Aas 237 Final Study Guide Essay examples

Aas 237 Final Study Guide Essay examples Aas 237 Final Study Guide Essay examples AAS 237 10/25/12 * Issue 9: Should Laws Prohibiting Marijuana Use Be Relaxed? -Alcohol, cocaine, narcotics, etc. are water soluble in the system for 72-96 hours -Marijuana is fat soluble Neuronsthe specialized cells that conduct electrical impulse in the C.N.S. (Central Nervous System) Cell membranes for neuronsPhospholipids (fat soluble) Normal Cell Membrane Smoking marijuana, Cell Membrane _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___________ ___ ___ ____ ______ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _____ ____ ___________ ____ _ __ * Issue (no #): Are Psychotherapeutic Drugs Effective For Treating Mental Illness? Yes Most Impaired Psychosis (4 meanings) Psychosis 1. The most severe form of mental illness. | 2. It affects mood, thinking, + perceptions. Neurosis 3. It interferes with normal human interactions | 4. It’s a break from reality. Personality Disorder | Normal Least Impaired Diagram of Psychosis ___________________________________________ | | Organic/Genetic Predisposed Alzheimer | Chronic Organic Nonorganic (Substance Induced) (Genetic Predisposed) Something impacts the CNS from PTSD, Schizophrenia, Bipolar, outside biochemical changes the neuron chemistry + Schizoaffective. or structural change. TBI (Traumatic Brain Injury) + Dementia Reactive Chronic Reactive Chronic (short term) (long term) * Local gov’t will legalize drugs. Federal gov’t will not, because of its impact on society (for ex. China opium dens) * All types of Hallucinations are Organic (see, hear, taste, smell, touch). Only auditory (hearing) Hallucinations are Nonorganic. AAS 237 11/01/12 Perceptions- 2ndary Systems of psychosis (psychotic only) * Hallucinations: Sensory perceptions with no external stimuli. Delusions: Unrealistic Belief _________________________________________________________________________________ * Transient Psychosis: Temporary/based on the level of chemical(s) in your body. * People with substance dependents + mental illness (Physical Illness?) have a co-occurring disorder (Dual Diagnosis). Thinking: Schizophrenia (neg. type) is a thinking disorder (primarily) * Primary Symptoms: 1. Looseness of Association (subject to subject) 2. Flat/Inappropriate affect (the mood that accompanies the subject/sad, happy, and mad) 3. Disorganize Thinking (no sentences, just one word after another) 4. Word Salad (tossing words up) * Neologism: your own language. * Post Traumatic Stress Disorder (PTSD/Nonorganic) anxiety

The Mysterious Banana Essays

The Mysterious Banana Essays The Mysterious Banana Paper The Mysterious Banana Paper Barrie, ON. 9 March 2007 http://web. ebscohost. com. Kehler points of the references made in â€Å"Krapp’s Last Tape† which relate to both â€Å"Othello† and â€Å"Gooseberries†. This article gives insight to the reader as to where Samuel Beckett came up with some of the ideas for writing â€Å"Krapp’s Last Tape†. I did not use this in my research essay. Kriszner, Laurie G. , Stephen R. Mandell, and Candace Fertile. Literature: Reading, Reacting, Writing. 2nd ed. Scarborough: Nelson 2007. This is the text that â€Å"Krapp’s Last Tape† came from but also served as a reference to types of theatre. This text covers many kinds of literature such as short stories, drama, and poetry. Chapter 20, Understanding Drama, was particularly helpful as it described all of the genres of drama including the Theatre of the Absurd which was relevant to my essay. Santrock, John W. and John O. Mitterer. Psychology. 2nd ed. Toronto: McGraw-Hill Ryerson 2004. Santrock and Mitterer wrote this text as a learning tool for first year psychology students. It contains an overview on all of the fields of psychology. Chapter 1, What is Psychology? , was very helpful in explaining Freudian theory. Chapter 6, States of Consciousness, further explained Freud’s theory of wish fulfillment.

Contract Law Essay Example | Topics and Well Written Essays - 1500 words - 1

Contract Law - Essay Example All contracts can be enforced in a court of law and if one party to the contract meets his contractual obligation and the other party does not, then the aggrieved party that is the non-breaching party is entitled to receive compensation through the court. Moreover, regarding the competency to contract, minors, persons disqualified by law, and persons of unsound mind lack the legal capacity and cannot enter into a valid contract. Minor is a person who has not attained the age of majority as prescribed by the law. Here in the given context, there are two situations presented for analysis and to provide advice; Miss K Martin with Willis Vents Ltd and Miss K Martin with Malcolm Rogers. The following chronology provides a brief idea about the events happened in the course of time in the business of Miss K Martin with both the Parties. Chronology January 2011 Miss K Martin contracts WV for a quote to build a chilled section April 2001 WV and Miss K Martin agrees to go ahead with the work f or a total cost of ?5,000; the work to be completed on 1st August 2011 July 7, 2011 WV asks for an additional ?750 to complete the work on time; Miss Martin reluctantly agrees to do so. August 1, 2011 WV completes the work on time; Miss K Martin pays the actual contract price of ?5000 August 8, 2011 Payment of ?125 due from Malcolm Rogers August 15, 2011 Another payment of bill amounting ?145 due from Malcolm Rogers August 22, 2011 A third bill for ?140 is due from Malcolm Rogers August 30, 2011 WV sent an invoice for the payment of remaining ?750 August 30, 2011 Miss K Martin sends an invoice for the total amount of ?410 from Malcolm Rogers September 6, 2011 Miss K Martin responds to the reply from Malcolm Rogers regarding the invoice dated 30th August, 2011, and agrees to receive half of the amount due—amounting ?205, in full and final settlement as offered by Malcolm Rogers Willis Vents Ltd vs. Miss K Martin Contractor: Willis Vents Ltd Contractee: Miss K Martin As per the information given, Miss Martin intended to improve her storage facility and contracted Willis Vents Ltd. (WV) in January 2011 for a quote to build a chilled section within the garage and to install air conditioning throughout. The WV quoted the proposal for a total cost of ?5,000. And in April 2011both parties agreed upon the terms and conditions and entered into contract for a total cost of ?5,000, requiring the work to be completed on 1st August 2011. However, later, on July 7, 2011 Nick Parsons from the Willis Vents informed Miss Martin that unless an additional amount of ?750 is paid, the work would not be completed on the stipulated time; and she had to reluctantly agree in order to keep the work moving and to finish on time. It is evident that both the parties have entered into a legally valid contract, meeting the requirements as required in the Principles of European Contract Law. According to Chris Field (2010), the primary requirements for a valid contract are Offer, Acce ptance, and Consideration. The WV had quoted contract (offer) for a total amount of ?5,000 (consideration) and Miss Martin agreed with the terms (acceptance) of the contractor. According to the Section 1 Article 2.101(2) of the Contract Law, â€Å"a contract need not be concluded or evidenced in writing nor is it

