How and Why Do Issey Miyake and Vivienne Westwood Display the Female Essay

How and Why Do Issey Miyake and Vivienne Westwood Display the Female Body Clothing - Essay Example The author of the essay "How and Why Do Issey Miyake and Vivienne Westwood Display the Female Body Clothing" makes a comparative analyzis of both designers views. Issey Miyake and Vivienne Westwood are reputed to be two of the most prominent female-clothing fashion designers in the modern world. Although they both celebrate the female form with a modern theme on an old world base, Issey Miyake and Vivienne Westwood each manage to blend their cultural and personal backgrounds to produce very different effects. In the end the author concludes that two designers are totally different in how they get things done, but there is no doubt in the minds of the fashion world about their talent and ability to portray the female body in unique and beautiful ways. They each grew up with different backgrounds, and both of them have developed a fresh modern wave of fashion in the art world. Although it is undeniable the two differ in style, you could say they share the same intent. They each are working to help expand the modern art styles in fashion and design by incorporating many new techniques, materials and breakthroughs in the fashion world, while still focusing on the idea of the feminine strength and old world values. Where Miyake has succeeded in introducing Asian art to the modern French movement by using traditional styles, Westwood has succeeded in gaining social acceptance for a rising group of the sexually active populace. Through the work of both designers, one can see how many cultures ar e beginning to mix.

Fingerprints history Coursework Example | Topics and Well Written Essays - 500 words

Fingerprints history - Coursework Example Factors that are contributing to the fingerprint occurrence are skin pliability, pressure, slippage, texture of the surface of materials, and the likes. Types of fingerprints are exemplar that is use in instances like enrollment, latent that is being used in forensic investigation, patent that is the mark made by flour and the likes, plastic by holding the very material, and electronic recording that is assisted with technology to identify the fingerprints purposely (Manchester Evening News 2010). Three historical people have contributed to the science of fingerprints. They are Marcello Malpighi (1628 – 1694), Edward Henry (1850 – 1931), and Henry Faulds (1843 – 1930). Although there were also numerous historical people who have contributed to the science of fingerprints, the selection of the three are due to their distinctive contribution to one another as the rest tend to overlap with their works. It is also a selection based on chronological discoveries. Marce llo Malpighi. Marcello Malpighi was an Italian physicist whose famous contribution was the â€Å"Malpighian Tubule System.† Marcello had studied anatomical studies and published books on anatomy. In one of his books, he illustrated the detailed ridge structure of the fingers.

Germany increase in Britain in the 1936-1939 Essay Example for Free

Germany increase in Britain in the 1936-1939 Essay The policy of appeasement had reached its heights by the period between 1936 and 1939. It was felt by many to be the best policy at the time, as it allowed Britain to buy herself some valuable time in order to delay the inevitable war. Opposition during 1936, when appeasement was first seen as really taking the forefront of foreign policy, was small and weak. However it was by 1939 that the opposition had swelled gradually under opposition leaders such as Churchill to the point where there were only few people who truly believed that a long-lasting period of peace would arise from this idea of appeasing the enemy. Over this period of time, both public opinion and Parliamentary opinion would lean towards the opposing side, based a series of factors that had changed in this 3 year span of time. A poorly-prepped military and defense services, a lack of trustworthy allies, Hitler’s legitimate claims and a change in public opinion all contributed towards a shift in beliefs. Opposition to the policy of appeasing militaristic powers began to grow after Hitler took power in Germany and it became clear to many in Britain that he would carry out his expansionist aims. Some of appeasements most vocal opponents came from within government, from people such as Winston Churchill and the Labor party, more significant was the publics strong anti war stance beginning to slowly shift as they learnt more of Hitler and the rise of fascism. However this did not mean that they were strongly in favor of pursuing war with Germany as Chamberlain was greeted like a hero when he returned with â€Å"peace for our time† following the Munich Agreement. Having already known of how crippling the economic costs were following WW1 the idea of pursuing conflict with another foreign power was considered unacceptable. This was compounded by the fact that events occurred so soon after the Wall Street Crash, Britain simply could not afford another major loss of her monetary funds in order to prepare for war. Appeasement was believed to be the answer to Britain’s needs, by deploying a policy of appeasement Britain could use the time it gained to find allies and develop British defenses and technology. By 1936 intelligence reported that German rearmament was already under way and that Britain had to get its armaments up to a sufficient standard. However in order for armament spending to increase the Government would have to raise taxes and focus their spending upon military. A raise in taxes would also inevitably lead to public outcry and loss of government support. Even if sufficient funds were acquired in order to reach the amount of armaments needed there was only one working armaments factory in the whole of Britain that could produce weapons fit for modern warfare. Due to the Ten Year Rule the state of Britains armed forces was essentially desolate, this meant that much of Britain’s armed forces required updated weaponry if it ever were to stand a chance against Hitler’s formidable Third Reich. For example Spitfires and radar were rather new to the world of air defense systems, however they were in short supply at the beginning of 1936 despite it being British technology. Spending focus upon defenses was suggested by the Inskip Report as opposed to any other offensive tactics. However, after 1938 the readiness of the British army had certainly improved, and Chamberlain had confidence that if war was to come, Britain would be ready to take Germany on. German power had been exaggerated greatly, especially the power of