Bailliere Tindall. Kenworthy et al (2003) Marrelli, T. M (2004) The Nurse Managers Survival Guide: Practical Answer to Everyday Problems, United States of America : Elsevier Nursing and Midwifery Council (2004) Code of Professional Conduct NMC: London. Nursing and Midwifery Council (2008) The Code Standards of conduct, Performance and Ethics for Nurses and Midwives. London: Nursing and Midwifery Council. Nursing and Midwifery Council (2009) Record keeping: Guidance for nurses and midwives. London: Nursing and Midwifery Council.  Ã‚   Rolfe,   G., Freshwater, D. Jasper, M (2001) Critical Reflection for Nursing and the Helping professor; a Users Guide. Palgrave Macmillan, London. Roger, B. Ellis, Bob Gates, Neil Kenworthy. (2003) Interpersonal Communication in Nursing: Theory and Practice, 2nd edn. Churchill Livingstone, London, UK. Schon, D.A. (1983) The Reflective Practitioner. Basic books. Harper Collins, San Francisco Schon, D. (1987) Preparing Professionals for the Demands of Practice. Educating the Reflective Practitioner. San Francisco, Jossey Bass, pp3 21. Thomas, B. Hardy, S. and Cutting, P. (1997) Mental health Nursing: Principles and Practice London: Mosby Turley, J.P.( 2000) toward and integrated view of health informatics. Information Technology in Nursing 12 (13).