Fast Food Essay Example for Free

Fast Food Essay ? A fast food restaurant is on every corner, but is actually good for you? Fast food became popular in the early 1900’s but it didn’t just take off. Fast food has made quite a journey in its development opening opportunities along the way. It has its advantages and disadvantages but being aware of them is very important. Fast food has made a huge impact on our nation’s health and economy. How was fast food developed? Burgers made at fairs, carnivals, and events were known as low quality. It took America a while to warm up to the idea of fast food. Many people mistakenly assume McDonalds was the first fast food chain but it was not. In the 18th century the convenience of eating away from home was becoming popular. As a result, White Castle was the first chain beginning in Wichita, Kansas. To make the idea of eating away from home more appealing they built their restaurants to show the customers the food being prepared. White Castle’s reputation for well-cooked burgers spread nationwide, making it easier for other fast food restaurants to move in. The McDonald brothers opened their redesigned restaurant in 1948. Soon after, Taco Bell and Burger King opened in the 1950’s and Wendy’s in 1969. Even though McDonalds is the name of fast food it has made a bad reputation in other countries because of its exaggerated marketing to children and unhealthy ingredients. Obviously, it took time for the United States to begin trusting fast food. Fast food can be hurtful to our bodies and the environment. The effects impact both children and adults. Within the food, the lack of some nutrients like Vitamin B and Omega 3 Fatty-Acids causes a person to become unhappy. This unhappiness leads to further problems like depression. Another major problem is the fatty foods sold in fast food restaurants cause a higher risk for Alzheimer’s. In 2009 the University of Berkley did a study that stated that the closer you live to fast food the higher the risk of problems with obesity. Obesity has swept this nation strongly and is one of the most impactful health problems today. Fast foods campaign directly towards children and tempt them with toys and playgrounds. Children obesity rate has tripled in the last 30 years alone as a result. Fast food has also contributed to our planet in a negative way. Livestrong. com states â€Å"To make 1 lb. of hamburger, for example, it takes 16 lbs. of grains and up to 2,500 gallons of water. † The New Community Project says if the people of the world ate more plant-based food we would be able to give food and clean water to the people who don’t have access now. Eating fast food often can be hurtful towards the body and the environment. After many complaints, the fast food industry is finally addressing the health problems. In 1965, the first Subway store was opened with its original title Pete’s Subway. Subway has addressed the issues of unhealthy living with their new spokesperson Jared Fogle who lost 245 lbs. after eating subway for a year. He began being shown in commercials and ads telling people his story. Subway then started adding the amount of calories in specific ingredients to the menu. They also started a new list to the menu called Fresh Fit that includes healthy options for every meal. Many fast food chains caught on to this idea and started showing healthier options and adding calorie counts to their menus. The fast food industry has only begun creating a healthier lifestyle option for people. The fast food industry hit this nation by storm. It has its advantages but do they outweigh the consequences? People of this nation need to watch how much fast food one consumes. Fast food can be good or bad, it all depends on what people choose. Cites Disadvantages of Fast Foods. LIVESTRONG. COM. N. p. , n. d. Web. 12 Sept. 2013. How Fast Food Works. HowStuffWorks. N. p. , n. d. Web. 12 Sept. 2013. Ashley Bruce 9/12/13.

Medical Device Regulations in the European Union

Medical Device Regulations in the European Union INTRODUCTION TO MEDICAL DEVICE REGULATIONS IN THE EUROPEAN UNION: A Medical Device under the jurisdiction of the European Union is defined as â€Å"an instrument, apparatus, appliance, material or other article, whether used alone or in combination, together with any software necessary for its proper application, which a) is intended by the manufacturer to be used for human beings for the purpose of i. diagnosis, prevention, monitoring, treatment or alleviation of disease, ii. diagnosis, monitoring, treatment, alleviation of or compensation for an injury or handicap, iii. investigation, replacement or modification of the anatomy or of a physiological process, or iv. control of conception; and b) does not achieve its principal intended action in or on the human body by pharmacological, immunological or metabolic means†.1 The clinical investigation and the subsequent introduction of a medical device in the European market is primarily regulated and governed by the MHRA (Medicines and Healthcare products Regulatory Agency) with the assistance of competent regulatory institutions called the Notified Bodies. â€Å"A Notified Body is a certification organization which the national authority (the Competent Authority) of a Member State designates to carry out one or more of the conformity assessment procedures described in the annexes of the Directives.†3 The MHRA regulates with the help of two sets of medical device regulations viz. the Statutory Instruments 2002 No.618 (Consolidated legislation) and 2003 No.1697. These legislations employ the three device directives issued by the competent authority into the european law. The directives help the manufacture in better understanding of the manufacturing and the requirments for inroduction into the market of the devices. These directives are: Directive 90/385/EEC: Active Implantable Medical Devices directive Directive 93/42/EEC: Medical Devices directive Directive 98/79/EC: In vitro Diagnostic Medical Device directive Directive 90/385/EEC: Active Implantable Medical Devices directive: This directive encompasses medical devices that are active(i.e powered) and implanted(i.e left in the human body). These include pacemakers, implantable defibrillators, implantable infusion pumps, cochlear implants and implantable neuromuscular stimulators etc. Regulations realizing the Directive came entirely into force in the United Kingdom on January 01 1995. Directive 93/42/EEC: Medical Devices directive: This directive covers an extensive array of devices from uncomplicated bandages to orthopaedic implants and high-end radiology apparatus. Regulations realizing the Directive came entirely into force in the United Kingdom on June 13 1998. Directive 98/79/EC: In vitro Diagnostic Medical Device directive: â€Å"This Directive covers any medical device, reagent, reagent product, kit, instrument, apparatus or system which is intended to be used for the invitro examination of substances derived from the human body, such as blood grouping reagents, pregnancy testing and Hepatitis B test kits. Regulations implementing the Directive came into force in the UK on 7th June 2000 with a transitional period until 7th December 2003. There is no clinical investigation system for in-vitro diagnostic medical devices. Performance evaluations of in vitro diagnostic devices that are performed outside the manufacturers premises should be notified to the UK Competent Authority in accordance with the Medical Devices Regulations 2002: Section 44.