the Luftwaffe through propaganda and the sheer numbers who attended the infamous Nuremburg Rallies. The time bought with appeasement had consequently allowed Britain to build up a strong naval blockade in order to strengthen its naval security and rearmament spending increased sufficiently. During this period the Territorial Army had also doubled in size. Appeasement provided Britain with extra time to develop her armaments and develop a defense plan in preparation of the oncoming war. There was little opposition to this from the officials in Parliament, however as the military and defense services were brought back to their former strength, the idea of opposition started to re-emerge. One of Britain’s key aims during the period was the perpetual search for a strong ally, by averting the war through appeasement, Britain had given herself time to try and ally her herself with the USA. While the USA may have followed an isolationist policy she was still the largest power in the world and would have been a strong diplomatic and military ally. France was something of a wreck, thanks to Britains doing, and had tried her best to prepare herself for German invasion by creating the Maginot Line the previous decade. Britains desire for allies had even turned eastwards in the direction of the USSR, who until that point had only been seen as a need to allow Germany to rearm. However, the Communist nation could have helped the Western powers against Germany and Japan in the Far East. At first appeasement was used to try and gain favour with any potential allies. However, as opposition grew the lack of emerging allies forced Britain to try ‘kindling’ a relationship with the USSR. It was believed by many, specifically Chamberlain, that Hitler had legitimate claims for his conquests in Europe. The reoccupation of the Rhineland was enough to be seen as a legitimate grievance even though it was outlawed in 1919 at Versailles. Despite this, Britain did not see her as a sufficient threat just yet and refused to act upon the reoccupation. By 1936 Germany had gained the status of ‘Ultimate potential enemy’ and this led to a concern that Germany would be enticed by Italian and Japanese expansionist aims, and considering they were also ‘UPEs’ this could spell further disaster for Britain. With the Mediterranean under threat and the Suez Canal with it and the Empire in the Far East under constant vigilance, trade and the Empires safety were put as higher priorities than Germany. Even the union between Germany and Austria had little effect, the Anschluss was not opposed by Chamberlain, considering that that a staggering amount of those in Austria rejoiced at the idea of being reunited. Rather than try to cause conflict by splitting them up, appeasement allowed them to get back together without much trouble. This act of appeasement found little opposition within Parliament, however as 1938 approached opposition started to gain a foothold, Hitlers reactions were becoming increasingly aggressive- Kristallknacht had shown a far darker and more menacing side to the dictator and had displayed to many the true extent of the oppressive regime within Germany. This was seen as a repeat of The Night of the Long Knives four years previous. Hitler’s grievance at first seemed to be legitimate and therefore was a driving reason as to why Britain continued to appease Germany. Nevertheless as his tactics became more aggressive and he started to threaten the surrounding countries it became apparent that appeasement no longer satisfied him, this led to critics of Chamberlains policies such as Churchill developing a larger power base against appeasement. British public opinion swayed greatly throughout the period and vastly impacted British foreign policy. Although the fear of rearmament was strong in the public opinion, it was the additional fear of the outbreak of war that started to swing their opinions towards appeasement during 1936-38. The Spanish Civil war had provided a glimpse of what future warfare would be like, and the terrifying realization of the destructive power one country could inflict on another was nothing like what had been previously experienced. In 1937, Guernica had showed the devastation that could be brought about by terror-bombing. This served as another reason why appeasement should be maintained as it was considered a more sound option than sparking a war, this was something that the public supported wholeheartedly. However it was clear that attitudes had started to change as 1938 approached. Opinion polls had gradually started to show support for other methods, as shown in the 1938 poll which asked what Britain should do if Germany acted hostile to Czechoslovakia as a large proportion of polls suggested that Britain should rearm and prepare for conflict. Still highly influenced by public opinion, Government policy seemed to switch to a more anti-German undertone. This switch was seen in the increased rearmament revenue expenditure in 1938. The public now wanted Britain to take on a stronger stance against Germany and this resulted in increased pressure upon Chamberlain to boost the armys numbers. At first public opinion was strongly in favor of appeasement, this was due to reluctance of diving into another war war. However when war was no longer avoidable, it was within public interest that Britain prepare for war in any way she could. Opposition to appeasement did increase between 1936 and 1939, but at a steady pace. Appeasement was originally pursued in order to protect British interests; the protection of her Empire, finding suitable allies, and preparing for war via defense and military spending, as well as to prepare the public that war was coming. Opposition to Hitler and the appeasement of Germany did increase between 1936 and 1939, but at a steady pace as the true aims of Hitler became evident and it became clear that the British government could not make him back down. In parliament the stance of the labour party had changed drastically from favouring. The public’s willingness to support independent states at this time shows that it was Hitlers continued actions in 1938 that pushed many people into opposing appeasement or even advocating war. Churchill was used as a figurehead in which opposition to appeasement could rally behind. Appeasement was originally pursued in order to protect British interests; the protection of her Empire, finding suitable allies, and preparing for war via defense and military spending, as well as to prepare the public that war was coming, however towards the end of the period when Hitler started to set his sights on further expansion the mood changed in Britain and appeasement was no longer a feasible option.

