Sunday, May 24, 2020
Serial Killers in the Media Serial killers are a relatively rare, yet commonly publicized, part of our society. The media portrayal of serial killers skews the opinions and creates a stereotype of murderers for the public. James Knoll, MD states in his article, Ã¢â¬Å"Serial Murder: A Forensic Psychiatric PerspectiveÃ¢â¬ , that no evidence supports the idea that serial murder is a Ã¢â¬Å"growing epidemicÃ¢â¬ as people believe it is (qtd. in Johnson-Sheehan amp; Paine, Ã¢â¬Å"Writing TodayÃ¢â¬ , pg 332). This misperception of serial killing was exhibited in the way the media portrayed the Ã¢â¬Å"Hillside StranglerÃ¢â¬ , a murderer who was killing women in the Los Angeles area by strangling them and leaving them nude in the hilly areas in 1977. The articles reporting theÃ¢â¬ ¦show more contentÃ¢â¬ ¦Another article covering the case from The New York Times used similar language to make the killer seem worse. In the article, Ã¢â¬Å"Woman Found in Los Angeles Lot, 11th Apparent Victim of StranglingÃ¢â¬ , the killer is proclaimed to Ã¢â¬Å"prey on girls and young womenÃ¢â¬ (Associated Press, Ã¢â¬Å"Woman Found in Los Angeles Lot, 11th Apparent Victim of StranglingÃ¢â¬ ). Ã¢â¬ËPreyingÃ¢â¬â¢ has a certain association that comes with it, such as that the killer is an animal. Murderers obviously are not nice people but such wording makes them incredibly more fearful. The article also suggested a category of people who were most likely to be victimized: those from the Ã¢â¬Å"street sceneÃ¢â¬ (Associated Press, Ã¢â¬Å"Woman Found in Los Angeles Lot, 11th Apparent Victim of StranglingÃ¢â¬ ). Many articles announce the victim profile that is provided by the police to the public. This serves a purpose to warn people, but it is not the smoothest tactic. It may make people overly afraid. The Ã¢â¬Å"Woman Found in Los Angeles Lot, 11th Apparent Victim of StranglingÃ¢â¬ article is not the only example of this. Another article from the Associated Press published in The New York Times also stressed the targeted victim to the public. Declaring that a woman that was young was found murdered and disposed of nude must be a victim of the Ã¢â¬Å"Hillside StranglerÃ¢â¬ because of the profile (Associated Press, Ã¢â¬Å"Two Women Slain in Los Angeles, One a Possible Ã¢â¬ËStranglerÃ¢â¬â¢
Wednesday, May 13, 2020
Define Ã¢â¬Å"Creatio Ex Nihilo.Ã¢â¬ In Latin, Ã¢â¬Å"ex nihiloÃ¢â¬ literally means Ã¢â¬Å"out of nothing.Ã¢â¬ It often appears along with the concept of creation, as in Ã¢â¬Å"creatio ex nihiloÃ¢â¬ , meaning Ã¢â¬Å"creation out of nothing.Ã¢â¬ It contrasts with the phrase Ã¢â¬Å"creatio ex materiaÃ¢â¬ (creation out of some pre-existent, eternal matter) and with Ã¢â¬Å"creatio ex deoÃ¢â¬ (creation out of God.) Christians all believe that the world is created ex deo, however, whether the universe was created Ã¢â¬Å"ex nihiloÃ¢â¬ or from already present material is still a topic of discussion today among Christians and people of other beliefs alike. There is evidence in the bible supporting both creatio ex nihilo and ex materia. Despite the simplicity of defining the concept of Ã¢â¬Å"nothingnessÃ¢â¬ (a pronounÃ¢â¬ ¦show more contentÃ¢â¬ ¦On top of this issue, there is also the problem of God existing before the beginning of the universe. Is God included in the nothingness that existed? If so, then surely God didnÃ¢â¬â¢t make the universe out of nothing and used his own power, which was already there. When does nothing become nothing? When is it right to say whether nothing has the same characteristics as an existing thing? Early I have spoken about how potential is a characteristic of everything that exists, and that nothingness must have potential if it eventually becomes something. Another issue, is the very fact that we can label nothingness, means that it must be something. Although it is understandable where the idea of God creating the universe ex nihilo came from, and that it is a prime example of how powerful God is, it is difficult, too difficult in fact, to imagine nothingness, as our brains feel it is logical to link something to something else. Even if it was possible for God to create the universe out of nothing, there would be no way for it to make sense to humankind, as I believe that there is no way for us to imagine nothingness. Ã¢â¬Å"Nothing can come from nothing.