Persuation paper regarding Family Therapy in school setting Essay

Persuation paper regarding Family Therapy in school setting - Essay Example Also, student needs are being met by career counselors and nurses, so it would be a good idea to have family therapy added. Family therapy would help families stay together. There are many problems that families have that students have to deal with on a daily basis. When they come to school they may be tired, upset, or angry and they have no where to go to talk about their feelings. A family therapy program could help them by allowing them to talk about their feelings. The therapist could then bring the entire family in during school hours and everyone would be helped. Although many parents would have to work during school hours, they may be able to get off for an hour or two in order to do therapy. Family therapy would be free in school. Many families do not have money to go t a therapist in the community and some people do not have insurance that will pay for them to go. By having a family therapy program in school, the cost could be paid for through a grant or other educational fu nd. There might also be people in the community who would contribute to the program. When there is a problem with a student and there is no place in school for them to go, they have to find someone outside of school to help them. If they do not have the resources to find someone, they do not get the help they need. A family therapy program would accomplish two things in this situation: The first thing it would do is help them have a therapist they already know. During the school day, a family therapist could get to know students and begin to understand their problems. The second thing that this would accomplish is that it would give parents a person who already knew their child from school. Bothe the parents and the child would have a therapist they were already comfortable seeing. Some parents might be afraid to go to family counseling because they would feel they would not want to have the school know their family business. However, if their child was having problems in school, th ey should be encouraged to help their child in any situation. Some parents might feel that going to a therapist means they are mentally ill or that people would think they were crazy. A family therapy program could encourage parents to come in for events that were geared just for them. As an example, a tea or a luncheon to tell parents about the program would be an ideal way for them to get to know more about the family therapy program. The therapist and the principal could make sure that all students take home information about the counseling program that would encourage parents to come to these events or stop in if they needed to talk to someone. Many schools have school psychologists but they are not the same as a therapist. The school psychologists usually do a lot of testing and they do not really do counseling. The therapist would be able to be the one to do the counseling and they may also get some ideas from the psychologist about what issues students need to address in thei r studies. Some of the issues that a counselor could help students with would include: adjustment to school, adjustment to divorce, any abuse issues that might happen at home, alcohol or drug abuse, and peer pressure. These are just some of the issues a skilled counselor could help with and by talking about these issues students may be able to do better in school. Counselors could also do group counseling. There would be students who have the same issues and they could come together as a group and talk about their problems. Maybe

The Commission and the Crime Committed Case Study

The Commission and the Crime Committed - Case Study Example The policy on the corruption being committed in the case of Former State corrections Chief James Crosby Jr. will be reviewed. The policy involved in this case is the Federal law about the corruption of a government official. Even though this policy was not clearly defined, the case of Crosby was able to pursue. Based on the evidenced presented against Crosby it was clear that he committed corruption by taking kickbacks from the prison vendor. The only confusing about this case is that what policy or Federal law was being violated. The official being convicted of corruption means that he committed the Chapter 839 of the 1999 Florida Statutes. Chapter 839 - The Offences by Public Officers and Employees Chapter 839 of the 1999 Florida Statutes under title XLVI is the Offences by Public Officers and Employees. (1) The "Official Misconduct" as defined in Chapter 839.25, means the commission of the following act by a public servant, with corrupt intent to obtain a benefit for himself or herself or another or to cause unlawful harm to another: Knowingly falsifying, or causing another to falsify, any official record or official document. (2) "Corrupt" means done with knowledge that act is wrongful and with improper motives. (3) Official misconduct under this section is a felony of the third degree, punishable as provided in section 775.082 Penalties, and section 775.083 Fines. The charge of Corruption to Crosby maybe questionable but it appears to be legal and justifiable. The force removal of Crosby in position is the result of the violation of Chapter 839.04County officers not to speculate in county warrants or certificates.- (1) Any... This report is to be presented in order to help the commission to revise and reviewed the policy involved in cases. Ethical issues involve are important to discuss to avoid misunderstanding and further questioning on the cases. As the ethics laws are â€Å"strictly construed,† because they are penal in nature, virtually any ambiguity in a statute will be construed in favor of the public official. Therefore, the ethics laws must be written to specifically address ambiguities that have arisen. In addition, meaningful enforcement of the laws is enhanced when the laws clearly identify appropriate standards of conduct. Federal law prohibits federal employees from leaving their public position and then participating in a matter in a way that is adverse to the former agency where the employee had participated personally and substantially in the employee’s official capacity. Attorneys are subject to a similar restriction, under Bar regulations. The Code of Ethics should cover the same situations. Otherwise, for example, a Department of Revenue employee involved in a taxpayer case could quit the Department and work for the taxpayer, against the Department, on the same case.