Steps in the Fracking Process Essay Example for Free

Steps in the Fracking Process Essay Step 6: Once the drilling gets about 500 feet above the shale formation, a downhole drilling motor with sophisticated measuring instruments begins the angle drilling creating a new horizontal path into the shale formation. Step 6: Once the drilling gets about 500 feet above the shale formation, a downhole drilling motor with sophisticated measuring instruments begins the angle drilling creating a new horizontal path into the shale formation. Step 4: The cement and casing are then pressure tested to ensure hydrocarbons and other fluids don’t seep out. Step 4: The cement and casing are then pressure tested to ensure hydrocarbons and other fluids don’t seep out. Step 3: Cement is then poured into this tubing throughout, displacing any remaining fluids and securing the casing in place. Step 3: Cement is then poured into this tubing throughout, displacing any remaining fluids and securing the casing in place. Step 2: The drill pipe and bit are removed and a steel â€Å"surface casing† tube is inserted into the well which stabilizes the well sides, creating a barrier. Step 2: The drill pipe and bit are removed and a steel â€Å"surface casing† tube is inserted into the well which stabilizes the well sides, creating a barrier. Step 1: Vertical well begins to be drilled with a drill pipe and drill bit past the ground water level a few thousand feet down. Step 1: Vertical well begins to be drilled with a drill pipe and drill bit past the ground water level a few thousand feet down. Steps In The Fracking Process Step 5: Both the drill pipe and drill bit are put back into the well and the drilling continues. Another layer of casing and cement is added for a second permanent behavior. The whole vertical drilling process costs about $663,000 Step 5: Both the drill pipe and drill bit are put back into the well and the drilling continues. Another layer of casing and cement is added for a second permanent behavior. The whole vertical drilling process costs about $663,000 Step 10: bridge plugs are inserted behind the fractures and the perforating tool continues to move backwards in the well whiles plugs are inserted behind each puncture in the shale. The entire fracturing process takes about $2.5 million. Step 10: bridge plugs are inserted behind the fractures and the perforating tool continues to move backwards in the well whiles plugs are inserted behind each puncture in the shale. The entire fracturing process takes about $2.5 million. Step 11: Plugs are then removed once all of the horizontal well has been punctured and the gas flows to the top of the well. Step 11: Plugs are then removed once all of the horizontal well has been punctured and the gas flows to the top of the well. Although we weren’t able to find exact figures for each of the steps, we did find that the entire process from beginning to end costs about $7 million dollars. Although we weren’t able to find exact figures for each of the steps, we did find that the entire process from beginning to end costs about $7 million dollars. Step 7: Once the desired horizontal path is at the desired length, the drill pipe and bit are removed and the casing and cement layers continue to the end of the well. The whole horizontal drilling process costs about $1.2 million. Step 7: Once the desired horizontal path is at the desired length, the drill pipe and bit are removed and the casing and cement layers continue to the end of the well. The whole horizontal drilling process costs about $1.2 million. Step 9: The tool is removed and fracturing fluid enters the well. The sand creates fractures in the shale and the fluid leaves with the sand remains in the fractures allowing the gas to flow into the well. Step 9: The tool is removed and fracturing fluid enters the well. The sand creates fractures in the shale and the fluid leaves with the sand remains in the fractures allowing the gas to flow into the well. Step 8: A perforating tool is inserted creating holes in the shale layer allowing hydrocarbons to the well stream. Step 8: A perforating tool is inserted creating holes in the shale layer allowing hydrocarbons to the well stream.

Infection Control Practices in Nursing Homes

Infection Control Practices in Nursing Homes Introduction Literature review on the infection control practices in the Nursing Homes most particularly in the United Kingdom. It is well known that the elderly population has a substantially increased incidence and severity of many infectious diseases (Hampton, 2003). The student will focus on the infection control and prevention issues most specifically to person- to-person transmission and a little regarding food -borne transmission. In fact, the Centres for Disease Control and Prevention (CDC) estimates that 1.5 million nosocomial infections occur in long-term care residents per year, which translates to an average of one infection per resident per year (Williams, 2008). Between February and May 2006 infection control staff across the United Kingdom and Ireland completed the third national survey into health care associated infection. A prevalence rate of 7.6% broadly supports the results that were reported in the first and second national surveys (Cole, 2007). According to Knoll and Lautenschlaeger (2010), the rate of healthcare-associated infections (HCAIs) is listed for the United Kingdom at approximately 50 thousand cases in every year. Among these are the elderly people, which are the most vulnerable hosts (Aitkenhead, 2009). According to Nazarko (2007b), infection control in UK care homes does not yet receive the same level of scrutiny as in hospitals. People requiring care in nursing homes may have infections, or may be at risk of picking up infection from other people. Staff and visitors may also be at risk since they are the ones who are in direct contact with the clients. As being observed by the student, infections spread rapidly between the residents in the Nursing homes. Standard precautions aim to eliminate sources of infection whenever possible and to prevent the spread of infection (Nazarko, 2007). Controlling the spread of the infection may be difficult for some workers due to lack of education on infection control and prev ention. This is the main reason why the student came up with several sources that may sum up the problems and makes solutions that may be helpful to health personnel. The number of people in care homes will continue to expand as the population ages. Today, according to Hampton (2003), residents in care homes have more complicated medical conditions than they did 5 years ago, as they become even more elderly and the trend continues towards shorter and shorter hospital stays in acute care facilities. This literature review was made by the student to emphasize the importance of compliance of infection control procedures in the care home. The students experiences