Ã¢â¬ Discuss. I have written about this topic in my previous answer, but I shall expand on it. Ã¢â¬Å"Nothing comes from nothingÃ¢â¬ is a philosophical expression of a thesis first argued by Parmenides (515-540 BCE). Parmenides wrote that there is no break in between a world that didnÃ¢â¬â¢t exist, since itShow MoreRelatedThe World s Largest Religion2035 Words Ã |Ã 9 Pages God the Son and the Holy Spirit, which make up a single divine essence (Patheos Library, Ã¢â¬Å"ChristianityÃ¢â¬ ). Creation A central dogma of creation in Christianity is Ã¢â¬Å"Creatio ex NihiloÃ¢â¬ which from Latin translates as Ã¢â¬Å"creation from nothingÃ¢â¬ . The Creator of all things out of nothing is God who acts Ã¢â¬Å"productio totius substantia ex nihilo sui et subjectiÃ¢â¬ which means Ã¢â¬â by transferring everything from a state of non-existence into a state of being (Adair, 2008, p.29). This belief has found its first expressionRead MoreCreativity and Innovation4159 Words Ã |Ã 17 Pagesfrom the Latin term creÃ to create, make. The ways in which societies have perceived the concept of creativity have changed throughout history, as has the term itself. Originally in the Christian period: creatio came to designate God s act of Ex nihilo, creation from nothing. Creatio thus had a different meaning than facere (to make) and did not apply to human functions. The ancient view that art is not a domain of creativity persisted in this period. History of the term and the concept
Wednesday, May 6, 2020
Civil War General Sherman once said, Ã¢â¬Å"War is hell. Ã¢â¬ He was right. In the short story Ã¢â¬Å"The Things They Carried,Ã¢â¬ Tim OÃ¢â¬â¢Brien shows us the hell that our soldiers suffered. We will write a custom essay sample on The Things They Carried by Tim OÃ¢â¬â¢Brien or any similar topic only for you Order Now The narrator shows us a captivating, and up-close story about our soldiers in the Vietnam War. While the title relates to the story about things carried, but the soldiers carry more than just the physical burdens-in many cases, they are weighed down by emotional baggage. The emotional baggage that lies heavy in their hearts outweighs the physical weight. In addition to the items that they must carry, they also carry personal mementos. To show how much the soldiers are carrying the narrator tells us Ã¢â¬Å"things carried were largely determined by necessity. Ã¢â¬ Some of the necessities included, Ã¢â¬Å"P-38 can opener, pocket knivesÃ¢â¬ ¦candy, cigarettesÃ¢â¬ ¦C rations and two or three canteen of water. Together, these items weighed between fifteen and twenty poundsÃ¢â¬ ¦Ã¢â¬ The narrator goes on to give us even more detail about the things the soldiers carried; Ã¢â¬Å"Ã¢â¬ ¦. carried the standard M-16 gas-operated assault rifle. The weapon weighed 7. 5 pounds unloaded, 8. 2 pounds with its full twenty-round magazineÃ¢â¬ ¦. grenade launcher, 5. pounds unloadedÃ¢â¬ ¦Ã¢â¬ By telling us exactly what the men carried and how much it weighed, it gives us an insight on the physical burdens that the men had to carry. The narrator tells us that the intangible items that these men carried proved heavier than any backpack and gun. The main character in the story is Lieutenant Cross, platoon leader. He is in l ove with a young girl in the United States. She is always on his mind and because he allows his thoughts to take him away and be with her. Because of this, he blames himself for the death of another platoon member even though there was nothing he could have done to protect him. Lieutenant Cross felt the pain. He blamed himself. Ã¢â¬ Ã¢â¬Å"He pictured MarthaÃ¢â¬â¢s smooth young face, thinking he loved her more than anything, more than his men, and now Ted Lavender was dead because he love her so much and could not stop thinking about her. Ã¢â¬ I think here he is being a little unreasonable. His love for her didnÃ¢â¬â¢t kill Lavender. He didnÃ¢â¬â¢t feel only the burden of being responsible for LavenderÃ¢â¬â¢s death, Ã¢â¬Å"it was the burden of being alive. Ã¢â¬ They all carried great emotional weight. Ã¢â¬Å"They carried all the emotional baggage of the men who might die. Grief, terror, love, longing-these were the intangibles, but the intangibles had their own mass and specific gravity, they had tangible weight. Ã¢â¬ With all the physical and emotional things they carried, they also carried things that were close to their hearts. They carried mementos and other small weapons. Ã¢â¬Å"Mitchell Sanders carried brass knuckles. Kiowa carried his grandfathers feathered hatchetÃ¢â¬ ¦. Kiowa always took along his New TestamentÃ¢â¬ ¦Lee Strunk carried his slingshot; ammo, he claimed, would never be a problem. Ã¢â¬ WeÃ¢â¬â¢re told that Lieutenant Cross carried letters from Martha in his rucksack, and pictures of her in his wallet and a pebble. Ã¢â¬ ¦Lieutenant Cross received a good-luck charm from Martha. It was a simple pebble, an ounce at most. Ã¢â¬ These things, although that was something else they carried, I feel like that, these items are things that made them feel like there was a world outside the war. They carried a silent awe of the power of the weapons, which kept them alive by killing the enemy. They carried infection, the weak or wounded, the thumbs of slain Viet Cong, guilt, and the soil of Vietnam itself. Perhaps the only certainty of a rather ambiguous war was that there would never be a shortage of things to carry. How to cite The Things They Carried by Tim OÃ¢â¬â¢Brien, Papers
Monday, May 4, 2020