Assessment and Management of Pressure Ulcers: Nursing Interventions

Assessment and Management of Pressure Ulcers: Nursing Interventions Pressure ulcers continue to present a prevalent concern for patients in health care facilities and the incidence is even expected to rise further with the increasing age of the population. This is a problem that has high potential to be prevented. Therefore, the prevention, assessment, and management of decubitus ulcers are of great importance to healthcare professionals who are charged with the care for these individuals (Clarke et al., 2005). Pressure sores occur when there are localized areas of tissue damage or ulceration of the integument second to decreased blood supply disruption to these soft tissues. This occurs as a consequence of constant pressure, where the pressure exerted on an area is greater than the capillary pressure causing ischemia, friction, or shear force. Florence Nightingale, often considered the pioneer of nursing, recognized in 1860 that quality nursing care can prevent the occurrence of decubitus ulcers among patients (Ousey, 2005). Quality of care will be increased with the implementation of nursing interventions surrounding bed sores. Pressure ulcers present a cost to the health care providers, both financially and time. Pressure ulcers can increase nursing time up to 50%, which is relatively substantial considering many healthcare facilities face nursing staff shortages (Clarke et al.). According to the article written by Joan Wurster, the cost of pressure ulcers is substantial with stage one, two, and three stage ulcers costing between $2,000 and $30,000, and stage four pressure ulcers costing up to $70,000. The cost involved with treating such bed sores often times exceeds the cost of prevention by a large sum of money (Wurster, 2007). Preventative measures are, therefore, essential to implement and include interventions. There are several guidelines listed in National Guideline Clearinghouse regarding pressure ulcers including Assessment and Management of Stage I to IV Pressure Ulcers. This guideline establishes several recommendations such as assessing a patients risk using the Braden Scale, use of special pr essure reducing mattresses, managing adequate nutrition. If a pressure sore is to develop, evidence shows that a proper high-protein diet, the use of wet-dressings, and hyperbaric oxygen as treatments all promote the wound healing process. In taking such actions, the goal of the healthcare provider is that the patient will be free of pressure ulcers during hospitalization and appropriately assessed and managed if one does occur (Registered Nurses Association of Ontario, 2007). Research shows that using evidence-based guidelines, which incorporate scientific evidence and clinical expertise, are the premise of successful prevention and treatment of pressure ulcers (Clarke et al., 2005). Assessment of Patient Risk Using the Braden Scale Prompt and accurate risk assessment is critical in preventing the formation of pressure ulcers. The Braden Scale was created and is now used in countless hospitals to facilitate and guide the nursing care team in their evaluation. Not only can this assessment tool inform a health care professional of any propensities towards skin break down, but also may allow him or her to treat the condition prophylacticly if indicated. Rather than just risk assessment, the Braden Scale may be used for evaluation of the current effectiveness of ulcer care regime for patients with existing ulcers (Braden Maklebust, 2005). The Braden Scale was created in 1984 by Barbara J. Braden, to accurately and systematically describe the risk for development of pressure ulcers (Braden Maklebust, 2005). This scale includes six subscales: sensory perception, moisture, activity level, mobility, nutrition status, as well as the skins exposure to friction and shear forces. Using established guidelines, the nurse assesses the patient and associates his or her findings with a numerical value. These are combined and a patient is given a total score which is indicative of the clients risk of developing a pressure ulcer (Ousey, 2005). Final scores can range anywhere from 6-23. A person is considered at risk if their resulting score is less than 18, as this is the point research shows the relationship between ulcers and risk factors becomes relevant. The lower a patients score, the greater threat they experience of developing a pressure sore (Braden Maklebust, 2005). This information can be used to determine what preventat ive practices can be implemented, as well as the establishment of baselines to gauge the effectiveness of the practices. It should be standard protocol for healthcare facilities to have their staff use the Braden Scale or other objective risk assessment tools when appropriate. Currently, most accreditation agencies now require some form of risk assessment, yet often assessment are shortened, excluding vital factors and skewing the validity of the assessment (Braken Maklebust, 2005). It is up to hospitals, or other care facilities, to ensure that these measures are being implemented. It is best if a minimum standard protocol is established, and the frequency of assessments tailored based on the individuals needs. Recommendations suggest an assessment upon admittance and base the remaining intervals off of the stability of the patients condition. In an acute care setting it is suggested patients