and knowledge gained from work based studies and broad sources of reading materials greatly contribute in making the substance of this paper. This paper may help readers to gain knowledge on the ideal infection control procedures that applies mainly in the healthcare setting. Common mode of transmission in a nursing home facility Infection control is described by the National Health Service Executive as a managed environment, which minimises the risk of infection to patients, staff and visitors (Health Protection Agency, 2006). Standard precautions are directed towards breaking the chain of infection by preventing the transmission of infection (Cole, 2010). According to El-Kadiki and Sutton (2005), compliance of infection control may provide high quality and safe services among individuals. It may also prevent cross contamination among staff member and may lower the costs of health care services since prevention is more economical than treatment (Eriksen et al, 2007). From the article by Nazarko (2005), the spread of infection within health care requires three elements: 1. a source of infecting organism (bacteria, viruses, and fungi), 2. a susceptible host and, 3.a route of transmission of the organism from one person or site to another. In relation to the nursing home environment, the source may be a resident, a staff member or a visitor. That certain individual may have signs of infection, or may be colonized and does not show any symptoms (Knoll, 2010). The source may also be inanimate objects within the environment that have become contaminated such as equipments. The host is the resident or client that is on the nursing home facility. According to Williams (2008), resistance to pathogenic microorganisms may vary greatly from each individual. Microorganisms can be transmitted by variety of routes and the same organism can be transmitted by more than one routes. According to Cole and Lai (2009), there are common modes of transmission of infecti on in the nursing homes that every staff can prevent by just executing correct infection control procedures. However, the student has chosen the most common types that were being noticed in the workplace. These are 1. Person-to person, 2. Food-borne, and 3. Hospital Acquired Infections (HAIs). Cole and Lain (2009) briefly describe person-to person spread as a conveyance of a certain disease condition to another individual. Person-to-person spread of infections may be airborne, faecal-oral, blood-blood or skin-to-skin. The most common infectious diseases the student noticed over the past few months were colds and flu. The spread of the infection to each person was so massive despite flu vaccination several months before the onset. The residents that were affected with the viral infection were treated with several courses of antiviral medications and antibiotics. Aitkenhead (2009) indicated that anti-viral medication is currently under-used for older people in care homes in the UK. Isolation was also done to severely affected residents. According to Cole and Lai (2009), isolation may be done to residents if they acquired infectious or communicable disease; they may also be place on isolation if a certain individual has been suspected of any infectious disease. Despite doing procedure, flu virus was able to spread on few of the residents and staff. False handing or poor infection control procedures must have caused the break in isolating the resident with infection. Food borne infection had also been very common among care homes. With this, according to Ashurst (2007a) on her article, nursing homes and hospitals in the United Kingdom are now subject to strict environmental health inspections to monitor the premises, and making sure that foods that are served are safe for consumption. As being observed by the student in the workplace, all kitchen staffs are handlers of basic food hygiene certificate as part of their induction programme. Kitchen staffs were taught about the principles of food hygiene with emphasis being placed on high standards of personal hygiene, including hand washing. As stated in Ashurst (2007b) in her second article, food safety should never be taken for granted, as people may lost their lives as direct result of the staff failure to follow agreed policies and procedures. This matter is to protect both the residents and staffs from potential harm. Food poisoning, according to Ashurst (2007a), is caused by poor hygiene and, in particular, is caused by the contamination of ready-to-eat food with food poisoning bacteria. From the students basic knowledge, poor temperature control of ready-to-eat food may also cause of bacteria to multiply in large numbers. The best environment for most bacteria to grow and increase in number is a moist environment between 5 °C and 60 °C. This range of temperatures is known as the growth or danger zone (Fisher and Hartshorn, 2005). Undercooking may also cause poisoning since this enables food poisoning bacteria to survive. Hospital acquired infections, according to Gaspard et al (2008), is an infection acquired during hospital care which was not present or incubating prior to admission. Among reported case of nosocomial infections on the students work place, MRSA or Methicillin-resistant Staphylococcus Aureus is the most common. Common types of person to person infection in Nursing Homes in the UK There have been a number of outbreaks on infection in the Nursing Homes in the UK, according to Nararco (2005). Few of these infective diseases are Flu, gastrointestinal conditions, pneumonia, urinary tract infection, and scabies. Wound infections had also been very common in residents, especially those who developed decubitus ulcers or bed sores. Each of these infectious conditions will be discussed by the students. Influenza is defined by Daniell (2004) in his journal article as an acute viral, respiratory infection causing the temperature to rise quickly, with profound malaise, headache, myalgia, congested nose, cough and breathing difficulties. For otherwise healthy individuals, influenza is an unpleasant but usually self-limiting disease; this normally resolves in 7-14 days. Flu continues to cause outbreaks in care homes and in the community (Benison, 2006). The student was able to observe that influenza outbreaks occur readily in elderly care homes. They strike rapidly and are frequently associated with widespread severe illness and deaths. Eleven years ago, According to Nguyen-Van-Tam (2000), in Britain, outbreaks are frequently detected too late in their course when the options for effective intervention are few. Flu vaccinations are being given to staffs and clients during outbreaks. Vaccination against flu must also be given to staffs considering they are exposed in both setting inside and outside the care home. Whilst this cannot be applied to all situations it is advisable in some circumstances. It should always be combined with other infection control efforts however to ensure complete protection. In conjunction with vaccination is post exposure prophylaxis, this is used where vaccines do not exist after contact with infection has occurred (Booker, 2004).  