1. 0 Title Determination of Protein Content Using Kjedahl and Titration 2. 0 Introduction Proteins are polymers. They are the source of dietary amino acids and are used for growth and maintenance of living systems. They are costlier sources of energy compared to carbohydrates and fats and hence the human body utilizes proteins mainly for biosynthesis rather than as an energy source, though the energy yield is 5 kcal/g of protein. Twenty different types of amino acids occur naturally in proteins. Proteins differ from each other according to the type, number and sequence of amino acids that make up the polypeptide backbone. As a result they have different molecular structures, nutritional attributes and physiochemical properties. Typically, proteins are used as gelling agents, emulsifiers, foaming agents and thickeners. Many food proteins are enzymes which are capable of enhancing the rate of certain biochemical reactions. These reactions can have either a favorable or detrimental effect on the overall properties of foods. We will write a custom essay sample on Determination of Protein Content Using Kjedahl and Titration or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Food analysts are interested in knowing the total concentration, type, molecular structure and functional properties of proteins in foods. In this experiment, the methods that are used to determined the protein content which is Kjedahl and titration methods. The Kjeldahl method of nitrogen analysis is the worldwide standard for calculating the protein content in a variety of materials from human and animal food, fertilizer, waste water and fossil fuels. This method is an analytical method to quantitatively determine the nitrogen in certain organic compounds. A food is digested with strong acid so that it releases nitrogen which can be determined by a suitable titration technique. The amount of protein present is then calculated from the nitrogen concentration of the food. In the Kjedahl method, there are three principles involved which are digestion, neutralization and titration. The first step is digestion. The sample to be analyzed is weighed into a digestion flask then digested by heating it in the presence of sulphuric acid (an oxidizing agent which digests the food), anhydrous sodium sulfate to speed up the reaction by raising the boiling point) and a catalyst (for example copper, selenium, titanium or mercury that used to speed up the reaction). This step also converts any nitrogen in the food into ammonia, and other organic matter to carbon dioxide and water. Ammonia gas is not liberated in an acid solution because the ammonia is in the form of the ammonium ion (NH4+) which binds to the sulfate ion (SO42-). The remains in the solu tion is N(food) (NH4)2SO4 The second step is neutralization. After the digestion has been completed the digestion flask is connected to a receiving flask by a tube. The solution in the digestion flask is then made alkaline by addition of sodium hydroxide, which converts the ammonium sulfate into ammonia gas as in the equation: (NH4)2SO4 + 2 NaOH 2NH3 + 2H2O + Na2SO4 The ammonia gas that is formed is liberated from the solution after distillation and moves out of the digestion flask and into the receiving flask which contains an excess of boric acid. The low pH of the solution in the receiving flask converts the ammonia gas into the ammonium ion, and simultaneously converts the boric acid to the borate ion as in this equation: NH3Ã + H3BO3Ã (boric acid)Ã NH4+Ã + H2BO3-Ã (borate ion) The last step is titration. In this step, the nitrogen content is then estimated by titration of the ammonium borate formed with standard sulphuric or hydrochloric acid, using a suitable indicator to determine the end point of the reaction (H2BO3-Ã + H+Ã Ã H3BO3). Then, the concentration of hydrogen ions required to reach the end point must be equivalent to the concentration of nitrogen that was in the original food. To determine the nitrogen concentration of a sample that weighs m grams using a xM HCl acid solution for the titration is based on the following equation: The advantages of using this Kjedahl method is its universality, high precision and good reproducibility have made it the major method for the estimation of protein in foods. This method also standard method and widely used internationally. While, the disadvantages are it does not give a measure of the true protein, since all nitrogen in foods is not in the form of protein. Different proteins need different correction factors because they have different amino acid sequences. The use of concentrated sulphuric acid at high temperatures poses a considerable hazard, as does the use of some of the possible catalyst and this method also consume long time to carry out this method. 3. 0 Objective To determine the protein content using the Kjedahl and titration method 4. 0Materials and Methods Materials: 40% NaOH, 1% Boric Acid, 10 ml Bromocresal green solution, 7ml methyl red solution, 0. 2N HCl, standard substance Na2CO3, dry Na2CO3 in 200oC, Ammonium iron (III) sulphate, 0. 5g (NH4)2 FeSO4, Kjeltabs Cu 3. 5, and concentrated H2SO4.
Sunday, March 29, 2020