be reassessed at least every forty-eight hours, if not more frequently. ICU patients should be reassessed daily if they remain in a stable state or every shift if they are not (Braken Maklebust, 2005). In the e vent of the discovery of the indicators of pressure sores then increasingly aggressive preventative measures can be implemented to prevent the occurrence of ulcers, and minimize the discomfort or complications to the patient. Once standard protocols are integrated it is important to evaluate their effectiveness. Baseline values must be obtained. Since the goal surrounding this nursing intervention is reducing the frequency, it would be logical to obtain the rate at which pressure ulcers are occurring, taking into account the demographics of the patients being evaluated. Braden scale assessment totals and other assessment findings such as erythema, non-blanching hyperaemia, blisters, discoloration, and localized heat and edema, should be documented for each patient and checked for improvement for the individual (Braden Maklebust, 2005; Ousey, 2005). Proof of this documentation must be recorded. After a healthcare facility establishes a standard for using a risk assessment tool at a set interval, the rate should once again be evaluated and compared to the original figures to note any improvement. Studies have been conducted in a similar fashion to evaluate the success of employing the Braden Scale into com mon practice. A study found that patients in a large tertiary care ICU, after Horn and colleagues implemented use of the Braden Scale and preventive protocols, the incidence of pressure Ulcers among the most critically ill patients decreased from 33% to 9% ( as cited in Braden Maklebust, 2005, p. 71). Statistical analysis shows that including the use of the Braden Scale in your plan of care can reduce the rate of pressure ulcer formation substantially, making this guideline applicable to the patient goal. Use of High Specification Foam Mattress Pressure ulcers occur as a result of decreased capillary blood flow to dermal tissues, as oxygen and nutrients are not delivered, and wastes not removed. The use of support surfaces, such as mattresses, mattress overlays, or dynamic support surfaces, is an intervention for prophylactic treatment of pressure injury. In order maintain some perfusion, the external tissue pressure must remain above the capillary closing pressure of 33 mmHg. This is of extreme significance around bony prominences , including tissues over the sacrum, Ischia, greater trocanters, external malleoli, and heels, all of which are frequent areas susceptible to impaired localized skin integrity (Thomas, 2008). According to Ousey, this information is very pertinent, especially when doing a comparison to the force between bony prominences and a standard hospital mattress. These forces ranged between 70 and 100 mmHg, clearly above the capillary closing pressure. If a patient is unable to move, this pressure is too great for the body to handle, and tissue damage occurs (Ousey, 2005). The use of high specification foam mattresses cradles the body in its entirety and distributes the weight so pressure is distributed over a larger surface area (McInnes, Cullum, Bell-Syer, Dumville, 2008). The goal of replacing the mattress or using other supportive surfaces is to reduce the pressure between the patient and the supportive surface below 33mmHg, allowing for blood flow in those patients who are immobile or have decreased sensation (Thomas, 2008). Preventative transfers of patients of moderate to high risk for developing pressure ulcers to high pressure reducing surfaces has the ability to substantially decrease the prevalence of pressure related injuries. The Prevention and Management of Pressure Ulcers article states that when compared to a standard hospital mattress, a number of pressure-reducing devices lower the incidence of pressure ulcers by about 60% (Thomas, 2008, p. 243). Regulation surrounding this issue should be instituted as part of the creation of the plan of care when considering prediction and prevention of decubitus ulcers. Evidence-based research shows that there is no significant difference between eh use of alternating pressure dynamic air flow beds, silicone overlays, foam overlays, sheepskin overlays, or other air filled devices. Health care facilities should take into account the cost and ease of use when purchasing these (Reddu, Gill, Rochon, 2006). Once again, in order to evaluate effectiveness, baseline values of the grade and prevalence of ulcers must be obtained and compared with values obtained at a later time after changes in care have been implemented. It is important to note such things as the age, activity tolerance, gender, present illnesses, and type of supportive surface used to prevent the formation of an ulcer. A guideline followed in an experiment conducted by de Laat, preventative transfers were arranged prior to ulcer formation in the event of finding nonblanchable erythema or an expected immobility exceeding seventy-two hours. Following these procedures surrounding preventative transfers, as well as the sound clinical judgment, proved to be the of the strongest statistical significance in reducing the pressure ulcer density grade II-IV within a one year time period (de Laat et al., 2007). The use of pressure-reducing surfaces, especially if used as a early, is another intervention that will help reach the patie nt goal of