†2 The rationale backing these directives is to permit easy movement of the medical devices throughout the European Union whilst upholding high standards of device safety and up-to-the-mark quality. Classification of medical devices: Devices are classified purely based on risk associated with their use. Ranging from low risk to high risk, they are Class I, IIa, IIb and III. A classic example of a class III medical device is a cochlear implant, which is both active and implantable and thus comes under the purview of Directive 90/385/EEC: Active Implantable Medical Devices directive. Let us discuss in detail the regulatory requirments specified as per the MHRA to bring an active implantable cochlear implant into the market designated bt the European Union as the EFTA(European Free Trade Area). â€Å"Examples of AIMDs include: implantable cardiac pacemakers implantable defibrillators leads, electrodes, adaptors for 1) and 2) implantable nerve stimulators bladder stimulators sphincter stimulators diaphragm stimulators cochlear implants implantable active drug administration device catheters, sensors for 9) implantable active monitoring devices programmers, software, transmitters.†4 Cochlear Implants: â€Å"Cochlear implants are electronic hearing prostheses that bypass the damaged hearing components by providing electrical stimulation directly to the auditory nerve fibres in the cochlea. The electrical stimulation is interpreted by the brain as sound. Cochlear implants consist of an external microphone, speech processor and transmitter coil, and an internal stimulator (implanted under the skin just behind the ear) attached to a stimulation electrode which passes into the cochlea. A variation of the cochlear implant is the auditory brainstem implant where electrodes are implanted directly into the auditory area of the brainstem. This can be used in patients who do not have a functional auditory nerve.†5 The regulatory process of bringing a cochlear implant in the European market: It is mandated by law that the manufacturer who intends to bring the device into the EFTA abides by the Essential Requirments stated in the Directive 90/385/EEC: Active Implantable Medical Devices directive and demonstrate the compliance of the device with the safety and efficacy standards set forth in the directive. There are essentially two ways to do it viz. â€Å"either a compilation of the relevant scientific literature currently available on the intended purpose of the device and the techniques employed, together with, if appropriate, a written report containing a critical evaluation of the compilation; or the results and conclusions of a specifically designed clinical investigation†2 Product launch on the basis of evaluation and review of scientific literature can be considered as acceptable if equivalence can be scientifically demonstrated with a device existant in the market and routinely used in clinical practice. Equivalence has to be demonstrated w.r.t technology, critical performance, design, principles of operation, biological safety, population involved, conditions of use and clinical purpose. However, unless satisfactory evidence can be collected by means of scientific literature review, the use of a well-planned clinical trial/investigation should be considered as the best way to attest permissible levels of safety and efficacy. In case of scientific review or pre-clinical assessment, the following fees apply: Class I, IIa, or IIb other than implantable or long-term invasive:  £3,000 (Re-notification incase of objection by MHRA  £2,100). Class IIb implantable or long-term invasive, Class III, and active implantable:  £4,100 (Re-notification incase of objection by MHRA  £2,700). Applications for a proposed clinical investigation of the medical device should be made by filling the forms PCA1 and PCA2 along with the necessary information required by the clauses in the forms. Applications should be labeled clearly as â€Å"documentation only†. The use of English language is mandatory. Documentation should be clear and legible and remain so after reproduction. Electronic applications should be discussed with the MHRA. The manufacturer, for scrutiny by the MHRA should make a total of eight full submission copies available. The charges for the scrutiny of applications are laid out in the Medical Devices Regulations 2002: section 56. They are as follows: â€Å"Fees for Group A (low risk) devices are  £2,700 (initial application) or  £1,800 (resubmission). Increasing to  £3,000 and  £2,100 on 1st April 2008. Fees for Group B (high-risk) devices are  £3,800 (initial application) or  £2,400 (resubmission). Increasing to  £4,100 and  £2,700 on 1 st April 2008.†2 Applications should be forwarded to: Mrs Daniella Smolenska, Medicines Healthcare products Regulatory Agency (MHRA), European and Regulatory Affairs, Market Towers, 1 Nine Elms Lane, London, SW8 5NQ, Tel: 020 7084 3363, Email [emailprotected]. Approval from the MREC (Multi-centre Research Ethics Committee)/LREC (Local Research Ethics Committee) can be obtained along with the notification to the Competent Authority. However, a clinical investigation can begin only after approval has been obtained from the MREC/LREC and the Competent Authority has not raised an objection to the investigation within the 60 days time constraint period; or approval has been obtained from both the authoritative bodies. General Requirements: A well-defined clinical plan whose methodology and ethical considerations conforms to the standards set forth in the Medical Devices Regulations 2002: section 16 and section 29, the Active Implantable Medical Devices Directive, Annexes 6 and 7, and the Medical Devices Directive, Annexes VIII and X. Supplementary standards are set forth in Standard BS EN ISO 14155-1; 2002, â€Å"Clinical Investigation of Medical Devices for Human Subjects-part 1: General Requirements†, and BS EN ISO 14155-2:2002, â€Å"Clinical Investigation of Medical Devices for Human Subjects-part 2: Clinical Plan†. The CA should be notified incase of differences in the EU and non-EU protocols and the reasons for the same. â€Å"All applications must contain a statement (Active Implantable Medical Devices Directive: Annex 6,2.2; Medical Devices Directive: Annex VIII, 2.2): that the device in question conforms to the Essential Requirements except with regard to those aspects of the device that are to be investigated and that in respect of those aspects, every precaution has been taken to protect the health and safety of the patient. By signing this statement, the manufacturer is declaring that the device meets all of the relevant Essential Requirements, other than those subject to the investigation. Manufacturers must therefore ensure that at the time a notification is made to the Competent Authority, they have all documentation required to demonstrate conformity with the relevant Essential Requirements available for submission to the Competent Authority when requested.†2 Device information like name, model, materials used and sterilization standards etc must be provided as set forth in the directive. Pertinent information about the clinical investigation plan, investigation parameters and design, data collection and analysis methods etc. should be made available to the CA. It is strongly advised that Class III devices follow a well-designed post-marketing plan under the Medical Devices Vigilance. Extra care should be taken when labeling devices meant for clinical investigations. â€Å"All devices intended for clinical investigation must bear the wording exclusively for clinical investigation (Medical Devices Directive: annex 1, para 13.3(H) and the Active Implantable Medical Devices Directive: annex 1, 14.1).