Adrian Arbuckle Professor Gibbons English 1302-8456 25 May 2000 Alternative Medicine: Chiropractic Chiropractic is the third largest doctoral-level health profession in the United States, after medicine and dentistry. This form of health care is on the rise and there are more than forty thousand chiropractors in practice in all fifty states, the District of Columbia, and many other nations. Chiropractic is a form of alternative medicine commonly used and accepted today. Chiropractic is specifically defined as a therapeutic system of curing ailments and manipulation of various body parts, particularly the spinal column. Although chiropractors have had a hard time establishing a worthy reputation, times have changed and studies are proving the benefits of chiropractic. In order for people to receive natural, holistic, efficient, and cost-effective treatment, people should seek doctors of chiropractic. (Thesis: In order for...) Chiropractic was first started by David Daniel Palmer in 1895. Palmer began his practices in magnetic healing in response to his never-ending thirst for knowledge in 1887 (Chiropractic OnLine Today). When he moved to Davenport, Iowa, Palmer began chiropractic with his first adjustment on a janitor on September 18, 1895. The janitor had been deaf for seventeen years after hearing a pop in his back one day. Palmer concluded that one of his vertebrae was out of place and so he thrusted the vertebrae back into place and the man's hearing automatically improved (Chiropractic OnLine Today). This was the birth of the chiropractic theory, which means to do by hand. Palmer believed that decreased nerve flow may be the cause of disease, and that misplaced spinal vertebrae may cause pressure on the nerves (Chiropractic OnLine Today). In conclusion, he theorized, if the spinal column was accurately positioned, the body would be healthy. Palmer began a chiropractic school, Palmer Infirmary and Ch iropractic Institute, in 1907. His son, Bartlett Joshua, was one of the first fifteen graduated. Later in his life, Bartlett also had a large impact on the chiropractic field when his dad ran into some legal problems. Palmer's son took over the school and helped chiropractic to gain prominence in the medical field. Following its founding, chiropractic went downhill and then in the 1940's began to grow again. In July 1995, the first Historical Centennial Celebration took place in Washington, DC with thousands of professional in the field attending. (Background) Chiropractic is holistic and concerned with a patient's overall well-being. Chiropractic treatment considers the whole person and gives special treatment to the physiological and biochemical aspects including structural, spinal, musculoskeletal, neurological, vascular, nutritional, emotional, and environmental relationships(American Chiropractic Association). Many people initially think of consulting a chiropractor for back pain only, but there are many other components of chiropractic treatment and has the ability to help many illnesses and problems. Because the spine is like the trunk of the body, it can have impact on all areas of the human structure. The many moveable parts of the spine make it a complex system. In addition to the twenty-four vertebrae, there are joints between each vertebra. In such a system, in order to maintain balance, each one these joints must be moving entirely and properly (Bayuk). If just one component is out of line, the imbalance disturbs the nervous s ystem, called subluxation. Chiropractic helps the body keep control of itself through manipulation of the spinal column. While the spine helps control the muscles of the body, it also includes the body's ability to breathe properly, keep the heart beating, and other vital functions. The spine column has many nerves that control the blood flow through blood vessels, proper digestion, and the immune system. Just because chiropractors focus on the spinal column, does not limit their field of treatment. In actuality, this very fact is what allows chiropractic to help such a broad range of problems and conditions. For example, a 1991 study at National College of Chiropractic renders very promising news for women suffering from tortuous menstruation. This FCER-funded study found that women who received chiropractic spinal manipulation reported significant reduction in back pain and menstrual distress(Joseph, Chiropractic Works). Along with menstruation, headaches, allergies, asthma, stoma ch disorders, spastic colon, and arm, hand, and leg pain are treatable by chiropractors. (Evidence #1) Chiropractic, in addition to holistic, is efficient and cost-effective. Until recently, chiropractic was
Saturday, March 7, 2020