preventing the occurrence of pressure ulcers. Managing Nutrition Insufficient nutrition predisposes individuals to developing a pressure ulcer, as well as delays the healing process of sores that do form. Proper nourishment and hydration are behind all body processes, both vital in function and not. It is imperative to maintain good nutrition to provide an optimal environment so that homeostasis may be maintained. However, it is a common occurrence that clients who are admitted to the hospital dont have optimal intake of food or water due to a variety of factors including eating nothing by mouth prior to surgery, unconsciousness, feeling of nausea, presence of illness, polypharmacy, and physical or mental disability (Ousey, 2005). These conditions may result in poor nutrition or malnutrition statuses. The problem lies in the fact that there is no definitive diagnosis for undernutrition. Weight loss and biochemical data of hepatic proteins are the accepted standard. Albumin, pre-albumin, and hemoglobin levels are analyzed. Even though these indicat ors help health care professionals evaluate possible nutrition issues and possibly identify those at risk for developing, they can fluctuate due to underlying disease or hydration status (Dorner, Posthauer, Thomas 2009; Thomas, 2008). Inadequate intake of calories, proteins, fluids, vitamins, and minerals, as well as a low body mass index, may result in impaired skin integrity. It is not yet universally accepted that nutrition status is directly linked to the development of pressure ulcers because studies have not been producing consistent results showing the relationship. On the other hand, there is an accepted correlation between nutritional status and wound care healing. Therefore, it is essential that clinical malnutrition is prevented. A well-balanced diet high in protein is necessary for the healing of pressure ulcers (Dorner, Posthauer, Thomas 2009). Increased calorie and nutrient consumption is required to overcome the hypermetabolic state and increased energy needs. Carbohydrates are needed for the synthesis of glucose, glutamine is needed to serve as a fuel source for epithelial cells, arginine is supports the formation of protein, fluids are needed to serve as a solvent and transportation, ascorbic acid for the production of collagen, and zinc for collagen formation, protein synthesis, and cell proliferation. Perhaps the most important nutrient needed for wound healing is protein. It is needed to maintain nitrogen balance and for the synthesis of enzymes involved in wound healing and collagen and connective tissue production. In order to ensure that all clients have met these nutritional needs, support may be desirable. These include consultation with a dietitian, consultation with a speech pathologist if indicated, use of nutritional supplements, enteral feeding, and parenteral nutrition (Dorner, Posthauer, Thomas 2009). All people are at risk for malnutrition whether young or old, so upon admission, all patients nutritional status should be assessed to determine existing or potential malnutrition, and referred for further help if indicated. Throughout the clients stay at the hospital, all patients intake should be monitored for nutritional value and fluid consumption. If indicated additional supplements should be given within recommended daily intake norms if needs are not met. The obtained information on nutritional status must then be compared with progress made in the healing of the pressure sore, including decreased size and depth, as well as decreased exudate. Reassessment of hepatic lab proteins and body weight may be recorded multiple times to evaluate any improvements. Adequate nutrition may prevent the development of pressure ulcers. More importantly a well balanced-high protein diet can be used in the management of pressure ulcers in the aspect of promoting healing if a pressure ulcer does develop (Ousey, 2005). Use of Moisture-retentive Dressing In the event that all preventative measures have failed, and a pressure ulcer does form, it is recommended that moisture-retentive dressings are used to encourage healing. Moist wound treatment has shown to be optimal in promoting reepithelialization. According to Thomas, Moist wound healing allows experimentally induced wounds to resurface up to 40% faster than air-exposed wounds (Thomas, 2008, p. 246). There are now dressings, called occlusive dressings that were developed to maintain the moist environment. There are other benefits to using this treatment as wounds are further protected from infection and pain is reduced (Thomas, 2008). The introduction of occlusive dressings as a primary treatment is beneficial. Several types of occlusive dressings may be used, such as polymer foams, hydrogels, hydrocolloids, alginates, and biomembranes. All of these have proven to be effective. Four out of five trials comparing hydrocolloid dressing with a moist gauze dressing demonstrated higher healing rates (Thomas, 2008, p 250). Effectiveness of treatment can be evaluated in the time needed for complete healing. Decrease in size and depth, reduced erythema , no exudates production, and increased collagen synthesis are all signs and symptoms indicating healing of pressure ulcers (Ousey, 2005). Hyperbaric Oxygen Treatment Hyperbaric oxygen (HBO) therapy for chronic wound care is a relatively new concept. Sometimes pressure sores take a prolonged period of time to heal. In HBO