Macroeconomics of Botswana Research Paper Example | Topics and Well Written Essays - 1250 words

Macroeconomics of Botswana - Research Paper Example ional firm of diamond contracted a ten-year agreement with Botswana to shift Botswana’s sorting of rough stone and division of trading by 2013, from London to Gaborone. This transformation will help support the decline of industry of diamond in Botswana, (Norda?s, Gilbert and Gloria 52). The economic freedom of Botswana ranges to about 70.6, achieving the 30th position of the freest economy in the index of 2013. It has an average score of 1.0 point grater that 2012 mainly because of progressive improvements in liberty from economic corruption and government expenditure management. The country is the second in forty-six nations in the region of Sub-Saharan Africa and has average score greater than the global and regional averages. The economy of Botswana is expanding mainly due to foreign investment fueled by reduced taxes, stability in political structure and climate and an extensively educated labor force. Botswana is a better example in extensive natural resources endowments , (Phirinyane 23). Corruption level is low in Botswana and an independent judiciary enacts agreements efficiently and safeguards property rights. A relatively efficient regulatory environment and open trade policies have underpinned competitiveness, whereas exports of diamond have reinforced effective foreign exchange flows. The department of finance is effectively developed, with a reliable central bank as well as minimal interventions by the government. Even though, the public debts are still low, the administration has attempted consolidation of fiscal to lower increased deficits of the global meltdown. The outstanding external level of debts of Botswana remains low and sustainable based of surpluses of perennial budget and extensive external policies of debts, irrespective of its current... This paper explores the economy of Botswana with specific emphasis on market labor, economic growth, taxes, debts and key factors, that impact economic growth of the nation. Botswana has been among the top popular world’s economic rate of growth starting independence. Nevertheless, the growth of economy was slow in 2009, with thirty percent decline of industrial sector, after the worldwide crisis minimized the Botswana’s diamonds demand. Even though, the Botswana witnessed economic recovery in 2010, the growth of GDP has similarly reduced. Via fiscal discipline as well as proper management, the country regenerated itself from the slowest economically growing nation and attained a middle-income nation with about sixteen thousand and eight hundred dollar GDP per capita by 2012. The economic freedom of Botswana ranges to about 70.6, achieving the 30th position of the freest economy in the index of 2013. It has an average score of 1.0 point grater that 2012 mainly because of progressive improvements in liberty from economic corruption and government expenditure management. The country is the second in forty-six nations in the region of Sub-Saharan Africa and has average score greater than the global and regional averages. The economy of Botswana is expanding mainly due to foreign investment fueled by reduced taxes, stability in political structure and climate and extensively educated labor force. The labor market of Botswana experiences constraints like increased unemployment levels and mismatch among supply and demand of labor.

Journal Coursework Example | Topics and Well Written Essays - 500 words - 4

Journal - Coursework Example Education today starts at a very young age, at the level of preschool and kindergarten classes. However, modern education seems to have taken a detour, as it had deviated from its primary purpose, which is to prepare kids for the larger things in life, to be productive adult citizens. In this regard, I find the list to be very clear; I had gone over each item and found everything to be clear enough for me. Each expectation on that list can be considered as very reasonable and logical. A particular skill that I want to develop this semester is engagement in the childrens play and along this line, in exploration of childrens skills through careful monitoring of childrens play. I am a very shy person and it is this one characteristic trait which I must overcome so I can be an effective teacher to kids. At first glance, it should not be too difficult because I am basically dealing with small children, and yet kids these days are very smart too and able to discern whether their teacher is correctly engaged with them or not. It is then necessary for me to deal with them in a natural and spontaneous way, to hide my shyness with intentional interactions in order to make a positive difference in these little childrens lives. Teachers today must also be researchers, to be more effective at their task of educating young minds, like choosing the right curriculum to use in their learning programs. The curriculum for children today has been commercialized and compartmentalized, to the extent that time spent on learning has been rigidly regimented, and the time is too short. This time-based approach is not conducive to a quality learning environment. The process of learning is harried; play for children is no longer fun for them and so learning suffers a lot. In childrens educational curriculum today, quality is ill-defined and so objectives are muddled or murk. The first strategy to help kids is to support play, provide support, and observe. Moreover, the emphasis on