Hospice Care Essay Example Hospice Care Essay Hospice Care Essay Risk and Quality Management Assessment: Hospice Care HCS/451 Hospice Care The only two things that are guaranteed in life are birth and death. It seems that every time I tell my husband that his drinking habits are going to be the death of him one day. He always responds by saying Weve all got to day someday in one way or another, so why not enjoy life while you have it. But in some cases the choices that we make will often determine whether we live to see the age of 90 verses Just the age of 40 or 50. Nevertheless, whether it is death by a life full of bad choice, by accident, or by the luxury of old age. My husband is absolutely correct in saying we all have to die one day and because of that fact hospice care is available. This will be an in depth description of the hospice organization as a whole. As well as the demographics of whom they serve and the types of resources and services the organization has to offer its clientele. This executive summary will also including a summary of the risk management and quality management operatives that are associated with hospice organizations as a whole. Hospice Description The hospice program was pioneered in England back in the early 1970s. It was a rogram established to assist patients and their families with end-of-life care. A hospice care team is comprised of nursing assistants, licensed vocational nurses, registered nurses, social workers, pastoral counselors, and many other health professionals. All of whom are under the direct management and guidance of a physician. The first hospice program to surface in the United States was in Connecticut back in 1973. After hospice took root in the United States in the 70s, around the early 80s hospice became an added benefit to the United States Medicare program. Because cancer was so prevalent in the 70s and 80s, hospice are was initially designed for people who were dying of cancer, and who had a functional family support system and a home where they could be cared for away from the high-tech hospital environment. (What is Hospice Care? , Mar/Apr 2003, p6). Vitas Innovative Hospice Care, a pioneer and leader in the hospice movement since 1978, is the nations largest provider of end-of-life care. (Vitas. com, 2012). Who Hospice Serves Currently, hospice care is no longer geared towards any one particular disease or circumstance. With improvements in technology and science hospice has immensely eveloped and matured from its original vision and values over the years. Hospice care is now equipped to assist patients that have a range of terminal illnesses from cancer, to heart disease, to HIV, and many more. It is now offered to patients with a lack of family support as well as patients that are housed in an institutional setting. In the 1980s hospice had become a standard element of end-of-life care and is now consider a form of accepted medical practice. Hospice cannot rightfully be a matter decision in 1983 to include hospice care in the Medicare program put an end to such thinking. (What is Hospice Care? Mar/Apr 2003, p6). Hospice Services Hospice offers a variety of services not only for their patients but the patients families as well. Over the years many foundations have dedicated resource to advance the knowledge and awareness needed to support and improve end-of-life care. One of the main services that hospice offers is professional nursing care in the public and private sector. It is extremely important that hospice provide the patient with as much comfort as possible so nursing care will be provided in whatever sector the patient feels most comfortable in. Hospice also offers assistance with daily and ersonal activities as needed by the patient or their families. There are also various forms of rehabilitation therapy and dietary counseling available through hospice. Hospice patients are often provided with a case worker that will assist the patients and their families with any necessary resource that may be needed while on hospice. Another service offered to patients and their family members through the hospice program is spiritual and psychological counseling. There are always Chaplins on staff for the hospice patients and their families to speak with and pray with if desired. As well as various counselors that will meet with hospice patients and their family members for any form of desired counseling. Respite care and volunteer services are two other resource services which are also offered through the hospice care program. Provision of medical drugs and treatments is available for hospice patients that cannot afford their medications. After the hospice patient has passed away family bereavement services are offered to the patients family members. The needs of a dying person fall within three categories: physical, emotional, and social welling being. Physical needs may include things such as a clean and safe living environment, assistances with personal care like bathing and dressing. As well as personal assistances with making sure the patient is getting the proper amounts food and nutrients needed on a daily basis. Emotional needs may include making sure the patients dying wishes are being respected and met. Also providing emotional counseling to help the patient come to terms with what is happening in their life. Social needs