†2 Reporting of adverse incidents: â€Å"A serious adverse incident is one which: led to a death led to a serious deterioration in the health of the patient, user or others and includes: a life threatening illness or injury a permanent impairment to a body structure or function a condition requiring hospitalisation or increased length of existing hospitalisation a condition requiring otherwise unnecessary medical or surgical intervention and which might have led to death or serious deterioration in health had suitable action or intervention not taken place. This includes a malfunction of the device such that it has to be monitored more closely or temporarily or permanently taken out of service led to foetal distress, foetal death or a congenital abnormality or birth defect might have led to any of the above†2 All such incidents should be recorded and reported to the CA as set forth in the Regulation 16(10)(a) of the Medical Devices Regulations 2002 (SI 618) and Annex X of the Medical Devices Directive 93/42. Final written report: A report in conjunction with the Medical Devices Directive (Medical Devices Regulations 2002: Section 16(10) and Section 29(9)) should be submitted to the CA for devices undergoing investigation for a CE marking. However, Class III devices need to be highly regulated, before, after and during the clinical investigation. Owing to the high risks associated with their use, some say the risk can be quantified only as social and not scientific. â€Å"Risks, rather than being inherent within these implant devices, may be seen as socially derived, in processes of negotiation and conflict such as those in the case of hip and breast implants†¦.most recently, in the wake of the controversies surrounding breast implants and the 3M Capital hip, attention has been drawn to the uneven performance of notified bodies in the EU, which approve new products. This has led to the setting up of a new European Notified Bodies Operations Group (NEBOG) and calls by the MDA for all implants to be reclassified as high risk, Class III. A review of the operation of EU EMDD is also about to begin (MDA, 2001b). It thus appears that increased political scrutiny is being focused on this sector.†6 BIBLIOGRAPHY: THE MEDICAL DEVICES REGULATIONS: IMPLICATIONS ON HEALTHCARE AND OTHER RELATED ESTABLISHMENTS, BULLETIN No. 18, COMPETENT AUTHORITY (UK), Amended January 2006 EC MEDICAL DEVICES DIRECTIVES GUIDANCE FOR MANUFACTURERS ON CLINICAL INVESTIGATIONS TO BE CARRIED OUT IN THE UK, COMPETENT AUTHORITY (UK), Updated November 2007 THE NOTIFIED BODY, BULLETIN No. 6, COMPETENT AUTHORITY(UK), Amended January 2006 http://www.mhra.gov.uk/Howweregulate/Devices/ActiveImplantableMedicalDevicesDirective/index.htm, Last Date Accessed: April 08 2008 http://www.mhra.gov.uk/Safetyinformation/Generalsafetyinformationandadvice/Product-specificinformationandadvice/Cochlearimplants/index.htm, Last Date Accessed: April 08 2008 Kent, Julie and Faulkner, Alex (2002) Regulating human implant technologies in Europeunderstanding the new era in medical device regulation, Health, Risk Society, 4:2, 189 209 Medical Device Development: From Prototype to Regulatory Approval, Aaron V. Kaplan, Donald S. Baim, John J. Smith, David A. Feigal, Michael Simons, David Jefferys, Thomas J. Fogarty, Richard E. Kuntz and Martin B. Leon, 2004;109;3068-3072 Circulation, DOI: 10.1161/01.CIR.0000134695.65733.64,Circulation is published by the American Heart Association. 7272 Greenville Avenue, Dallas, TX, 72514, Copyright 2004 American Heart Association. All rights reserved. Print ISSN: 0009-7322. Online, ISSN: 1524-4539.

Facilitating Change in Health and Social Care Management

Facilitating Change in Health and Social Care Management Summary There needs to be a summary of the major points, conclusions, and recommendations. It needs to be short as it is a general overview of the report. Some people will read the summary and only skim the report, so make sure you include all the relevant information. It would be best to write this last so you will include everything, even the points that might be added at the last minute. Normally it start with past tense Introduction According to Kotter (1999), change management is a set of principles, techniques, and prescriptions embed to the human aspects of executing major change initiatives in organisational settings. It is strategic tool deploy by management to re-direct the use of resources, business process, budget allocations, or other modes of operation that radically reshape a company. The focus of this report is on Beacon Edge Care Home(BECH), a care home that provides support and care for 33 people with Dementia. An inspection was conducted on 21th and 22th of November 2016, and on the 13 of December 2016 unannounced by the Care Quality Commission (CQC) and the outcome of the inspection indicated that Beacon Edge Care Home has not made any improvement based on the recommendations of the first inspection conducted by CQC and the home does not have a registered manager on duty at the time of the inspection.   Regulatory body later found out that BECH does not even have a registered manager as stipula ted under Health and Social Care Act 2008 (Edwards, 2013). The Act indicated that it is mandatory that registered providers of care have a registered persons. A Registered person have legal responsibility for meeting the requirements under Health and Social Care Act 2008 and has the necessary qualifications, competence, skills and experience to supervise the management of the regulated activity (CQC, 2017). The researcher of this report will be the new manager of BECH and will be responsible for implementing change within the organisation.   The manager will need to identify and make required changes before the next inspection by CQC According to Kotter (1999), to implement change in an organisation, the firm have to understand their environment, their strengths and weaknesses and identify areas of improvement that could lead to change management. Hence, to gain a clearer of pictures of the problems facing Beacon Edge Care Home, the researcher will need to conduct a PEST analysis to identify the strength and weakness and areas of improveme nt of BECH. The key factors that can bring change in Beacon Edge Care Home management is be by conducting identifying the strength, weaknesses, areas of improvement as well as turning weaknesses to opportunities. The PEST Analysis and SWOT Analysis will be deployed as factors that can drive change in Beacon Edge Care Home. A PEST analysis is an analysis of the external macro-environment that affects all firms. It helps organisation to determine how political, economic, social and technology can impact the performance and activities of an organisation in the long-term (Daft, 2011). Political Factors Beacon Edge Care Home would assess the political factors affecting its organisation for failing to comply with regulatory bodies like Care Quality Commission. In the report, CQC indicated that their recommendations from the first visit was not implemented and BECH violated   health and safety Act 1974 by not having adequate   care plans and risk assessments to meet the individual needs of people who used their service   and medicines given to service users were poorly managed, hence people are placed at risk of not receiving their medicines as prescribed (Devorshak, 2012).BECH breaches different regulations in the BECH for not   providing adequate care for their service users. Person centred approach was not notable during the CQC visit, there was