therapy, the patient intermittently breathes 100T% oxygen, while the pressure exerted on the body within the treatment chamber is raised to greater than 1 atmosphere absolute (Hunter, Langemo, Anderson, Hanson, Thomson, 2010, p 116). Often chronic wounds take a longer duration to heal due to ischemic injury, and hyperbaric oxygen therapy directly addresses that. These specialized conditions are at the root of why hyperbaric oxygen therapy proves to be beneficial. In these chambers, the amount of oxygen availability is significant and increased atmospheric pressure causes oxygen exchange between the air and the tissues (Hunter et al., 2010). This regime involves effective management and treatment of pressure ulcers in the event a pressure ulcer does not heal. Although not available at all facilities, hyperbaric oxygen therapy should be recognized as a treatment option for chronic pressure ulcers. Patients should be presented with the option if indicated. To ensure this alternative treatment is presented, it should become a standard requirement to document it. If this becomes the choice of therapy, it is necessary to evaluate the effectiveness of the treatment by looking for signs of ulcer healing. In one study, chronic wounds were monitored for an eight week time period with hyperbaric therapy. The results showed shrinking of wound size in all participants and even a 16% healing rate (Hunter et al, 2010). Similar standards would need to be implemented with therapy to ensure its efficacy to the individual patient. Hyperberberic oxygen treatment should not be mandatory, but recognized as an option when considering the patient goal of managing pressure ulcers. Conclusion Although pressure ulcers are a problem found in many healthcare facilities, it is a problem that has a wide range of solutions. Decubitus ulcers can negatively affect a clients quality of life and there are potential medical complication, including coma and death associated with this condition. Proper assessment and management of pressure ulcers is a reflection of quality of care. Evidence-based nursing interventions such as assessing a patients risk using the Braden Scale, use of special pressure reducing mattresses, managing adequate nutrition the use of wet-dressings, and hyperbaric oxygen as treatments, have been proven to be effective and are all of great importance in improving patient care (Registered Nurses Association of Ontario , 2007). The goal of keeping patients free of ulcers during hospitalization and proper management of pressure ulcers if one does develop, must be at the root of all tasks. Evidence Based guidelines must be established and disseminated throughout the United States, and practiced in order to reduce the frequency and improve the care surrounding pressure ulcers.

The Social Effects of Television Essay -- TV Media

The Social Effects of Television The social effects of television are numerous and definitely vary in positive and negative ways. Since television was first introduced it’s been a very large part of America’s society. Television started as a form of entertainment that would be watched by the family for an hour a night as a relaxing way of getting away from the stresses of real life. Television has now turned into one of the biggest industries in the world, and has more influence than anyone could have imagined. Many people view television as a very positive form of entertainment, as it is without a doubt the most popular kind in the world. There are also those people who say that television is going to be the downfall of our society and we are becoming much to dependent on it. Television allows the viewer to leave their everyday life and enter into a world full of fun, adventure, and even love. Television is now used by many children for educational purposes. Everyone has seen at least a little of Barney, a show that helps kids learn the alphabet and many life lessons as well. There are now tens if not hundreds of shows that are like Barney broadcast all over the world. These shows help a child develop the social skills that one needs at such a young age. Television can be argued to have brought families together. It may not be good that dinner is served in front of the television every so often, but at least the family is together. In this world of fast paced activity, it is hard to find a family that actually sits down to dinner more than once a week. Television is arguably the best form of media and current information that can be found. Everyday of the week, 24 hours a day a person can find current news b... ...their lives are nothing like the ones seen on television. Television is fast-paced, exciting, and very often a little overboard. A large drawback of television is that many people, women and men, perceive themselves as less of a person. Often, one is not as beautiful or as handsome as a person seen on television. Or one is not as smart, or as good at sports as people on television. Television can be seen as a very good thing to have come out of the 20th Century, and it can be seen as something that should never have been invented. There is no arguing though about the dependency and love many people have for television. Much of the world, especially America, depends on television for a great range of things from education, to information, to entertainment. Television has shaped and changed our society and our world in ways that can never be fully understood.