Adult Mental Health And Professional Practice Social Work Essay

Adult Mental Health And Professional Practice Social Work Essay Within my assignment I will demonstrate my understanding of mental health and the direct correlation to my professional practice. I will clearly define and critically evaluate two of the dominant perspectives which are significant in mental health theory and practice, the biomedical and the social causation perspective. By explaining my practice with regards to the case scenario 1 Ahmed, I will substantiate my understanding of both perspectives, examining the advantages and disadvantages of each by considering how I might undertake and assessment and how I might address issues identified from the case scenario including the impact of discrimination and the importance of anti oppressive practice. I will evidence my knowledge and understanding of relevant issues including reflecting the perspective of the individual, by drawing up an intervention plan, including identifying clearly my understanding of the legal framework within which I would practice. Issues of mental health are approached from a variety of different perspectives and using a variety of different terminologies. Many have the greatest confidence in scientific or biological approaches, whilst others prefer more holistic or social approaches. The biomedical medical model of mental health has been dominant simply because the dominant profession is psychiatry. Psychiatrists are medically trained and therefore tend to see the main purpose behind their work as the diagnosis and treatment of illness or disorder (Rogers and Pilgrim,2005).The simplistic view of cause and effect whilst beneficial if you have broken your leg or have diabetes, is not the same for mental illness. There are organic brain diseases or illnesses such as epilepsy and huntingdons chorea which may manifest in symptoms often associated with mental illness (Rethink,2007) and therefore it is vital that the possibility of underlying physical causes are examined. The bio medical model utilises ideas of a single underlying cause and therefore treatment of the cause will lead to a return to the pre existing state(Wade and Hallingan,2004).Another assumption is of a normal existing state, and therefore an ability to measure evidence of abnormality thus concluding w ith a diagnosis. Traditional bio medical models focus on the pathology of the illness rather than understanding the illness whether it is biological, social or psychological. Criticism of the biomedical model is that it is a simplistic model in a very complex arena. Reductionist explanations of mental health reduce mental health issues to the smallest possible factors, simplistic but clearly flawed (Crossley,2006). One of the most predominant arguments is the involvement of environmental factors in shaping our behaviour. A persons environment can shape their behaviour and this is a constant process. An individual may be born with certain genes but environmental factors such as society and a persons family can shape further behaviour (Nettleton, 2006). In reducing a concept to its component parts and simplest terms many important aspects are overlooked. Individual factors are hard to explain under reductionism, because reductionist explanations generalise behaviour. Each individual is unique and responds differently. A reductionist explanation would be genetics, but the same behaviour in two people could be caused by separate environmental and biological f actors and therefore limiting the reductionist explanation (Crossley,2006). Reductionist explanations can be useful, by reducing complicated concepts to their component parts but sometimes this offers a simple solution to an otherwise more complicated problem. For example giving anti-depressants to someone who is depressed may seem like the most favourable solution, but this may overlook the real problem such as bereavement, financial or work problems. Iatrogenesis is another arena that is problematic for the bio medical model. Iatrogenisis is often associated with adverse effects resulting from medical interventions (Heller et al, 1996) but can and is viewed as the direct result of the intervention which impedes a persons recovery, and therefore could include psychiatry which is the predominant force in the bio medical model. Labelling with regards to mental health diagnosis is another criticism of the bio medical model. Scheff (1999) understands mental illness as a result of societal labelling. Simplistic put, society has views on what is socially norm and acceptable, any deviation from these norms, results in a label of mental illness. The social causation model suggests links between social disadvantage and mental health problems. These social disadvantages are prevelant in many areas education, health, employment, income and social inclusion. Poverty and social class have been determined as the two significant factors of social causation and the link to mental illness (Murali and Oyebode, 2004). Lynch et al (1997) found people living with financial difficulties on a long-term basis, were much more likely to suffer from clinical depression than those who did not. Studies into mental health suggest there are stressors associated with low status and this creates an environment for increased risk of developing mental health problems. Payne(1999) in the 1999 PSE study provides evidence that people who live with various aspects of poverty, deprivation, unemployment and social exclusion are more likely to have mental health problems, although the relationship between poor mental health and these aspects are complex. I will examine employment in more detail. Research shows that less than 40% of employers would consider employing a person with a mental health issue (Rethink, 2009).Consequently the prejudice and discrimination people face as a result of a mental health diagnosis presents problems in itself. In 2002/ 2003The Citizens Advice Bureau conducted research regarding social exclusion and mental health and their results were stark. 60% of people with mental health problems gave up work as a result of discrimination, prejudice and stigma. 61% per cent of male adults with a psychiatric disorder are in full-time or part-time employment. Whereas the figure is 75% of men with no psychiatric disorder (Mind,2010b). If an individual has maintained a job or found employment then if they are affected by relapses this again impacts financially. With these statistics in mind it is clear to see that many who experience mental health issues will also be affected by economic hardship. Living on state benefits and sometimes less, as a result of an inflexible benefit system, can also result in a vicious circle of deprivation and poverty in all aspects of their lives, not only economic but in health, social activity and participation. The social causation model defined within the social model needs to be understood by practitioners as it acknowledges the experiences of individuals, as well as being the springboard for challenging the socio political environment which contributes to social problems, which in turn impact on an individuals mental health. This is fundamental for practitioners as one of the key roles of social workers is to challenge and champion social and political change (Horner,2006).According to Rogers and Pilgrim (2006) race, gender and age are all areas of disadvantage than can be investigated via social causation. This would support the findings of several studies which highlight the relationship between some of the identified areas and poor mental health. Examples to illustrate these links are, Irish men have three times higher psychiatric admission rates than the general population (Fitzptrick, 2005); women are more likely to be treated for mental health problems than men (Mental Health Found ation, no date) and in research by Beecham et al (2008) it was identified that fewer than 10% of older people with clinical depression were referred to specialist mental health services compared with about 50% of younger adults. These stark differentials question the basis of these statistical differences and one explanation is social causation. In recent years there has been a shift in Mental Health legislation. Although the Mental Health Act 1983 remains the primary legislation, there has been the addition of the Mental Capacity Act 2005 which provides a legal framework to protect individuals who lack, or may lack capacity. The Mental Health Act 2007 amended