lack of good governance and staffing, servicers were given the wrong medicine and local health and social care professionals were concerned about the inconsistent of management team in the home. For the new manager to facilitate cha nge in the organisation, all regulatory bodies and environmental issues will need to evaluated and change to meet the needs of the service users. Economic Factors Beacon Edge Care Home should review their employment policies and ensure that it is in compliance with health and Social care requirement of employing candidate that have the right skill set needed in the establishment (Devorshak, 2012). The report indicated that service rendered by BECH to their clients was not adequate and staff lack the understanding and the requirements of the Mental Capacity Act 2005. Training and development strategy will need to be deployed by the new manager to continually improve the skill of the workforce. Social Factors The manager of Beacon Edge Care Home would need to conduct critical evaluation how the organisation meet the needs of the patients Beacon Edge Care Home. The gap in service delivery will enable the manager to understand the areas that need immediate change (Devorshak, 2012). The CQC report indicated that employees of the organisation have no idea how to meet the cultural and social needs of the patients Technology The new manager of Beacon Edge Care Home should investigate how technology can enhance the delivery of quality service to their patients. This can be conducted by looking at current quality cycle of the service provided and factor areas that will be easier to implement with the introduction of technology. SWOT Analysis SWOT Analysis (Strengths, Weaknesses, Opportunities and Threats) is a strategic tool used by organisations to understand their strengths and weaknesses, and to identify their opportunities and threats (Rego and Nunes, 2010).Strengths and weaknesses analysis the internal structure of the organisation, while opportunities and threats generally relate to external factor that the business do have control of (Rego and Nunes, 2010).The researcher will focus on the internal structure of the Beacon Edge Care Home by looking at the strengths and weaknesses. Strengths The strength of Beacon Edge Care Home is the staff. People that were spoken during the inspection indicated that the staff were very caring, pleasant and helpful. Patients were comfortable with the staff as well as they find them very friendly helpful. Further, visitor to the home also indicated that the staff were excellent. The management is blessed with good staff. However, the management lack leadership and do not follow the regulatory bodies criteria especially noncompliance with Health and Social Care Act 2008. Weaknesses Beacon Edge Care Home lack leadership. CQC report on the inspection of BECH indicated that the care and service provided by the organisation is not fit for purpose. Confidential information is not kept secured and did not meet the requirements of the Data Protection Act 1998. There are catalogues of regulation breaches and there is was no registered person on the premises during the time of the inspection that can help the organisation to meet the requirement of different regulatory bodies. The two major weaknesses   are lack of leadership and skilled workers that understand the requirement of Data protection, Act, Health and Safety Act 1974 and the Mental Capacity Act 2005. The new managers will need to evaluate the weaknesses of the organisations such noncompliance with regulations bodies, lack of leadership and lack of training for the employees in order to implement changes in the organisation. The home has good and dedicated staff, Beacon Edge Care Home can tap into by providing leadership, firstly getting a registered person on board and providing training and development for existing staff as well as employing staff with key skills to fill the gaps identified. Opportunities The new managers can help to turn things around in the organisation. There is opportunity to recruit and train existing staff on different requirements associated with health and social care The report by CQC on BECH highlighted most of issues the company need to resolve and this   presents the opportunity for BECH to implement these changes in order to improve their rating   health and social care rating,  Ã‚   customers satisfaction, staff satisfaction and other stakeholders 1.2 The challenges that key factors of change bring to health and social care services Business organisations are faced with different challenges. The health and social care organisations are not immune from these challenges as well. The critical evaluation of the Care Quality Commission report on Beacon Edge Care Home clearly shows that the organisation is faced with various challenges such as: Lack of management support Financial resources Equipment Lack of leadership, Training and development for employee Shortage of staff with key skills, Maintaining quality Effective use of resources Noncompliance with different regulatory bodies. Lack of communication and coordination To implement change, Beacon Edge Care Home must address these issues. 1.2.1 Lack of leadership The CQS report on the home shows that the organisation lack leadership. Daft (2011) describe leadership as individual that have the ability to inspire, mobilise and encourage people to achieve the goals of an organisation. A leader has to be organised, have the ability to delegate task and ensure that all the arms of the business is consistent with all the goals of the organisation. Beacon Edge Care Home lack leadership that is organised, coherent and the ability to inspire staff to meet the objectives of the home (Edwards, 2013). For instance, there was no registered manager on duty during the inspection and no senior management oversight to help ensure effective quality monitoring and improvements were carried out.   The management of Beacon Edge Care Home would need to employ a registered manager according to the Health and Social Care Act 2008. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulat ions about how the service is run. 1.2.2 Lack of management support Change is hard to implement without the support of the management. Shore (2012) suggested that management should be in the forefront of supporting desirable change because such change will increase the profitability of the company. It is obvious from the case study that the management of BECH is in shambles and the management do not have an idea of what is needed to improve the delivery of their services to their patients. This is one   of the main challenges facing the organisation. The managers must employ a democratic leadership that will enable all employees to cultivate a culture of quality assurance in order for BECH to meet the regulatory bodies requirement and to effectively meet the needs of their service user. 1.2.3 Financial Resources The process of implementing change in an organisation can be affected with lack of financial resources.   Financial resources maybe recruiting top notch manager, training employee to meet the expectation of customers or fund to acquire new equipment.   In the case of BECH, the business is faced with different problems and financial constraints maybe one of them. It could be the reason why the company did not employ competent and skilled workforce for effective management of their operations and services. 