Staff spend a lot often time with residents, and can infect vulnerable residents inadvertently. If staff have flu vaccinations they are very unlikely to bring the flu virus into the home, therefore reducing the risk of older people getting flu (Daniell, 2004). The flu immunization season, which is the beginning of winter season, is a busy time for the nurses but its preventive value cannot be overestimated. If an outbreak of flu does occur, anti-viral medication can be used (Eriksen et al 2007). According to Benison (2006), the combined use of immunization and targeted treatment with antiviral agents can e ffectively control the serious impact of seasonal influenza on vulnerable communities of residents in care. Scottish researchers found that giving flu vaccinations to nursing staff working in nursing homes reduced death rates (Booker, 2004). Flu Vaccination can highly reduce death rates and prevents vulnerable older people who develop flu from becoming increasingly disabled. Second condition that had been known to be very common is gastroenteritis or diarrhoeal problems. According to Ashurst (2007a), this condition is very common and extremely infectious and affects approximately 1 in 5 people are affected by the condition in England every year. In which at least 50% of cases of gastroenteritis are due to  foodborne illness  are caused by  norovirus. This can be acquired from contaminated foods and water. However, this can easily be prevented by frequent and correct execution of hand hygiene since bacteria can be transferred this way through poor hygiene. For example, if someone does not wash their hands after going to the toilet. For this reason, staffs and residents are encouraged to perform hand hygiene after using the bathroom or changing incontinence pads. Any viruses or bacteria on their hands will be transferred to whatever they touch, such as a glass, kitchen utensil or food. As per Doctors recommendation every time a resident experiences this kind of condition, nurses in the workplace, including the manager, must assure that food be properly cooked and stored to prevent gastroenteritis. It has also been encouraged to thoroughly wash both hands before eating and after. Bleaching soiled laundry and household surfaces may also help prevent spreading bacteria caused by gastroenteritis (Parker, 2004). Based on the students observation, Pneumonia has also been common to the clients in the nursing home. According to Booker (2004), pneumonia in nursing and residential care homes may be different from that found in the general population. Mortality is also higher this group. According to Metha (2009), pneumonia vaccine is important since there had been reported outbreaks of pneumonia in unvaccinated clients in some nursing homes within the UK and even in United States of America for people who are aged 65 years and above. According to Roberts (2004), the bacteria that cause pneumonia can become extremely resistant to any types of antibiotics in nursing homes, and when the disease occurs, it can be difficult to treat. As being observed in the workplace, nurses determine new residents vaccination records to determine the need of the vaccine and the risks. As the student involves himself in the caring of residents with Pneumonia, good, general nursing care is vital. Adequate rest had bee n encouraged and smoking- discouraged. The patient may well be agitated and fearful and will need plenty of reassurance. Urinary incontinence is one of the most common and disabling conditions affecting a frail elderly individual (Hampton, 2004); this can also lead to the use of indwelling catheters for some. According to Nazarko (2009), urinary tract infection (UTI) is the most common healthcare-acquired infection in the UK. So far, based on the students observation in the workplace, UTI due to long term indwelling catheterization has the highest rate of prevalence and reoccurrence. With the general knowledge the student has, patients should be monitored at regular intervals; communication between carers and relatives should be effective to promote understanding how and why long-term catheters should be maintained. Catheter care is a nursing procedure and its importance is sometimes overlooked. According to Harvey (2007), it should be addressed by education and self-directed learning. Practices such as routine catheter irrigation should be avoided and the NICE guidelines recommend that bladder instill ations or washouts must not be used to prevent catheter associated infection (Brown, 2006). However, if necessary, perform appropriate catheter care and consistently use appropriate infection control guidelines while maintaining a closed drainage system. In the workplace, the use of bubble bath/oils, perfumed soaps and talc around the genitals should be avoided as they break down the bodys natural protective flora. Also, common tradition on the workplace to prevent or treat UTI is to offer cranberry juice to the residents. However, frustratingly, a study of Hampton (2004) concluded that there was no good quality or reliable evidence for the effectiveness of cranberry juice in prevention and treatment of UTI and that more research is needed. It was also confirmed in the study by Harvey (2007) that claims that Cranberry juice, on a daily basis, will not have any effect greater than that water in preventing UTI. If an older person becomes suddenly confused, its not an indication that the elder must be developing Alzheimers Disease (Brown, 2006). It has also been observed by the student in the workplace that some staffs may mistakenly assume that confusion is normal for all older people. Staff seeking advice from a healthcare provider regarding a quick onset of confusion may be surprised if the doctor orders a urine specimen. Actually, a urine specimen is not a bad idea since urinary tract infections are a common cause of delirium in the elderly (Goldrick, 2005). Scabies had also been one of the causes for outbreaks in the UK nursing homes (Nazarko, 2005). This can easily be spread by staffs, relatives, visitors, and residents since close prolonged contact causes the transmission. In this case, the student ensures all staffs must wear gloves and aprons upon dealing with infected individual. The infected individual must also be taken for a bath or shower everyday with the aid of medicated soaps and shampoos. Bed bathing is still a nursing skill that is greatly appreciated by patients but it can be associated with cross-infection. According to Parker (2004), bowls used to bath patients are often stacked inside each other in the sluice and poorly cleaned. Infection control nurses have tried to have this practice changed so that individual bowls are