Tystiolaeth Cyflawniad/Performance evidence record Essay

SYLWER Gall eich asesydd ofyn cwestiynau llafar yn berthynas i’r gweithgaredd hon. Sicrhau eu bod yn cael eu cofnodi yn y bocs priodol. Bydd rhaid i’r person sydd wedi ardystio/arsylwi arwyddo y dudalen olaf NB Your assessor may wish to ask you some questions relating to this activity. Ensure they are either recorded in the performance evidence or on a â€Å"Questioning record. The person who observed/witnessed your activity must sign and date the last page. Dyddiad y gweithgaredd Date of activity Uned Unit CD LO Tystiolaeth y perfformiad Performance evidence Good staff are the key point to a successful business. They need to be the right person for the right role. A poor staff member can cost time and money and can in turn bring a lack of confidence in the Company by the authorities which use our services. IT is therefore imperative that the recruitment criteria to followed and adhered to. We have a recruitment and selection policy ( see evidence 1) We have to cover all aspects in the legislation needed for the health and social care industry. These include: Asylum and Immigration Act 1996. Data Protection Act 1998. Care Standards Act 2000. Rehabilitation of Offenders Act 1974. Safeguarding of Vulnerable Groups Act 2006. Health and Social Care Act 2008. Equality Act 2010. We also have to cover Regulations in Health and Social Care, these include: Health and Social Care Act 2008. Employment Equality Regulation (religion or belief and Sexual orientation) 2003. Employment Equality Regulation (age) 2006. Part time Workers Regulation 2000. There may be times when criminal convictions or cautions are disclosed on an application form or at interview stage. Some of these convictions or cautions may require us as a company to seek specialist help to discover the full story of the offence. The Rehabilitation of Offenders Act 1974 allows some convictions to be ignored after a certain rehabilitation period. The reasoning behind this is so that the person holding the conviction will not have a lifelong ‘scar’ on their record if it has been a minor offence in their past. Once the rehabilitation period is spent and no other convictions are made, in certain instances the person may not need to disclose the conviction, if for example applying for a job. In adults the normal  rehabilitation is 5 years for non- custodial sentences, 7 years for custodial sentences up to 6 months and 10 years for custodial sentences over 6 months and up to 2  ½ years Any custodial sentence over 2  ½ can never be spent.. The period for young offenders is normally half that of an adult. Jobs in the care sector are exempt under the Rehabilitation of Offenders Act 1974 and all applicants must under- go and pass an enhanced DBS (disclosure and barring service)previously known as CRB (criminal records bureau) Huntley and Carr, Soham murders 2002. Ian Hunley had slipped through the net on his CRB as police had entered his name incorrectly and the wrong date of birth. Even with many previous allegations against children, none had resulted in any conviction, but the school were aware of his past history but still employed him. Home Secretary David Blunkett stated he would start an investigation into the ‘vetting system’ In this case police have declared they should have checked identity input was correct and that all previous allegations which were held on file should have been further investigated. Serious case review of Carefirst 24 based in Surry. Domiciliary care company were employing illegal immigrants. Police and local council did emergency planning to remove clients from Carefirst 24 and place with other agencies. When Carefirst 24 offices were raided several self- funding clients were found, these too were placed with other agencies. Unfortunately Mrs Foster had been over looked and was left with no care for almost 9 days, her care package was 4 calls daily. When she was finally found by a district nurse and admitted to hospital she was in a very poor state of health. She consequently died. During the enquiry it was found that there had been no multi agency communication i.e. gps visiting but unable to gain access due to not knowing key safe number, then not following up the appointment. The recommendations in domiciliary based care are to: Involve service user in their care plan and assessment, this should be done with face to face