1.2.4 Lack of communication and coordination Communication at Beacon Edge Care Home was ineffective, wrong drugs are given to patients, staff are not clear on their roles and management Care plans were not focused on upon individual preferences, choices, needs and abilities, in addition, patients received inconsistent care because staff focused on tasks rather than supporting people with their individual needs and preferences. The roles of individual staff need to be defined and the quality of their work would need to be monitor by their supervisor. Supervisor should schedule meetings with staff on a regular basis to communicate what need to be achieved and the approaches staff need to deployed to achieve those goals. 2.1 In relation to the CQC report on Beacon Edge Care Home, the strategy and criteria for measuring recent changes in health and social care have to be effective and efficient.   Hence, it is essential to set up a system that will allow the organisation to know the changes made will work, how to know changes that resulted in improvement and which changes is most vital and have resulted in the most significant improvement. Thus, by collecting data before, during, and after the change have been implemented, Beacon Edge Care Home can measure, evaluate, and compare their home progress with respect to the goals set out. The process of measuring changes should be simple to implement and have immediate impact. Based on these facts, the researcher decided to deploy the use of questionnaires and surveys, interview with service users and employees and discussion with other stakeholders to measure improvement in the services provided by Beacon Edge Care Home. According to Davis (2010), criteria is a standard set by organisation as target that is decided upon.   Setting criteria will enable Beacon Edge Care Home to identify areas that needed improvement and base line for measurement. The Home will need to consider the new and previous recommendations made by CQC which that services provided by the Home have to be effective, responsive, safe, well-led and caring in order to meet the expectations of their service users. A strategy is the direction and scope of an organisation over the long-term: which achieves advantage for the organisation through its configuration of resources within a challenging environment, to meet the needs of markets and to fulfil stakeholder expectations. The plan for strategic and measurement will need to address the factors identified by the CQO in the report and to meet the criteria of the Health and Safety Act 2008. Questionnaire is a qualitative method that can be used to   measure gather information from service user about effectiveness of the service provided. According to Creswell (2014), questionnaire is a research instrument with a written set of questions given to people to collect facts or opinions about a study. It a relatively cheaper and efficient way of collecting large amounts of information a sample of people. In the case, the questionnaire will be design to rate the effectiveness of the service provided, if the staff are responsive and caring, also if the Home conduct risk assessment on their patients and their environment. This will provide a compressive idea of the changes that have been implemented is effective and improve the level of service to the stakeholders. Questionnaire is an effective instrument because it will provide management fast result and it can be easily quantified. It can be used to measure customer or staff satisfaction. Interview is a qualitative approach of gathering information from participants. Interviewing involves asking questions and getting answers from participants in a study.   Interviewing has a variety of forms including: individual, face-to-face interviews and face-to-face group interviewing.   The asking and answering of questions can be mediated by the telephone or other electronic devices (e.g. computer (Wiley, 2014). Interviews can be structured, semi-structure or unstructured. The use of interview techniques at Beacon Edge Care Home to collate data from patients and other stakeholders will provide an insight into the quality of service rendered by the organisation. This can be a semi structured interview by asking patients about specific question about the quality of service and the organisation is meeting their needs in terms of caring, responsive and effective. These approaches and strategies will enable the management of Beacon Edge Care Home to measure the effectiveness of the changes made to meet the criteria of the CQO. CQC drives improvement in the quality of health and social care services. It regulates against the registration requirements set out in regulations to the 2008 Act. These are the essential standards of quality and safety that providers are legally required to meet. These standards therefore represent the minimum quality bar which all providers of regulated activities must meet and should not dip below. 2.2 Measuring the impact of recent changes on health and social care services against set criteria Creswell (2014) defined data collection as the process of gathering and measuring information on variables of interest, in an established systematic fashion that enables one to answer stated research questions, test hypotheses, and evaluate outcomes. In the case of Beacon Edge Care Home, compliance and adherence report, employee engagement and participation, Issue, compliance and error logs, observation of behaviour change, employee feedbacks and employee readiness assessment results were used to measure the recent changes against the set criteria.   Observation of employee engagement with service users, issue, compliance and error logs as well as the employee feedbacks provided crucial information about the changes made at Beacon Edge Care Home against the recommendations made by the CQO. The changes ade by the manager of BECH has enhanced the communication between care workers and service user, improved the provision of person centred care, the management if medicine which was a major problem before and effective care home engagement to ensure that patients are not exposed to any hazard or risk that may cause them harm. 2.3 The overall impact of recent changes in health and social care The recent changes made by the manager and management has improved the quality of service provided by by Beacon Edge Care Home. The appointment of a registered person that understand the criterias and codes of conduct of health and social care, enabled the organisation to comply with various regulations and legislations. For instance, a competent and qualified person was assigned by the manager to monitor and measure health and safety procedures in the organisation. This include conducting risk assessment, reports of incident, communicating changes in operational model to management etc. The registered person on the other hand ensured that training and development are provided for employees, observation conducted to ensure staff are effective and responsive on delivering their duties and survey on patients to measure their level of satisfaction. In most organisation, changing the ways of doing things can either lead to positive or negative outcome. However, the most essential is to h ave management that is open to change and not afraid to implement new approaches. Hence, Beacon Edge Care Home need to continuously monitor and measure the changes that have just been implemented and also look for areas of improvement to in order to meet the ever-changing needs of their service users (Shore, 2012). 