kept at each bed space and cleaned after use. Wound infection had also been one of the most common infections found in the nursing homes. However, as the student able to perceive, it the less common among all of those infective diseases mentioned earlier. There is little information on the development of wound infection within the nursing and residential care settings. Wound infection can be a huge burden on the patient and relatives in terms of pain and suffering, with the added threat of a resultant systemic illness (Russell, 2006). Skin had been considered as the first line of defence. In healthy people it is intact and even if a person has contact with microorganisms, they can be removed by washing. The treatment of wound infection has been and still is a subject which is debated within literature (Timmons, 2003). Based on the students basic understanding, in order to help prevent wound infection in any care setting, it is vital that basic infection control protocols are followed. Correct hand-washing technique is essential to avoid the transfer of bacteria from staff to a resident. As a protocol on the nursing home where the student works, residents with infected wounds should be isolated if possible, and wounds should be reassessed regularly to avoid further complications. The principles of aseptic technique should be followed in order to avoid cross-contamination among residents. Preventing pressure sores in the vulnerable elderly is complex. The literature written by Russel (2006) clearly highlights the importance of early and continual assessment of the individuals risk of pressure sore development and implementation of preventive strategies. As being observed by the student, senior nurses and managers of the home regularly inspect and ensure proper training of the staffs since lack of knowledge is a contributing factor that should be addressed by the provision of education and training so that all staff possess and implement evidence-based practice. This should be supported by strategies to provide guidance on the prevention of pressure sores. Skin care ha d been part of the daily routine for nurses and carers in the nursing home. The skin should be kept clean and dry, perfumed soaps and cleansing agents must be avoided because they cause excessive dryness and irritation (Timmons, 2003). In cases of incontinence or if the area is contaminated with urine or faeces, it is best to wash the area with warm water and pat dry with towels or soft tissues. Impact of poor infection control practice Having robust policies and procedures in place for infection control is fundamentally important. However, each organization has to go a step beyond this (Flanagan, 2009). As care homes fill with increasingly vulnerable elderly, control of infection within long-term care facilities becomes a daunting problem (Cole, 2007), with residents developing similar infections to acute care facility. Elderly patients are at particularly high risk of contracting infection because of reduced innate immunity, malnutrition, and the presence of chronic medical conditions (Roberts, 2004). According to Maudsley (2004), poor infection control practices may lead to common infections such as urinary infection, respiratory infection, and skin and soft tissue infections, resulting in increased costs to the health service, extended durations of care and substantial morbidity. Aside from that, infections acquired by infected residents or individuals may spread to other, which cause a serious problem on contro lling and containing. People requiring care in hospitals, care home clinics, doctors surgeries and their own homes may have an infection or may be at risk of picking up infection from other people (Cole, 2007). Staff and visitors are also at risk of infection. Staffs in a healthcare facility may also be considered as the main transporter of the disease itself. According to Hampton (2003), education in infection control and attention to employee health is essential to enable staff to care appropriately and prevent the spread of infection for todays care home population. Antimicrobial Resistance According to Brown (2006), overuse of antimicrobials may lead to increase resistance in many pathogenic bacteria of viruses. As observed by the student during every consultation, General practitioners usually prescribe oral broad-spectrum agents such as cephalosporins. Although many antibiotics initially prescribed are broad-spectrum, which is capable of killing a wide range of bacterial types, each antibiotic has limited effectiveness against certain types of bacteria (Goldrick, 2005). If an infection does not resolve, the antibiotic being taken may not be compatible with the bacteria causing the infection. Antimicrobials are specific as to the type of organism they work for and they should not be used for a purpose that is different from that for which they were prescribed (Nazarko, 2005). In line with El-kadikis (2005) article, unwarranted use of antimicrobials can partially mask symptoms and delay the exact diagnosis and recovery. Unless directed by the prescriber, antimicrobials should not be administered before the service user has symptoms (prophylactic treatment) because that increases the risk of resistance developing. According to the General Health Protection-Department of Health (2006), nurses must ensure that General practitioners (GP) do not prescribe antibiotics unnecessarily for the residents. It is important that antimicrobials are administered appropriately to ensure successful treatment and reduce the development of resistance. Policies and Procedures According to Nazarko (2007b), there are several policies that the National Health board formulated to implement healthy practice within the care home setting. These policies are implemented in every Nursing Home; as observed, the manager also ensures that these policies and procedures are made available to the staffs for all the time. This may ensure that written policies, procedures and guidance for the prevention and control of infection are implemented. The manager also engages staff throughout the care home to promote and secure the implementation of best practice in the prevention and control of infection. In the nursing homes, there are several infection control procedures. On where the student works, hand hygiene, disinfecting, personal protective equipment, and safe use and disposal of sharps are the very common practices. These practices are beneficial to both the residents and the staff. The practice of these procedures can also be found in the Infection control manuals that are located in all units in the nursing home. As mention on the previous section, the manuals are placed in a certain area of the institution to make it accessible to all the staffs. From the manual, aseptic techniques based from the UK standards were identified. There are 3 aseptic techniques that are commonly identified by the UK