contact. Legible, dated and signed attendance logs should be kept for each visit. Quality control procedures to be in place to detect any service deficiencies immediately. The manager, supervisors and care  staff should show a full commitment to the safety and wellbeing of all service users in their care at all times. No matter how large or small a company is, it is important to supply an up to date detailed job description to all employees, describing job requirements, reporting to higher post routine and expected performance standards. It is advisable to have two interviewers on the panel. A pre prepared list of questions should be asked to each interviewee and a scale of answers which should be given. I need to ask questions such as, Do you have any problems with giving personal care? Do you have access to a reliable car, due to accessing some service user’s homes? I also have to gain knowledge into their flexibility to working hours, their knowledge of both Welsh and English communication. I also wish to discover if the applicant has any previous experience or training qualifications. During interview I can also learn about their personality, team player abilities, emotional stability, confidence and their future goals. A lot can be learnt about the interviewees in their body language, are they confident/nervous relaxed/up tight, easy going/strict, good communicator or reluctant to engage in general conversation. Part of the interview includes double checking their application form with them, so that their answers are fully understood. This gives me the opportunity to make sure no needed information is missing, such as breaks in employment or residences. The latter will be needed for the DBS process. I also ask if they know of any reason why we should not be able to gain a reference from any of the 3 named referees given, (these referees have to be telephoned to confirm they are the person named and that they have completed the reference form themselves) I also give the interviewee another chance to declare anything which may show up on a DBS. If I feel an applicant is suitable for the role they have applied for, I post out an application successful letter. This states that the offer is made on the receipt of successful references and DBS check. The offer can be withdrawn if these are not clear. Our methods and criteria to recruit new staff are the same at all levels. When an application form is received, it is read by 2 senior members of staff and at this point it is decided if an interview is to be given. If a verbal offer of employment is given, it must also be followed up in writing. Health and Social care roles have a strict vetting system, which is normally safe and reliable. But as already pointed out with the Soham case things can go wrong. I promote honesty and openness at interviews as some convictions can be considered. If a person is recruited who is wrong for the organisation and role this can lead to quick staff turnover and increased costs for the organisation. It could also lower the morale of existing staff due to new employee not ‘fitting in’ with the team by not working well in their role. It is important that any new employee has flexibility and commitment but they also need to have the passion to listen and learn. In the domiciliary care organisations continuous recruitment is ongoing. This is due to continuing expansion and needing trained staff in place before new service users can be taken on. Whilst interviewing it is important for the interviewer to smile and encourage the interviewee to feel relaxed. If an interviewee appears nervous this is not a sign of them being unsuitable for the role. Some individuals generally find interviews a nerve wracking situation but they are relaxed in all other situations. One of the questions I ask is, ‘why have you applied to become a community care assistant with this company’. I find the answer to this question is invaluable. I can discover if the candidate is really interested in the role or that it ‘just a job or the DWP have made them apply for any job just to keep receiving their benefits. We advertise our vacancies through the local job centre and on internet media sites. We also advertise internally for higher positions vacant. These are still subject to an interview with the existing employee, although this is an easier interview as so much is already known about the applicant and their work standards.