the MHA 1983 and the MCA 2005. Along with these amendments to legislation there has also been a radical shift in policy documents from central Government. These policy shifts demonstrate the need to understand mental health in a more holistic context. The emphasis is shifting from purely medical perspectives with a recognition of how the social perspective has an impact on a persons mental health well being. A plethora of policies from government such as Tackling Health Inequalities (DOH, 2001); Working Together UK Action Plan on Social Inclusion(DWP, 2008) and Child Poverty Review(H.M. Treasury,2004) have been designed to tackle social inequalities such as health, in come, work and education as well as a recognition for the need for more person centred approaches to delivering services. This does not detract from the clear message from legislation that risk and public safety are of paramount importance. The debates about care or control and rights versus risk are ever present particularly with high profile cases such as Christopher Clunis and Michael Stone were pivotal in the changes to the Mental Health Act in 2007. The Mental Health Alliance (2006) maintain that legislative reforms which enables individuals to access services within the mental health arena when they need it, as opposed to imposing treatment, would be a more viable option and address the issue of risk in a more proactive way. The Mental Health Act 1983 still remains the overarching legislation regarding mental health in the England today and is the only piece of legislation that permits the detention of an individual before they have committed an offence and purely on the basis that they might pose a threat to themselves or others(Golightly,2008).The changes in 2007 allowed for approved mental health professionals rather than the traditional approved social workers. One could argue that if this is eradication of the social worker role and the move to further medicalise mental health (as the approved mental health professional can be health background rather than social care). The Mental Capacity Act 2005 might be viewed by some as contradicting the Mental Health Act 1983. After all a person suspected of having a mental illness may fulfil the section 3 test of capacity under the Act, and under the principles of the act is able to make unwise decisions, but the Act makes no stipulation regarding these unwise decisions. Clearly committing a criminal offence is an unwise decision and a person committing the offence could clearly know and understand their action and face consequences laid down under criminal justice legislation. Under the Mental Health Act a person is not required to have committed an offence to be detained, a suspicion of possible harm to self or others is enough to warrant a section 2 assessment for involuntary admission. This arena has been addressed with and the Mental Capacity Act 2005 amendment to the Mental Health Act 1983 whereby an individual cannot refuse treatment if that treatment is deemed necessary under the conditions of the Men tal Health Act in that the MHA effectively overrides the MCA if the person is or deemed to be mentally ill. This is a contradiction regarding any other forms of medical treatment for a physical condition such as treatment for cancer or radical surgery(if a person meets the capacity assessment criteria), a person can refuse treatment for any other physical health condition but not for mental illness as a person can be detained to compulsory treat. New Horizons is a cross government programme which was launched in 2000 which identified not only the need of improved mental health services but the recognition the importance of maintaining good mental health and well being for everyone and covers childhood to old age (DOH,2009). It clearly recognises the impact of social factors aiming to address social inequalities identifying health, education and employment as important factors in an individuals well being and the impact on mental health. The Mental Health Act 1983 is the primary legislation which covers the assessment, detention, treatment and rights of people with a mental health condition. Following the psychiatric model the practitioner would need to make an assessment of Ahmeds functioning identify the signs and symptoms which he is exhibiting for Ahmed these would be his day to day functioning he has rent arrears, utilities have been cut off; personal care evidence suggests he lives on takeaways; social functioning he is a loner and he goes into the town centre shouting apparently aggressive; thoughts he appears to be having delusions that his mother is not his real mother, and possibly hallucinations evidenced with him shouting, but not directed at anyone. The psychiatric model uses judgements of normal which are not objective, but on agreed standards of normal within a cultural and social context (Esyenck,1994 and Giddens,1997). But the question has to be who is the predominant force in that society and how does this impact on individuals from differing cultural backgrounds in the teat of normality. Although the case study has not specified Ahmeds cultural background it is an area which needs due consideration. There are discussions regarding psychiatry as being colour blind and culture blind. Fernando(2002) examines the rationale for these concepts in relation to hearing voices, and explains perhaps cultural stereotypes which do not consider multi cultural dimensions are responsible. Fernando(2002) draws upon the studies relating to high proportions of British African Caribbean men being labelled as aggressive, perhaps due to the appearance or interpretation of symptoms leading others to define the symptoms within the mental health arena (Nazroo and King, 2002). Fernando (2002) expounds further by explaining this could also be related to society norms. The norms are dictated by the predominant forces within society. When individuals do not conform to social norms they are subject to sanctions in order to ensure conformity this is evident within the legal justice system a person commits a crime a punishment a fine or community service order or prison sentence is served. The parallels for m ental health could be seen that if a person does not conform then admission to hospital, intervention and treatment may be viewed as the sanctions to deviating from those perceived norms. Risk management is a highly politicised area with the primary objective in the political arena to manage risk, whilst improved outcomes for individuals appears to be in secondary (Holloway,1996). Holloway(1996) goes on to say in order to understand and therefore manage the risk then as a practitioner you need a very detailed understanding of the individual. Good practice regarding risk management is about a clear foundation for the decision and an expectation for the proposed outcome, as well as provision for change if the intended outcome does not occur (Petch,2001). A discussion with Ahmed regarding voluntary admission for assessment and treatment would be deemed appropriate given the assessment. The Mental Health Act 1983 clearly states in section 131 that voluntary admission should always be used if the person is willing. Should Ahmed resist treatment and admission to hospital then it would be necessary to address the need for detention under section 2 of the act. This provision is made with the agreement of 2 doctors ideally one who knows Ahmed perhaps his GP, and an approved mental health professional (AMHP). Under the Mental Health Act 1983 section 2 allows involuntary admission to hospital for assessment and treatment. Under section 2 Ahmed does not have the right to refuse treatment. Once Ahmed is admitted to hospital then assessment for a diagnosis would be paramount. The two diagnostic and classification tools used in modern psychiatry are the DSM IV codes and ICD 10 codes (Bolton, 2008). Although there are differences in these codes, the premise for these codes and outcomes are the same. These codes represent the bio medical model, the reduction of the illness to signs and symptoms to which a psychiatrist can determine a diagnosis and treatment based on that diagnosis. Whilst this may be useful for organic brain disorders for the majority of mental health problems where there is no definitive biological condition, the diagnosis simply reflects the individuals reflections on how they think and feel. The treatment plan would be developed based on the assessment outcome (diagnosis). Often treatment