healthcare system. These are 1. Hand hygiene, 2. Personal Protective equipment and 3. Safe use and disposal of sharps. The student will discuss briefly on the later part of this essay. Hand Hygiene The most basic aseptic technique found to be the most common is Hand hygiene. On the study made by Knoll and Lautenschlaeger (2010), demonstrates compliance of the staffs in the nursing home with regard to hand hygiene guidelines can be significantly influenced by a number of factors. According to the research article by Rickard (2006), the link between hand hygiene and the infection rate in healthcare establishments is not in doubt. Research articles and reviews have demonstrated the evidence that increased hand-hygiene performance reduces the infection rate. Careful infection-control practice, including frequent hand washing, will remain critical for limiting the spread of infection. Also, very importantly, is the availability of soap, hand towels, disinfectant and disposable cleaning cloths. Infection control is an extremely important aspect of health care. Based on the research by Gould (2001), cold and flu may also be acquired by failing to perform hand hygiene. The cause of the increase of incidence of flu in the nursing homes must be from noncompliance of basic hand hygiene. It was also reported that improper or failure to perform hand washing can cause pneumonia in older people and in people who are diagnosed with chronic illnesses (Stanwell-Smith, 2008). Based on what the student found out, several journals that discuss about the cause infections in the health care setting were mostly from the staffs poor hygiene practices. Although these measures are all important in the prevention of cross-infection, they are not likely to be used appropriately without education and monitoring of hand washing and cleaning practices of all staff. Personal Protective Equipment Infection control is also concerned with personal protective equipment or PPE. Personal protective equipments in the workplace are also used such as disposable gloves and plastic aprons. By definition by Williams (2008), Personal protective equipment or PPE is a specialized protective covering worn by an employee for protection against infectious materials. The use of PPE is essential when working in a healthcare setting. The purpose of PPE is to prevent the worker from coming into contact with infection. Usage of PPE promotes health and safety upon working with clients (Brown and Nay, 2006). From the students basic experience, the most basic principle of infection control based from the infection control manual is to work from clean to dirty. In this instance, this refers to getting in contact with clean body sites or surfaces before touching dirty or heavily contaminated areas. This method prevents any debris from spreading toward the cleaner surface. This principle had been compet ently practiced by the staffs on where the student works. Safe Disposal of Sharps Safe disposal of sharps is the third most practiced infection control procedure in the healthcare setting. Ideally, the contaminated syringe needles, scalpel blades, and other sharp devices should be thrown away in a sharps bin (Aitkenhead, 2009). As being observed by the student, sharps bin are located in a protected room in the nurses station where residents with mental incapacity, such as dementia, will not be able to gain access on the bin. Based on the article by Trim (2004), numerous staffs sustain sharps injury. In his definition, sharps injury is an injury where a sharp material contaminated with body fluids, penetrates the skin. Majority of the sharps injuries are avoidable and happen when they are handled or disposed in an unsafe manner. Aside from these three main techniques to prevent spread of infection in the nursing home, there are some other protocols the students workplace implements. Among these are provision of yellow bins, plastic bags and red hampers. Waste Segregation, Use of Bins, and Laundry Waste segregation had also been part of infection control. According to Conrardy and Hillanbrand (2010), the safe and effective disposal of waste starts with the healthcare professionals or practitioners. Staff in the nursing homes had been instructed to dispose infectious waste such soiled dressings, catheter bags, incontinent bags, etc. in the yellow bin and domestic waste on the black bin. Nappies and incontinence pads however are thrown in black bins. The protocol of pads disposal on where the student works is being followed by staff. Soiled nappies and incontinence pads are being wrapped with plastic bags prior to disposal on the black bin. Aside from that, instructions are given to staffs to be familiar with the waste management policy and procedures for health care waste management. The policies and procedures manual for waste management is accessible to everybody as it is together with the infection control manual. According to Ashurst (2010), it is part of the Care Quality Commissions responsibilities to ensure that care homes meet the requirements of the national agenda for infection prevention and control; this includes monitoring laundry facilities. Based on the practice on where the student works, soiled linens are placed on a special kind of bag before placing in to red hampers. Dirty linens are being handled with extra care paid to the potential spread of infection. It is also stated on the manual that gloves and disposable plastic apron should be worn upon handling of soiled garments. It is impossible to avoid all contact with infected tissue or potentially contaminated body fluids, excreta, and secretions. Appropriate barriers such as gloves should be used when handling potentially contaminated linen followed by hand hygiene after removal of the gloves. If a certain material is reusable, transmission of infective agents is prevented by cleaning and by appropriate disinfection or steril ization. All staffs have a responsibility to prevent and control the spread of any infection that may threaten a care home with vulnerable older people in residence. Laundry services also have the potential to set a positive impression for visitors. Staffs working tirelessly behind the scenes in the laundry are sometimes in danger of being forgotten, so their major role in ensuring safety through infection control and securing the homes reputation must be acknowledged. It is not just about utilising the most efficient chemicals and cleaning solutions in order to prevent infection. The training of staff can also be seen as an important preventative measure. If workers can understand and appreciate the issues concerned with infection control and management it is more likely they will follow procedures. Application to Practice It is not just prevention that makes up infection control, the process of surveillance and investigation can also be involved. Fundamentally this is the detection of infection origins and