How Women Changed During the Civil War Essay

The Civil War was a defining moment in American history. It was the event which determined the fate of the nation as the American community was divided into two opposing sides. It was also a time of significant social change. The realm of war previously belonged to the men; it was the male soldiers who fought in the battlefields. However, the Civil War altered the situation. The status of women dramatically changed as they became active participants in the war effort. Indeed, the Civil War opened many opportunities for women and allowed them to be active members of society. This research paper aims to discuss how women changed during the American Civil War, as well as the advantages and disadvantages of the said changes. In the 19th Century America, men dominated society and women were regarded as inferior to them. Women lived under the authority of the opposite sex, either that of the father, husband or another relative (Massey, 1994). They were confined in the domestic sphere; their main concerns were their home and family. Women had no voice in the political arena because only the men had dealt with public affairs. Not only was it objectionable for women to fulfill men’s jobs, it was also disagreeable for them to wear men’s clothes (Eggleston, 2003). When the Civil War began, the social lines were blurred. Women suddenly were presented the chance to go beyond their realm and participate in the world of men. They were given roles and jobs that were not accessible to them before. Both the Union and the Confederacy allowed women to take part in the war effort. For the first time, the government allowed women to become doctors and nurses (Eggleston, 2003). Women also served as messengers and spies. Meanwhile, there are also those women whose contributions were domestic in nature; these include cooking, as well as mending and sewing uniforms for the soldiers (Eggleston, 2003; Silber, 2005). These activities may have been the same as those women were tasked to do in the past; however, there was a significant change. Before, women only did those jobs due to the necessity in the household. During the war, the women did those jobs due to the necessity of the nation. Their domestic activities were no longer performed for private purposes; they had become part of the public affairs. However, women were not merely passive participants. They were also directly involved in the war effort as soldiers. The battlefield was reserved for males, but the females eventually found themselves fighting the same war. Women became soldiers by concealing their real identities (Eggleston, 2003). There were many reasons why women opted to disguise themselves as male soldiers. There were those who fought in the war to either escape from their betrothal or to be with their loved ones. Some saw the war as an adventure and craved its excitement. There were others who saw fighting for its financial benefits and the opportunity to better provide for their families. Meanwhile, there were women who took part in the Civil War for more noble reasons; they went to war because they were compelled by duty and patriotism (Eggleston, 2003). Women had to resort to extreme measures to appear like male soldiers. There were women who were immediately discharged because the way they acted revealed their real identities (Eggleston, 2003). Meanwhile, there were women who dramatically changed their actions and behavior before enlistment to successfully disguise themselves. They modified the color of their complexion and learned how to chew tobacco. They used vests with pads to conceal their breasts; the pads also made them seem more bulky and masculine (Eggleston, 2003). Having women disguised as men in war had its share of difficulties. The problems arose from the different toilet habits as well as other personal routines (Eggleston, 2003). Nonetheless, the recruitment of young men in the army proved to be advantageous for the female soldiers. The army consisted mostly of boys, who were still shy and reserved around each other. Most of them were hesitant to relieve themselves in the company of other soldiers; to attend their toilet needs, they had to hide in the woods or others areas which offered privacy. The meek nature of young men was beneficial for the female soldiers because it allowed them to seek privacy without appearing unusual. In addition, the young men of the army have not yet started shaving, so it did not appear unusual for the females if they did not shave (Eggleston, 2003). It is remarkable that women have finally reached the public realm during the Civil War, even if they had to pretend as men to do so. However, that kind of participation had disadvantages. Women who had successfully kept their real identities hidden as part of the army suffered all the difficulties which came with war (Eggleston, 2003). Female soldiers were held captive by their opponents, brought to prison camps and killed in the battlefields. There were those who perished and buried without their real identities discovered. Because women soldiers were not supposed to be fighting in the war, their participation in the war was previously not acknowledged. There were even those who denied the direct involvement of women as soldiers (Blanton, n. d. ). The non-recognition of women fighters in the Civil War prevented the discovery of the total number of female soldiers who offered their services. The numbers available on record are merely estimates. This situation posited a real problem, as it undermined and ignored the contributions of women in the battlefield. During the American Civil War, women changed because they went beyond the roles that were initialed assigned to them. The war effort presented them to enter the public realm of men and participate in it. Women had indeed changed during that time, as they progressed from housewives to participants in war. Women even came in disguise to become soldiers. While it is a great thing that women became active members of the community, some of their contributions were not recognized or accurately recorded because of their secret identities. Nonetheless, this does not diminish that fact that women were a significant part of the American Civil War. References Blanton, D. (n. d. ). Women soldiers and nurses of the American civil war. American Civil War Website. Retrieved March 13, 2009, from http://americancivilwar. com/women/index. html Eggleston, L. G. (2003). Women in the Civil War: Extraordinary Stories of Soldiers, Spies, Nurses, Doctors, Crusaders and Others. North Carolina: McFarland. Massey, M. E. (1994). Women in the Civil War. Nebraska: University of Nebraska Press. Siber, N. (2005). Daughters of the Union: Northern Women Fight the Civil War. Cambridge, Massachusetts: Harvard University Press.