ranges are limited with a high emphasis on drug interventions, where the primary objective is to stabilise Ahmeds mental health condition in an effort to return him to a functional state. This medicalised response and the use of drugs could be viewed as a means of social control (Rogers and Pilgrim, 2005). By drawing on the theory of social causation this would enable me to support Ahmed to analyse the issues he is facing in a non judgemental way. Oppression and discrimination is observed in the lives of people from marginalised groups (Dalrymple and Burke,1995) and as practitioners we have an obligation to challenge discrimination and oppression. Personal experiences are clearly associated with social, cultural, political and economic divisions and therefore understanding these areas in context to the individual is vital in understanding and challenging the oppression and discrimination they may encounter (Adams et al, 2002). The stigma attached from having mental health problems cannot be underestimated. Research by the Department of Health Attitudes to Mental Illness in 2007 showed that whilst many of the negative pre conceived ideas and beliefs held by society about people with a mental health illness were diminishing, but the changes year on year were not significant. This may be due to education and understanding of mental illness and the understanding of the effects of discrimination and stigma. The Time to Change Programme (2008) is by its own admission, nationally and globally the most ambitious plan to stamp out discrimination faced by people with mental illness. Stigma poses a threat to all aspects of an individuals life if diagnosed with a mental illness, they contribute to social isolation, distress and difficulties gaining and maintaining employment. In a survey by Crisp and Gelder (2000) discovered there were consistent themes of perceptions of people who had a mental illness. Some views were common amongst the several diagnoses, namely they were difficult to talk to and they were unpredictable to assumptions of being dangerous. Completing a Community Care Assessment in accordance with the NHS and Community Care Act 1990 would be necessary in order to identify Ahmeds needs and how those needs would be best provided for. The assessment would include information from Ahmed as well as significant others where applicable and determine need on a short and / or long term basis (Sharkey, 2007). The assessment does not detract from the need of some immediate intervention, to work directly with Ahmed to address some of the immediate issues such as his rent arrears (which would immediately reduce the threat of eviction) and getting his utility services back in place. Acute and crisis services and intervention were designed to offer support in a less restrictive and stigmatising way than traditional formal of intervention such as compulsory admission (Golightly,2008). Crisis intervention is a model of intervention which ideally prevents the situation from deteriorating further and builds on existing resources and strengths in order to improve the situation (Ferguson,2008). This could assist Ahmeds mental health and well being as well as his environment and other social factors i.e. relationship with mum and neighbours. The intervention allows a recent Cochrane review found that home care crisis treatment, coupled with an ongoing home care package, was a viable alternative to hospital admission for crisis intervention for people with serious mental illnesses and probably more cost effective (Joy at al, 2006). Working directly with Ahmed using a task centred approach would be ideal as it is a very practical based approach. The work is time limited, structured and problem focused(Parker and Bradley, 2007, p.93). An example for Ahmed might be: Outcome : Pay off rent arrears so no longer in debt. Rationale: this would immediately reduce the risk of eviction as well as encouraging Ahmed to take responsibility for his situation in a supportive and empowering way. Steps: Agree a payment plan with Ahmed that is manageable within current budget ( £10 every 2 weeks) Once plan agreed Ahmed to visit housing provider to agree payment plan and request an update every month on arrears. Pick up benefits every 2 weeks, on a Tuesday, and immediately pay 2 weeks rent at paypoint in post offices along with agreed  £10 arrears and obtain receipt. For the purpose of this assignment I have listed some of the actions which could be identified in order to support Ahmed. Pay off rent arrears. Benefits assessment to ensure Ahmed is claiming his benefit entitlement. Tenancy support worker in order to support with tenancy related issues such as rent, utilities and maintaining a tenancy agreement. Support worker to assist with increasing his contact and reduce social isolation. This could be simply going out for a coffee or some other activity which Ahmed identified. To explore if Ahmed has concerns regarding psychiatry, and his reluctance to meet with the psychiatrist this is vital it may simply be he forgot about the appointment or further issues regarding his concept of psychiatry. To work with Ahmed to explore his thoughts regarding his mother and assess the foundation for his thoughts that she is not his mother. To gain understanding on any other significant relationships in the past (there is mention in the case study of children) and the possibility of re-connection with his children and wider family connections. Re-connection with community whether this would be utilising self help groups, classes which may hold a particular interest or active engagement in community/ voluntary projects to build self esteem and confidence and develop a sense of purpose and engagement. Explore training / employment options To support Ahmed to begin a life story book or consider psychology intervention. To offer support to examine Ahmeds current strategies of coping recognising his abilities through the strength model and supporting him to identify any patterns and how to deal with them. To develop a contract for future work in order to be clear of professional boundaries and expectations from both parties and how intervention might look in the future should this be required. Should the circumstances not improve or continue to deteriorate then there is a possibility of seeking hospital admission either, voluntarily or in accordance with the Mental Health Act 1983. More people than ever are being detained in hospital under compulsory orders. Admissions to hospital under the Mental Health Act 1983 have risen by nearly 30% in the past decade in England. According to a report from three national mental health charities, Rethink, Sane and the Zito Trust, this figure is a worrying reflection of the care for people with mental illness (Kmietowicz, 2004). A sobering thought for any professional. As a practitioner I have learnt that causes of mental health issues are often complex and can involve a combination of biological vulnerability, environmental factors, social stressors, social networks, supports and relationships, psychological orientations and learned behaviour. Coppock and Hopton (2000) state: each perspective on mental distress and therapeutic intervention has its own internal logic(p.175) and stress the importance of recognising the alternatives, otherwise, practitioners are in danger of becoming a rigid in their practice, not work in a pe rson centred way. Having a critical perspective and understanding of the variety of theoretical perspectives and approaches regarding mental health is beneficial. It is clear that these perspectives whether biomedical or social have added to our understanding of mental health. The relative merits of the various perspectives are constantly argued, most characteristically by pointing out the limitations of the differing perspectives. Such critiques can be productive but are only a step in a larger task to develop broader perspectives that can be productively incorporate the different useful insights reached from each of a variety of different points of view. A person centred approach to mental health would seem the optimum approach when examining mental health issues. It recognises the uniqueness of individuals and accounts for all the possible variables and their interactions from social causation, stress vulnerability, gender etc. which would enable practitioners to examine issues within a broader holistic context, instead of rigid simplistic processes of bio medical model (Freeth, 2007). Word Count : 4007