may include assisting patients with social functions and help with maintaining relationships and many other social needs that may surface. Caring for the dying is a complex social enterprise that must involve the families of the dying, religious organizations, the health care system, and the community at large, from the very local to the national level. (What is Hospice Care? , Mar/Apr 2003, p6). The resources and services that hospice care offers are in place to purposely meet each and every one of those needs. Purpose of Risk Management Therefore, in order to meet those needs properly an organization must learn how to evaluate and control its own risk. Risk management is a process in which an organization forms strategies and planning mechanisms that will help the rganization reduce or eliminate the likelihood of a specific or general form of loss or risk. The process of gathering and utilizing systematic data are key essentials to the concept of risk management. Now for many organizations risk management programs consist of two components, proactive and reactive management. Proactive management is the process in which organizations have active planning mechanisms management is reactive management. Reactive measures are the risk management components that are implemented in response to an adverse or unlikely occurrence happening. As stated in the Manuel for Indian Health Services, whether it be a proactive or reactive risk management process it should be comprised of these factors: 0 DiagnosisÃ¢â¬ ldentification of risk or potential risk. AssessmentÃ¢â¬ calculation of the probability of adverse effect from the risk situation. 0 PrognosisÃ¢â¬ Estimation of the impact of the adverse effect. 0 ManagementÃ¢â¬ Control of the risk. (2006,Health Care Risk Management). Risk management is evaluated on an organization-by-organization basis. The risk that are associated to one organization may not have any affect or bearing on another organizati on. This is why it is important for individual organizations to go through the process of diagnosing, assessing, determining a prognosis, and managing their own risks. Once those evaluations are addressed the organization can then form adequate proactive and reactive measures that best suit the needs of their organization. Even though proactive and reactive components may differ on a case-by-case basis the goal of risk management should all be the same. Which is to minimize or eliminate the risk if harm to patients, minimize liability exposures of the health care provider, and to inimize financial loss to the organization and its stakeholders (University of Phoenix, 2009). Key Concepts The key concepts of risk management should be based on the principles of identifying key risk factors. Risk factors have to be considered in all areas of hospice care work and operational activities. Staff should be encouraged to do proper incident reporting, this will allow quality management teams to better asses risk based on reoccurring incidents (Agarwal, 2013). Good risk management comes from integrating all risk management activities to obtain a holistic picture of how the rganization is performing. Direct patient care, health and safety, security, financial management, and system information management are Just a few of the many activities and concepts that need to be monitored for risk and quality improvements. Identifying and Managing Risk The organization should identify and manage risk by first taking an evaluation of the organization as a whole. During the evaluation process the organization should be able to identify the risks that are predominant to their environment. During the evaluation process the organization should also be able to diagnosis any potential isk and assess how those risks are going to effect the organization. Through the management process the facility can also determine a prognosis or a solution for the risk that they have identified in the evaluation process. And at that point the organization can then begin to manage the prognosis which will in return allow the organization to control the risk. Typical Hospice Risk There are a number of different risks that may affect a hospice care facility in a negative way and the risk can be both internal and external. Internal risks are things such as direct patient care, infection control, and incident reporting. External risks are things such as: supplier quality, social media, and reputational risk. Though all risks whether they are internal or external have a direct effect on the facilities influence quality outcomes which is why it is vital for facilities to know their risks and manage them well. Successful direct patient care, minimizing or elimination the spread of infection, clear concessive incident reporting, excellent supplier quality, technically sav. y facilities, and up-to-date social media resources will tremendously boost a facilities quality outcome. But if the quality in those listed objectives is acking it could have a