symptoms in order to develop efficient preventative measures. The student has gathered information regarding infection control and may also be helpful to some staffs, residents, and even relatives. On the recent learning that the student was able to gain upon the composition of this paper, he may be able to share the knowledge regarding infection control towards other staffs, especially those who involve in direct care to the clients. Ideal procedures and latest evidence-based practices may also be implemented when students knowledge will be shared. The basis of infection prevention and control is the attention to hygiene. Microorganisms can be found everywhere and the cleanliness of individuals, equipment and the environment is essential in reducing the risk of infection. Paying attention to the ba sics of nursing practice such as bed bathing, oral hygiene, nutrition and elimination is not only part of the caring aspect of nursing, but also necessary for preventing cross-infection. The Infection Control Nurses Association devised a tool to determine of certain. According to the NHS Chief Medical director, Mr. Donalson (2005), this infection control audit tool for primary and community care settings builds on previous work for acute Trusts and provides a standardised method for monitoring both clinical practice and the environment. The feedback may enable the staff to know and systematically identify the points where improvement is greatly needed. Thus, enables them to give minimize infection and give quality care for the residents. However, this type of tool was never implemented by the manager on where the student works. Perhaps, knowing the existence of this tool may be very helpful to the company when introduced

Sylvia Plath Essay -- Biography

Sylvia Plath was a troubled writer to say the least, not only did she endure the loss of her father a young age but she later on â€Å"attempted suicide at her home and was hospitalized, where she underwent psychiatric treatment† for her depression (Dunn). Writing primarily as a poet, she only ever wrote a single novel, The Bell Jar. This fictional autobiography â€Å"[chronicles] the circumstances of her mental collapse and subsequent suicide attempt† but from the viewpoint of the fictional protagonist, Esther Greenwood, who suffers the same loss and challenges as Plath (Allen 890). Due to the novel’s strong resemblance to Plath’s own history it was published under the pseudonym â€Å"Victoria Lucas†. In The Bell Jar, Sylvia Plath expresses the themes of alienation and societal pressure on women in the 1950s through symbolism, an unconventional protagonist, and imagery. Through an overwhelming sense of symbolism, the author demonstrates both the separation and pressures that Esther Greenwood goes through. The reoccurring image of a bell jar haunts Esther throughout her story representing both her mental illness and her alienation from the society surrounding her. As Dunn states â€Å"a glass ‘bell jar’ is used to cover and protect laboratory materials. Significantly, a bell jar also allows objects to remain in view.† Much like a scientific specimen, Esther is readily visible to those around her both observation and study. The jar in this case represents her mental instability, which causes her to be isolated from the rest of society and treated abnormally. Furthermore, â€Å"Plath [uses] the bell jar to indicate the circumference of the world of pain and mental suffering Esther Greenwood, the heroine, lives in† (Evans 105). The heroine herself admit... ...scandal that they did in the tabloids and had only seen it as an immediate means out, a way to escape. Rich in descriptive phrases and words this imagery contributes to the themes. From headlines to cadavers, bell jars to mental illnesses, and a subdued matron to a rebellious young lady, this novel hosts the two overarching themes of alienation and constraints on women in the 1950s. Esther Greenwood separates herself from nearly all of society and simultaneously must overcome the strictures that are set upon her and hinder her from the future she aspires towards. Through extensive imagery, symbolism, and characterization Sylvia Plath delves into how people strive for perfection and acceptance through social standards and additionally how those that do not comply completely with them are alienated from the group of society, either by themselves or by the group.

Let Freedom Ring Essay example -- Civil Rights Movement Equality Paper

Let Freedom Ring The Civil Rights Movement was the catalyst, the march that ignited the flame of justice in the twentieth century. It coerced America as a nation to reevaluate itself, to reevaluate what it stood for.... We hold these truths to be self-evident†¦ Hot, black coffee trickled down the dark skin on Henry Moses’ back. †¦that all men are created equal†¦ â€Å"Get out of here, nigger! Go back to your kind!† an angry White man shouted as he continued pouring. †¦that they are endowed by their Creator with certain unalienable rights†¦ Moses sat silently, keeping his seat at the lunch counter in downtown Jackson. †¦that among these are life†¦ Lunch counter stools were for White folks only. It had always been that way. Moses, just 21, knew that. †¦liberty†¦ â€Å"It was just a part of their heritage,† he says now. â€Å"They thought that Negroes were filthy†¦ scum. Just somebody you don’t associate with. You don’t wait on ‘em, you don’t cut ‘em no slack whatsoever. This is just the way that they had been taught, the way they had been trained.† †¦and the pursuit of happiness. â€Å"And we were trying to change it† (â€Å"First in News†). Since the discovery of the new world by Europeans, Blacks--with the exception of the Native American Indians--have suffered immensely more than any other group in America. From the time the first African slaves stepped on American soil, their destiny changed forever. For over four hundred years, Blacks worked on fields and in homes of their White masters with no concept of civil rights in their daily lives. It was not until 1863, when President Abraham Lincoln read the Emancipation Proclamation, abolishing slavery, that civil rights and freedom became a possibility for millions of African-Americans. Soon th... ...story. New York: John Wiley & Sons, Inc. 1997. Bell, Derrick. Afrolantica Legacies. Chicago: Third World Press. 1998. Brink, William and Harris, Louis. Black and White. New York: Simon and Schuster. 1967. Button, James W. Blacks and Social Change: Impact of the Civil Rights Movement in the Southern Communities. Princeton: Princeton University Press, 1989. â€Å"First in News.† The Jackson Sun. 6 Nov. 2002. . Gates, Henry Louis, et al. African American: Voices of Triumph. Alexandria Time Life Books, 1993. Sullivan, Patricia. â€Å"Civil Rights Movement.† Africana: the Gateway to the Black World. 10 Nov. 2002. . â€Å"We Shall Overcome.† The National Park Services: Links to the Past. 6 Nov. 2002. .