Gender Equity, Is It Really Important in the Classroom? Essay -- Teachi

Gender Equity, Is It Really Important in the Classroom? There are many differences between boys and girls in the classroom. Most people do not realize this, but it is a proven fact. Gender differences in math and science are very evident. Teachers subconsciously treat boys with a higher degree of respect when it comes to math and science than they do girls. The roles of boys and girls are set at very young ages (Butler and Damnjanovic, 1997). Actually, before they even start going to school their roles are learned from their parents. Most parents buy boy toys for boys and girl toys for girls, thus forming the behavior to which their children will become accustom. According to Dale Baker (2001), "Teachers call on boys more often than girls, ask boys more higher-order questions, give boys more extensive feedback, and use longer wait-time with boys than girls"(p 1). What teachers do not realize is that this puts a big impact on girl’s self-esteem and learning skills. Also, it is not that girls dislike math and science but they "lose courage over time"(Bond, 2001, p 1). In addition, according to research done by the New England Consortium for Undergraduate Science Education (NEWCUSE, 1996), Men tend to respond to questions more confidently, aggressively, and quickly, regardless of the quality of their responses; they tend to speak more freely and spontaneously in class, formulating their answers as they speak. Women, on the other hand, tend to wait longer to respond to a question in class, choosing their words carefully, reflecting on the question and constructing an answer before they speak. (p 4) I feel this is because boys have the reputation of being rambunctious and wild, while girls are supposed... ...18/01). Butler Kahle, J., Damnjanovic, A. (1997). How Research Helps Address Gender Equity[online]. Available: http://narst.org/research/gender2.htm. (3/18/01) Kober, N. (2001). What special problems do girls face in science? What can schools And Teachers do?[online]. Available: http://www.enc.org/topics/equity/articles/documents/1,1946,ACQ-111315- 1315,00.shtm. (3/18/01). NECUSE Colleges, Students at Brown University. (1996). Achieving Gender Equity in Science Classrooms.[online]. Available: http://www.brown.edu/Administration/Dean_ Of _the_College/homepginfo/equity/Equity_handbook.html. (3/18/01). Perez,C. (2001). Equity in the Standards-Based Elementary Mathematics Classroom [online]. Available: http://www.enc.org/topics/equity/stories/documents/0,1946,FOC -001768-index,00.shtm. (3/18/01).

Bill of Lading

* Introduction of the Bill of Lading â€Å"Lading† is another word for cargo. Lading refers to the material goods that are transported by the carrier from one location to another on behalf of a sender and a receiver. Such transportation may be carried out by way of ground transport, by aircraft or by cargo ships. Carriers use the bill of lading associated with a given shipment to ensure that goods are delivered safely to the sender as the shipper had named. â€Å"Bill of lading† is a legal document which is using by the shipping companies and freight companies. The purpose of the bill of lading is to acknowledge that the carrier has received the goods. The bill of lading transfers the title, or legal ownership, of the goods to the carrier; therefore. If there anything happens to the goods in transit (at the en route), the carrier is responsible for paying for the damages. The bill of lading is a receipt given to the person who shipping the products. Delivery time and method of delivery are also outlined within the bill of lading. This is a standardized form which is provided by licensed carriers to be filled out by the party sending a shipment. The most prominent feature of the B/L is the list of all items contained in the shipment, with spaces for individual quantities and their condition at the time of shipment. And also the B/L must state the value of all items and include the names and signatures of both the consigner and the consignee. The ports of consigner and the port of the consignee are also very essential. There is a description about how shipping materials are packaged in the shipment. Also it was noted, total weight of items and the total cost charged by the carrier for the service. Legally, Bill of lading is representing goods of value and their ownership. It should be written as a negotiable document or non-negotiable document. In any case, the producer is shipping an order of goods to a paying recipient, so that a transaction will be completed at delivery, then the Bill of lading must be non-negotiable. But if the ownership and delivery of goods associated with a negotiable B/L may be transferred from one party to another. For this reason, negotiable B/Ls may be used in as collateral for securing a loan. The transport of goods from one destination to another bears the risk that the goods may be lost or sustain damage en route. Though professional carriers go to great lengths to ensure the safety and proper care of their cargo, loss and damage can occur. For the receiver, a shipment's B/L is a ynamic snapshot of the shipment prior to its voyage. If the receiver finds fault with the goods in terms of content, quantity or condition by virtue of any discrepancy between the shipment and the B/L's contents, she may pursue legal action against the carrier using the B/L as evidence for her case. * Functions of the Bill of Lading 2. 1. As a receipt of cargo Bills of lading often are prepared by shippers and carriers, if they prepare bills of lading, must rely principally on information suppl ied by shippers. Carriers often will have little opportunity, in the course of loading, independently to confirm all that is said by shippers as to the nature, condition and quantity of their cargoes, e. g. because cargo is concealed within packaging. Nonetheless, because the bill of lading is a receipt issued by the carrier, it is the carrier and not the shipper that will be liable to the receiver for any discrepancies between the quantity and apparent order and condition of the cargo on shipment, as acknowledged in the bill of lading, and of the cargo as delivered to the receiver. The bill of lading can be treated as conclusive evidence as between the carrier and a receiver and as at least prima facie evidence as between the carrier and the shipper, as to the number, weight or quantity and apparent order and condition of the cargo on loading. Two types of bill of ladings can be issue in within this scenario, * Clean Bill of lading – Carrier is declaring that the goods have been received in an appropriate condition, without the presence of defects. The product carrier will issue a clean bill after thoroughly inspecting the packages for any damage, missing quantities or deviations in quality. Clause Bill of Lading – This shows a shortfall or damage in the delivered goods to the consignee. Typically, if the shipped products deviate from the delivery specifications or expected quality, the receiver may declare a clause bill of lading. That means, if there any differences between the B/L and the physical shipment, it has checking by the carrier and en ter some clauses regarding that differences before he start the voyage. 2. 2. Evidence of a contract In practice, because bills of lading often are transferred, by endorsement and delivery or mere delivery, not only from shippers to consignees (i. . the persons to whom the cargo is consigned or sent and, thus, the intended receivers of the cargo) but also by shippers or consignees to banks or onward to subsequent purchasers, a bill of lading will be the only evidence of the terms of the contract for carriage of the cargo that it covers that is available to a consignee or other transferee of the bill of lading. Thus, bills of lading in the hands of consignees or other, intermediate or subsequent, transferees often have to be assumed to contain all of the terms of the contract of carriage. . 3. Document of Title to Cargo Cargo often is intended to be sold, or sold on, after it has been consigned to a carrier and the consignee thus either might not be identified when a bill of lading i s issued or might thereafter alter. The shipper or consignee of a cargo sold, or sold on, after consignment to the carrier but not immediately paid for will require some assurance that the cargo will not be delivered to the purchaser or end purchaser before the price has been paid. Conversely, if the cargo is sold or sold on and paid for immediately after consignment to the carrier, the purchaser or end purchaser will require some assurance that the cargo will be delivered to it, and not to the order of either the shipper or the original consignee. Similarly, a bank might have advanced funds for the purchase of the cargo either to the original shipper, or to the consignee, or to a subsequent purchaser and will require some assurance that the cargo cannot be disposed of before the bank is reimbursed. It is not feasible for intermediate or subsequent transferees, or transferees for limited purposes, of a cargo that is dealt with afloat each to take physical possession of that cargo for the duration of their interest. However, it is both feasible and desirable for each of those transferees to control disposition of the cargo for a period of time, or to an appropriate degree, through control of a document representing an entitlement to the cargo. Thus, by mercantile custom, both â€Å"received for shipment† and â€Å"shipped on board† bills of lading have come to be treated as documents of title to cargo. The Process of issuing the Bill of Lading The bill of lading might be prepared by the shipper and presented to the carrier for signature, in which case it must be presented to the carrier within a reasonable time after completion of loading of the material cargo and signed by the carrier within a reasonable time of its presentation. Otherwise, and increasingly often i n practice, the bill of lading will be prepared by the carrier, principally from information supplied by the shipper, in which event it should be prepared, signed and delivered to the shipper within a reasonable time after completion of loading of its cargo Types of Bill of Ladings with different Labels 4. 1. Straight B/L A bill of lading that is not transferable by either delivery or endorsement and delivery, e. g. because it is marked â€Å"not negotiable† or is not made out to â€Å"bearer†, to â€Å"order† or to â€Å"assigns†. Straight bills of lading are used, for example, for â€Å"in house† shipments between divisions of large multinationals or when it is known for certain, prior to shipment of the cargo that the intended consignee will not sell the cargo on. . 2. Switch B/L A replacement bill of lading issued at the request of a consignee seller to replace the original bill of lading issued to that seller’s supplier as shipper, so a s to show the consignee seller as shipper and its own sub-purchaser as consignee. Such bills of lading are intended to keep the identity of the supplier from the sub-purchaser and thus to prevent future direct dealings between the supplier and the sub-purchaser. 4. 3. Sea way bill It is a receipt for cargo that contains or evidences a contract for the carriage of goods by sea and which identifies the person to whom the carrier is to deliver that cargo. Sea waybill differs from a bill of lading in that it lacks transferability and in that the designated consignee thus is not required to produce the waybill in order to obtain delivery of the cargo. 4. 4. Clean bill A bill of lading that contains no positive notation of a defective condition or shortage either of the cargo covered or, where material, of its packaging. 4. 5. Claused bill A bill of lading that contains a positive notation of a defective condition or shortage either of the cargo covered or, where material, of its packaging. 4. 6. Combined Transport/Multimodal Transport/House to House bill A bill of lading that covers not only carriage of cargo on an ocean going vessel but all or other stages and/or forms of carriage, e. g. carriage of the cargo by rail, road or barge from the shipper’s premises to an ocean port of shipment, from that port to an ocean port of discharge and from that port of discharge by rail, road or barge to the consignee’s premises. What contains in the Bill of Lading A bill of lading will contain the following information as a minimum requirement (see the Business-in-a-Box sample on the left to see the real template): – Shipper's name and address – Receiver's name and address – Carrier Name – Description of the items that are being transported – Gross weight and dimensions of the shipm ent – Classification of the commodity being shipped – Nomination and identification of the party who is paying for the transportation.