2.4 Propose appropriate service responses to recent changes in health and social care services There many approaches and techniques BECH can deployed to response to recent changes in health and social care services The Care Act 2014 underpin the way people receive care and provide a vehicle to communicate changes health and social care services. Regarding BECH, the management can response to recent changes in health and social care services through the following: Training: The case study highlighted BECH lack skilled employees that understand the regulatory requirement of working in health and social care organisation. This will need to be addressed either by employing skilled workers or providing training for old workforce to gain the competency of needed to be a care worker. Compliance with different regulatory bodies requirements: There were different breaches of regulations during the inspection by CQO. For instance, confidential data were not kept secured (Data Act violation), Health and Safety of service user and staff did not comply with the requirement of Mental Capacity Act 2005. The new registered person or manager has to ensure that the cultivate a culture of quality management and effective communication of different policies, procedure and regulations of health and social care to the workforce Continuous quality improvement of services rendered by the organisation: BECH should continue toi improve the level of their service delivery through the quality management tools like Kaizen quality control or quality cycle of Deming. According to Coy and Adams (2012) quality Management tools help organisation collect and analyse data for employees to easily understand and interpret information. Quality Management models require extensive planning and collecting relevant information about end-users. Customer feedbacks and expectations need to be carefully monitored and evaluated to deliver superior quality products. By embracing this approach, BECH, management will be able to meet and exceed the expectations of their service users. Embrace current best practice to treating people and supporting the specialist needs of people living with dementia:BECH provides care and home for people with dementia. It is essential the company lassie with other service providers, professional sand specialist in the field of providing care for people with dementia in order to provide appropriate and adequate service to their clients. Monitoring and managing medicines administered in the way that meet the requirement of the regulatory body: To meet the requirement of Mental Capacity Act 2005, the manager BECH have to monitor and manage the way drugs are administered to their patients. This was one of the findings in the inspection by CQO, patients were given the wrong drugs which can make their situation worse. 3.1 The key principles of change management In the todays business environment, change is inevitable and understanding the principles of change is equally vital. There different principles of change that Beacon Edge Care Home can deploy to meet the expectations of their service users and the objectives of the organisation. John M Fisher and John Kotter are change management theories that have made significant contribution to the subject. Others are Kurt Lewins change management model, Burke-Lewins causal change model; action research; gap analysis and Kà ¼bler Ross transition cycle. The researcher will focus on John Kotters Change Model that consist of eight stages. 3.1.1Establish a sense of urgency: Beacon Edge Care Home need to implement change immediately to meet the criteria and recommendations of the CQO 3.1.2 Form a powerful guiding coalition: The organisation need to employ a registered manager that will help coordinate the process to meet the recommendations set on the report about the Home. 3.1.3Create a clear vision; The manager and management have to set a clear vision on what they need to achieve and the changes that need to be made for the survival of the business. 3.1.4 Communicate the vision; The objectives will need to be communicated to the employees and other stakeholders. 3.1.5 Empower others to act on the vision: Training and development for employees, recruitment of skilled specialist is crucial to meet the vison set for change. 3.1.6 Plan and create short-term wins: The plan to me measurable in short term and long term to know if the changes implemented is working. 3.1.7 Consolidate improvements and produce still more change: Need to conduct survey, questionnaires and interview to measure improvement and benchmark the process in order to continuously improve the quality of the service delivery. 3.7.1 Institutionalise new approaches: After measurement of the impact of change and improvement, areas with positive outcomes and improve should be institutionalised. 3.2 How changes in health and social care are planned There are different approaches and techniques that can be deployed in health and social care setting to manage and plan change. However, it is essential to identify areas that needs change and improvement. Regarding Beacon Edge Care Home, the areas that need change and effective planning are the management style, Staff development needs, communication channel and reconditioning. In addition, changes in health and social care   have to consider the local authority, CCG, community needs, quality of care and finance available to BECH before planning can commerce. 3.2.1 Management style is the principles that underline the methods, abilities and techniques managers use in handling situations and expressing leadership within an organisation (Moss and Moss, 2012). The report on the services rendered by Beacon Edge Care Home by CQO was classified as been ineffective, unresponsive, unsafe and not well managed. The management style deploy by the organisation is not meet the needs of the service users and the goals of the Home.   The report indicated that employees do not have an understanding of their roles and duties, hence, the management are communicating with staff about what is expected of them. By embracing a paternalistic style of working the manager decide what is best for the employees as well as the organization. The policies are devised to benefit the employees and the organization. In addition, employee play a part in the decision making and roles and duties of individual staff are communicated to them. By deploying management style, employees would feel attached and loyal to the organisation. 3.2.2 Staff development needs is essential to meet the needs of the service users, in the report, CQO indicated that staff lack the essential training to be a mental nurse. And there were breaches of regulation in relation to person centred care, safe care and treatment, safeguarding service users from abuse and improper treatment, meeting nutritional and hydration needs, good governance and staffing. Lack of staff development through training has led to the health care provider providing inadequate care. There was also lack of effective communication channel between the management and employees which made it difficult for staff to understand their roles and duties in the establishment.   By investing in training and development, staff will be able to acquire the necessarily skills to conduct their duties appropriately and effectively. 3.2.3 Reconditioning refers to an organisation restructuring their goals and objectives to meet the criteria and regulations of sector they operate (Moosavi, 2009). Beacon Edge Care Home clearly deviated from the codes of conduct of health and social care and the criteria of the CQO. Reconditioning will enable the organisation to evaluate the regulations and legislation they have to adhere to meet the criteria of CQO in order to meet the expectations of their service users. 