reverse negative affect on quality outcomes. Long-term and Short-term Goals There are many long-term and short-term goals that have been established in the hospice care organization. Long-term 10% growth in the profit margins over the next 5-7 years, become a totally skilled Registered Nurse only hospice facility over the next 5 years, and witness a 15% decrease in incidents over the next 5 years. Short-term 5% increase in positive patient feedback, 5% decrease in staff related injuries, and a 5-10% decrease in staff tardiness and absenteeism all in a matter of 6-12 months. Both long-term and short-term goals will allow the facility to improve its quality of care in a positive way. Policies and Procedures Policies and procedures are two of the most common terms used when attempting to establish a sense of order in any facility. But these factors are ten times more important when it involves a healthcare organization. Requiring a planned care pathway and protocol care plan for each individual patient should be an implemented policy. Robust incident reporting should be implemented, which means reporting all incidents whether small or large it needs to be reported. Regular patient nd staff surveys and feedback should also be implemented. All of these implemented policies and procedures will have a direct positive influence on quality health outcomes. Risk and Quality Management Conclusion In conclusion, if an organization fails to manage their risk they cannot adequately control their own quality the two go hand-in-hand. Perkins (2013), Risk management is the process of identifying, addressing, prioritizing, and eliminating potential sources of failure to achieve objectives. Quality management can be thought of as the process of designing and executing products and services effectively, efficiently, nd economically. (Quality management and risk management). Risk and quality management together allow the organization to achieve an objective in an effective, efficient, and economical way that benefits both the patients and the organization. So when a loved one is facing death and has been given a pre-determined amount of time to live out the remainder of their life, it is important that they seek facilities that enforc e a strong linkage between risk and quality management because like many things you can have one without the other. References Agarwal, R. (2013). A Guideline for Quality Accreditation in Hospitals. Retrieved from accreditation-hospitals. html Esain, A. E. , Williams, S. J. , Gakhal, S. , Caley, L. , Cooke, M. W. (2012). Healthcare quality improvement policy implications and practicalities. International Journal of Health Care Quality Assurance, 25(7), 565-81. doi:http:// dx. doi. org/lo. 1108/09526861211261172 Hospice care: About us, (2012). Vitas Innovative Hospice Care Texas. Retrieved from vitas. com Perkins, E. (2013). Linking Quality Management and Risk Management. Retrieved from http:// www. qualitydigest. com/inside/quality-insider-column/linking-quality-management- nd-risk-management. tml Rekleiti, M. , Kyloudis, P. , Toska, A. , Saridi, M. (2012). Patient safety and healthcare quality. International Journal of Caring Sciences, 5(2), 74-79. Retrieved from http://search. proquest. com/docview/1114166783? accountid=458 University of Phoenix. (2009). Risk Management Handbook for Health Care Organizations, Student Edition. Retrieved from University of Phoenix, HCS 451 w ebsite. U. S. Department of Health and Human Services. (2006). Retrieved from ihs. gov/riskmanagement/index. cfm? module=partol What is Hospice Care? , (2003). Hastings Center Report, 6-12.
Wednesday, February 19, 2020
Employee referral campaigns - Essay Example Another advantage of employee referral campaigns is that they help promote the brand value of a company through word-of-mouth publicity. In order for an existing employee to bring his contacts into the company, he/she must first have a positive perception about the status and worthiness of the company. On the flip side, a poor response to an employee referral campaign can usually indicate an unmotivated workforce perceiving no incentive either for themselves or for their contacts in availing job opportunities with the company. One other obvious advantage of an ERC is that it cuts down recruitment related expenditure by eliminating the need for advertising, job fairs, hiring agencies, etc. In certain domains, highly specialized positions are best filled through personal channels and not through traditional recuitment processes, making a case for ERCs. On the negative side, employee referral campaigns can also create conflict-of-interest scenarios for the management, when they make an assessment that is inconsistent with that of the referring employee's. For example, a candidate being recommended by an employee could be estimated to be either unsuitable or unqualified for the vacant position. In such a case, the management usually ends up causing disappointment for both parties by declining to hire.