The importance of patient safety essays

The importance of patient safety essays Patient safety is such an important part of our health care system and it helps define quality health care. Keeping our patients safe is a challenging issue because errors and mistakes can and do happen. Error occurs when a planned sequence of mental and physical activities fail to achieve the intended outcome and when this failure cannot be attributed to some chance intervention or occurrence (Ballard, 2003). According to the Institute of Medicine, medical error resulted in as many as 98,000 preventable deaths per year; twice the rate of traffic fatalities and the estimated cost in the US could be almost 29 billion dollars (Wells, 2001). Someone has to ensure operational systems and methods are taken to help reduce the likelihood that errors occur, but who is responsible for taking these proper measurers? Is it society, patients themselves, physicians, nurses, nursing professors, administrators, researchers, physicians, or professional associations? In the long run, all of thes e entities are responsible for making sure the patient has the safest possible outcome. This is a nationwide and worldwide issue that will never be completely resolved because error is always prone to happen. As nurses we need to make sure we are taking all appropriate actions to limit the amount of mistakes that will put our patients at risk. Nursing definitely plays a huge part in patient safety. Nurses are directly in the core of patient care and can be caught in the middle of either witnessing medical error or being liable for a situation. Harming individuals who seek care and compassion is the last thing nurses intend to happen. The nursing shortage can take some responsibility for endangering the quality of care. When nurses are spread too thin, patients do not receive the adequate care they need and dangers are more likely to arise. In most health care settings, nursing care is more utilized than medical care is. This emphasiz...