3.3 Monitoring recent changes in health and social care services Effective monitoring of change in the health and social care involves the systematic and analyse of information collected to measure change and meet objectives and help management to make informed decisions (Haluza and Jungwirth, 2016). The monitoring process comprises of internal and external analysis to measure changes. Internal analysis will usually involve supervisors, managers, clinical audit team, team leaders or a registered person. While, external monitoring comprises of CQC, CCGs, Monitor, Audit Commission and Health inspectors. Monitoring is essential in an organisation because it helps to track implementation and outputs systematically, and measure the effectiveness of programmes. It helps determine exactly when a programme is on track and when changes may be needed (Haluza and Jungwirth, 2016). There are various approaches Beacon Edge Care Home can embed to monitor the impact of change in the organisation, some of the techniques are reviewing the service delivery, supervi sion, shadowing, observation, audits, feedbacks, interviews and questionnaires. References Creswell, J. (2014). Research design. 1st ed. Los Angeles: SAGE Publications. Daft, R. (2011). Leadership. 1st ed. [S.l.]: South Western Cengage learning. Devorshak, C. (2012). Plant pest risk analysis. 1st ed. Cambridge, MA: Cabi. Edwards, N. (2013). Implementation of the Health and Social Care Act. BMJ, 346(apr03 1), pp.f2090-f2090. Green, G. (2002). Training and development. 1st ed. Oxford, U.K.: Capstone Pub. Haluza, D. and Jungwirth, D. (2016). ICT and the future of healthcare: Aspects of pervasive health monitoring. Informatics for Health and Social Care, pp.1-11. Kotter, J. (1999). John P. Kotter on what leaders really do. 1st ed. Boston: Harvard Business School Press. Moosavi, S. (2009). Restructure Conflicting Grant Incentives. Science, 326(5952), pp.521-521. Moss, B. and Moss, B. (2012). Communication skills in health and social care. 1st ed. London: SAGE. Rego, G. and Nunes, R. (2010). Hospital Foundation: A SWOT Analysis. iBusiness, 02(03), pp.210-217. Shore, D. (2012). Forces of change. 1st ed. San Francisco: Jossey-Bass. Wiley, N. (2014). Interviewing Herbert Blumer. Symbolic Interaction, 37(2), pp.300-308.

Physics of Karate Essay -- physics martial arts fighting

The basic ideas behind any style of karate can in general be reduced to the goal of achieving the most effective movements with the least effort. Specifically, with a strike such as a punch, kick, knife-hand or similar, the karateka attempts to move smoothly through the strikes, conserving energy towards the impact point. When thought about in terms of energy, the most common equation is that of rotational kinetic energy, or KE=(1/2)mv^2 + (1/2)Iω^2. Another way to think about a strike is to attempt to focus as much force as possible at the point of impact. In many strikes, this is facilitated by drawing an almost straight line with the striking tool from the original point of rest to the point of impact. This is based on the fact that the fastest path between two points is a direct line, and greater speed leads to corresponding greater force upon impact, as shown by Newton's Second Law, F=ma. This equation also leads to the conclusion that if increased mass is used in the strike, the force upon impact will be greater. Because of the obviousness of this idea, most strikes are thrown through the rotation of the body in some way, instead of simply from the arms or legs. The body has much more mass, and therefore contributes greatly to achieving a strike that is highly forceful, yet doesn't require nearly as much effort as one thrown from the extremeties. Front Stance Equations: W=mg ÃŽ ¤=IÃŽ ± ÃŽ ¤=Fr; friction F=ÃŽ ¼N The most basic part of a succesful technique is a proper stance that is well grounded and solid. This helps in many ways, including providing the initial push behind a technique, grounding the karateka during the moment of impact, and providing a solid base from which to defend against an attacker. ... ...rown into the rotation, the more energy is contained in the leg at this stage in the kick. The next stage of the kick switches to upwards and forward rotation of the knee around the hip joint. This is also connected to the equations v=ωr and KE=(1/2)mv^2 + (1/2)Iω^2, thus KE=(1/2)m(ωr)^2 + (1/2)Iω^2. In a properly executed kick, this transition is completely smooth, and energy is conserved. This leads to the idea that a vital part of a proper, focused front kick is how quickly and smoothly the back leg is pulled forward. The last step in the kick is the upwards rotation of the foot around the knee joint, the kinetic energy of which is found through exactly the same equations. To ensure that the energy is expended on forward impact rather than upwards, during the rotation around the knee, the hip should be extended forward slightly just before impact.

AIDS :: AIDS Essays

AIDS HIV and/or AIDS is a life threatening disease that is affecting society today. It is a serious epidemic that is threatening millions of lives around the world. A person can become HIV infected thorough the sharing syringes or through vaginal or anal sex, one does not become infected from the air as some might think. It is infected through the blood. Testing positive for human immunodefiency virus or HIV, means that you carry the antibodies, you can be HIV infected and not have AIDS, AIDS occurs in later stage of infection. A person is infectious through all stages, although studies have shown that a person is most infectious during the early stage of detection and in the final stage of AIDS, during the midcourse of the infection they are less infectious. There are several things that one can do to prevent becoming HIV positive. One items is that you can practice abstinence, or on a more realistic view, one should be monogamous and always use condoms. It has been researched that the use of condoms lowers the risk of becoming HIV infected by 90%. Although this protection is not 100% it is the only way that actually helps prevent you from getting the virus. I think that society should make condoms more accessible to young people, I believe they should have condom machines in girl and guys school bathrooms. I also feel that they should be distributed in school social events such as dances or proms, when it is most likely that they will be having sex. Giving youth condoms is not encouraging sex, in my opinion yet it is educated them that they must protect themselves not only from unwanted pregnancies or venereal disease but from death, and from future spread of this epidemic. Studies shown that 50% of infected people are youths between the ages of 15 to 24 years of age. (Public Health Reports Jul. 1995, v110n4, p462-466. If this is the stage that statistics is showing that are most k]likely to contract the virus than why not do everything possible to help prevent it. Another study that I believe has brought results in the needle exchange program, In which drug users go and exchange their dirty needles for clean ones in order to prevent becoming or getting someone infected. "There are increasing data showing that those who regularly exchange their syringes in such programs benefit by lowering their risk of HIV acquisition". Khoshnood, Haven Public Health Reports Jul 1995, v110n4, p 462-466. I believe that AIDS education should be mandated in al states. As I

The Place I Have Visited for Holiday

The Place I Have Visited For Holiday Last Chinese New Year would be my first one week break after entering the life of a college student. It was such a pleasant relieve because I do not think I could take another pressure after my mid-term examination. My friends from other colleges were also having their break from college so all of us decided to go for a short trip to Pulau Pinang. There were a total of nine people including myself. Originally, we planned to take the train to Pulau Pinang but they were out of tickets due to the festive celebration.So we took the bus instead. On our way there, the bus made a pit stop at Tapah. Most of my friends went down because it was just so cold on the bus but I decided to stay in. As the bus started to continue the journey to Pulau Pinang, I realised that my friends were not on the bus. And then I received a phone call from one of my friends saying that they were left behind. I quickly went to the driver to ask him to pull over so that my frien ds could catch up and get on the bus. Luckily, they were not too far behind.The journey took about six hours due to heavy rain. We reached Butterworth at around dawn. After that, we had to take the ferry to cross over to other side to get to Batu Ferringhi, Pulau Pinang. We were all really excited to finally arrive in Pulau Pinang but exhausted at the same time because of the long journey. So we decided to straightaway go to the guest house and check in. We spent the rest of the afternoon getting some rest before heading out to the beach which is just in front of the place we were staying at.After enjoying the view and playing some volleyball at the beach, we went for dinner at Gurney Drive. There was a wide variety of food to choose from. Each and every one of us bought different kinds of food then we exchange with each other and taste them. The food there was very delicious and tasty. We even took away some, in case we get hungry later. Then all of us went for a walk at the Ferrin ghi Night Market. There were so many tourists walking around too. We stopped by Sixty Nine Mansion to have some drinks before we head back to our guest house.The next day we checked out around noon and we took a train back home. We reached Kuala Lumpur safely later that night. In conclusion of our short trip to Pulau Pinang, it was truly a memorable experience. Pulau Pinang is definitely one of the most beautiful cities in Malaysia. Pulau Pinang is also an exciting place to visit because it has so many attractions to offer. There are so many things to see and so many other things to do. All in all, Pulau Pinang is surely an amazing place to go for a short trip or vacation.

Enviromental Effects of Air Pollution and the Urban Area

Air pollution has been and is a growing environmental problem that is closely related to the growth of urban settlements. While the cities and towns of the world grow larger they emit more and more toxic emissions are put out into the air. The purpose of this paper is to discuss the issues that surround air pollution such as the long term impacts of air pollution, the short term impacts of air pollution, the long term outlook of air pollution, the short term outlook of air pollution and the potential solutions to the air pollution problem. Air pollution is an environmental problem that affects each and every one of us to some degree and it is important to understand why air pollution happens and how we can take steps to control it. Air pollution has a direct connection with urban environments all over the world. With an increase in industrialized countries ,the of use of cars, factories and also the use of fuels such as fossil fuels that emit greenhouse gasses, like carbon dioxide and sulfur dioxide, into the air, there has been a definite rise in air pollution over the world (Mayer, 1999). There are many short term effects that air pollution causes to the urban areas and to the people who are living in those areas. The first short term effect of air pollution is that it can cause health issues for the inhabitants of the area. Air pollution can cause the inhabitants to get itchy throats and irritated eyes. It also has been linked to causes bronchitis and pneumonia (Silverman, et al, 2007). Short term air pollution exposer can also cause an increase the rate of allergy infections and asthma diagnosis to the people who live in the area. The short term effects on environment range from smog clouds can cause the health issues, like the ones previously mentioned (Silverman, et al, 2007). There are also long term effects of air pollutions that are very serious to the environment and the people who live in high polluted areas. Long term air pollution exposer can have devastating effects on the health of the people who live in the area. Some of the health risks that have been linked to long term exposer consist of chronic respiratory disease, lung cancer, heart disease, and damage to the brain, kidney’s or liver (Mayer, 1999). Children who are living in a highly polluted area risk developing theses diseases at a higher rate the normal children who do not have long term exposed to air pollution. Long term air pollution also has devastating effects on the environment. One of the more serious effects is that air pollution is slowly deteriorating the Ozone layer. The Ozone layer is found in the stratosphere and it plays an important role in protecting the earth from the suns ultraviolent rays. Due to the increase in greenhouse gases, like carbon dioxide, methane, and nitrous oxide, the Ozone has developed holes and this allows harmful ultraviolet B-radiation to reach the earth. The increase of B-radiation is harmful to humans, plants and animals, and it is a known cause of Melanoma. The increase of B-radiation is always extremely harmful to plants. It causes a decrease in plant growth, height and damage to the leaves of plants (Tong, 2011). There are some potential ways to reduce, but not fully solve, the air pollution problem that is effect most urban areas. One of the ways that the countries around the world have decided to reduce air pollution was in 1997 at a United Nations conference in Kyoto, Japan. During the conference countries signed a treaty, the Kyoto Protocol promising to combat global warming by reducing the emission s of harmful greenhouse gasses that a produced my industrial factories. Unfortunately, claiming that that the treaty was not in the best interest for their county, the United States did not sign the treaty (Murray, 2001). Another potential way to reduce air pollution is through technology advancement. Using the new technologies to replace fossil fuels, such as coal burning and oil use, would substantial lower the gas emissions that cause air pollution and eventually cause the ozone layer to deplete. The short term outlook of air pollution on urban society is somewhat hopeful. Many cities and countries have begun or are beginning to take action in reducing the amount of pollution that is released into the air by the industries, cars and citizens. Many cities have started using different sources of energy, like solar power, in place of the fossil fuel energy sources that are the main contributors to air pollution. The long term outlook of air pollution is that, with many countries pledging to reduce the pollution over the coming years, the levels of air pollution will be lower in the future. Unfortunately, there is much debate over how greenhouse gases affect the ozone layer and global warming. Until this debate is over and people can agree, not enough action will be taken to help reduce the air pollution in the urban setting.