CE vs. AD

CE vs. AD CE vs. AD CE vs. AD By Maeve Maddox A reader takes issue with my use of the designation CE instead of AD in this sentence: â€Å"A mix of these tribes migrated to England in the fifth and sixth centuries C.E.† Here is the reader’s reaction: Give me a break with the New Age (CE) crap.   You cant make-up words and slogans to change history or our calendar.   Its AD period. Clearly, the reader prefers the traditional Western designation of AD and BC to the equivalent CE and BCE to denote the eras demarcated by the birth of Christ. Contrary to the reader’s belief, the use of AD in lieu of CE to denote the Christian era is nothing so new as â€Å"New Age.† The term â€Å"New Age† refers to a movement of the 1970s that was characterized by alternative approaches to traditional Western culture. Environmentalism and an interest in spirituality and mysticism as opposed to organized religion are especially associated with the New Age phenomenon. The designation CE as an abbreviation for â€Å"Christian era† predates the New Age movement by about 300 years. According to The World Heritage Encyclopedia, â€Å"The expression Common Era can be found as early as 1708 in English.† Still earlier than that, another chronological term used by Christians was vulgaris aerae, â€Å"the common era.† (The adjective vulgar derives from the Latin noun vulgus, â€Å"the common people.†) This designation occurs in English as both â€Å"vulgar aera† and â€Å"vulgar era† and is abbreviated V.Ae. or V.E. However, AD/BC have been with us for a very long time, and the reader is not alone in feeling a strong repugnance toward the growing practice of replacing it with CE/BCE. At least one Christian governing body urges adherents to resist the CE/BCE notation, seeing it as a result of â€Å"secularization, anti-supernaturalism, religious pluralism, and political correctness.† On the other hand, many Christians support the change, in deference to non-Christian cultures that also employ the chronology. The abbreviations CE and BCE may be interpreted as any of the following phrases: Christian era, before Christian era common era, before common era current era, before current era I started using CE/BCE in my posts for Daily Writing Tips because we have an international audience and because I’ve become aware that more and more publishers are adopting these designations. For example, five books pulled from my shelves at random reflect the changing convention: AD/BC: Christianizing the Roman Empire, Yale University Press, 1984. AD/BC: A History of Private Life, Volume I, Harvard University Press, 1987. CE/BCE: The Encyclopedia of World History, Houghton-Mifflin, 2001. CE/BCE: Life After Death, Doubleday, 2004. CE/BCE: The Real Messiah, Watkins Publishing (London), 2009. For my part, if the World were to organize a vote on the matter, I’d vote to keep BC/AD- if only for the fact that it’s easier to tell which is which. When I read a book that uses the BCE/CE abbreviations, I have to slow down when I come to a date because the letters CE are in both designations. Any culture designing a chronology will choose a culturally significant event to mark â€Å"Year One.† Before the AD designation became common, Christians made use of the Hebrew Anno Mundi chronology, which began with the estimated date of Creation. Some Christian writers reckoned time from the birth of Abraham. â€Å"Year One† for the Islamic calendar is the year Mohammad led his followers from Mecca to Medina- 622 CE on the Gregorian calendar. Whether we call the first year of our current era AD 1 or 1 CE, the fact remains that the reckoning is based on ancient Christian belief about the year in which Jesus was born. Modern scholars calculate that the historical Jesus was actually born four to seven years earlier than 1 CE. I think it’s very likely that in another fifty years or so, a new world reckoning will supersede the current one for international use. A new chronology will separate the â€Å"before and after† eras with a new â€Å"Year One† based on some event lacking religious connotations. Style considerations The Chicago Manual of Style recommends writing CE and BCE without periods. Writers making the switch from BC/AD to BCE/CE need to be aware of a difference in where the abbreviations should be placed in relation to the date. With BC/AD, the tradition is to put BC after the date and AD before the date: Julius Caesar was assassinated in 44 BC. Joan of Arc was executed in AD 1431. With the BCE/CE designations, both follow the date: Julius Caesar was assassinated in 44 BCE. Joan of Arc was executed in 1431 CE. Writers not governed by a publication’s style guide are free to use BC/AD. However, anyone who reads much history may as well get used to seeing BCE/CE. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Misused Words category, check our popular posts, or choose a related post below:How to Punctuate References to Dates and Times20 Words Meaning "Being or Existing in the Past"Double Possessive

Dubliners by James Joyce Essay Example | Topics and Well Written Essays - 1000 words

Dubliners by James Joyce - Essay Example The paralysis may also relate to the extent of the technology of the place especially in the twenty first century. In order to elaborate on this claim, the exercise will elaborate various characterizations from the various stories. All the stories in the Dubliners are connected by common themes such as corruption, paralysis and death. These render the characters stationary and incapable of moving forth and developing their status. Instead, the characters move forth in some instances and retreat afterwards causing an endless circle. The first story, The Sisters, majors on a boy and his mentor called Father Flynn. The priest has been mentoring the boy and the boy has advanced in his thinking and behaviour. His uncle tells him the weaknesses of his mentor and convinces him never to associate with him again (Tagleri 15). He informs the boy that the priest had suffered a third stroke and had made a confession on his condition. When the boy is eventually informed of Father Flynn’s death, he feels less sad. The boy observes the brown and yellow teeth of the deceased, implying a decay and static development and epitomizes their confinement. In this case, the society is well convinced of the priest’s demerits to the society through his paralysis and the eventual death. The boy feels freedom from the compulsions of the priest. The boy fails to progress due to his adherence to the notions from the society members. This is a story of two boys that also depict paralysis in the society and individual sexuality. The story illustrates two boys during their adventure and the chase of a wild cat. They encounter a man who starts by asking them of the books they have read. The boys begin to think of positivity of the man due to his thinking on books. The stranger then inquires about their girlfriends. The man goes ahead to masturbate before the boys. This is a greater extent of paralysis of morals (Papadopoulou 32). The boys are t

Marks & Spencer Essay Example | Topics and Well Written Essays - 3000 words

Marks & Spencer - Essay Example The company's preferred method of returning cash is by using the B shares scheme. Since it does not want to use the traditional share repurchase, it has created a conversion of shares – for every 21 current ordinary shares, investors will receive 17 new ordinary shares along with 1 B share for every current ordinary share (Marks & Spencer Plc 20020). The purpose of the conversion is to decrease the company's shareholding without using the traditional repurchase approach, while the use of B shares intends to give back the cash by redeeming it under two choices (Vandermewe 2003).  This B share scheme has offered both the company and the investors with regard to payout policy. The scheme addresses both the concerns of investors when cash is distributed by using the traditional shares repurchase, as well as their concerns when funds are distributed by increasing the amount dividend payout – that is, the high amount of income taxes that investors incur when they receive di vidends (Hakanson 1982). From the point of view of the company, it also uses this scheme in order to leverage certain payout policy theories.  For one, the B share scheme addresses the issues of payout policy such as information asymmetry, residual theory, and expectations theory (Keown 2002). When the company has decided to return the  £2 billion to its shareholders, it aims to reorganize its capital structure in line with the strategic changes that aims to implement (Marks & Spencer 2002). However, if the company chooses to repurchase its stock, investors will be skeptical about the company's moves and would have a more risky perception of the company, thus affecting the company's price/earnings ratio and the value of the stock (Brealey & Myers 2003). As with residual theory, the level of the cash that should be given back to the investors should be its residual earnings, after additional profitable investments have been made (Keown 2002).