Prescription Drug Abuse in Teenagers Essay - 2188 Words

Prescription Drug Abuse in Teenagers Christina King COM 220 May 19, 2010 Rosario Rivera-Reyes Although prescription drugs are not harmful if used correctly, prescription drug abuse is high in teenagers. Most parents would never think their teenagers are helping themselves to prescription medicine sitting on ones counter. The truth is, prescription drug abuse in teenagers has become very common nowadays. The drugs are easily accessible at home, or cheap to buy at school. They are highly addictive and can†¦show more content†¦Reported prescription drug abuse by high school seniors in 2005 Parenting Teens (2005). According to Freedman (2006), an 18-year-old who lives in San Francisco believes as long as the prescription medication is taken properly, it is much safer than any street drug. â€Å"According to the findings of the Partnership for a Drug-Free America study, forty percent said prescription were much safer than illegal drugs; while 31 percent said that there was nothing wrong with using prescription drugs once in a while† (â€Å"Prescription-Drug Use by Teens,† (2006), para. 1). Teenagers think that because a medication has a prescription for an individual, it makes it safe for everyone. Several factors are involved in prescribing certain medications such as medical conditions, age, other prescriptions on may be taking and the diagnosis of the individual. Most teenagers do not consider these factors when helping themselves to medications prescribed to someone else. Prescription drugs are easy for a teenager to acquire either from their doctor s or from their own medicine cabinets. Most parents are not aware of the risks involved in leaving a bottle of prescription medication lying on the counter for everyone to have access. It will start with taking one or two at a time and then the teenager ultimately proceeds to steeling the entire bottle, buying theShow MoreRelatedDrug Abuse And Addiction Among Teenagers1704 Words   |  7 PagesStudies have shown that prescription drug abuse and addiction among teenagers is on a steady incline. According to the National Institute on Drug Abuse, â€Å"prescription drug abuse is the use of a medication without a prescription, in a way other than as prescribed, of for the experience or feelings elicited.† This is a pervasive problem that is in fact consuming the lives of many teens, primarily because prescription drugs are easily accessible in their environment. There are several interpersonalRead MoreTeen Abuse Prescription Drug Abuse1422 Words   |  6 Pagesleading drugs used and abused by teenagers in America. According to Elizabeth Larsen, â€Å"The Centers for Disease Control classifies prescription drug abuse as the worst drug epidemic in United States history† (Larsen p.4). This is the worst drug epidemic in history because of the percentage of teenage usage. Based on different studies, pills are the most commonly abused drug among twelve- and thirteen- year olds because of how easy they are to access. In fact, many teens that abuse prescription medicationRead MoreEssay Perscription Drug Abuse among Teenagers1064 Words   |  5 PagesPrescription Drug Abuse among Teenagers ( 12-17 Years) Prescription Drugs are medications that are prescribed to patients by a doctor to help in many ways, such as relieve pain, treat symptoms of a disease, or to help fight an infection. They are very safe when used properly and under supervision of a physician, yet if used without approval of a doctor they can be very harmful and in some cases could lead to death. During your adolescence years, teens have curiosity which builds up andRead MoreSubstance Abuse Among Teenagers : A Survey1201 Words   |  5 PagesSubstance Abuse Among Teenagers Hannah is a fifteen year old girl who was recently sent to a rehabilitation center for the result of abuse of prescription medication. 6.1 million high school students currently use addictive substances, and like Hannah, 1 in 3 of them are addicted (â€Å"National Study Reveals,†2011). Although the number of teens using these drugs are decreasing, the numbers are still dangerously high. Due to it’s high risk of addiction, dangerous consequences, and growing availabilityRead MorePrescription Drug Abuse. Did You Know That Prescription1173 Words   |  5 PagesPrescription Drug Abuse Did you know that prescription drug abuse is one of the leading causes of death in the United States? â€Å"According to the Journal of the American Medical Association, two-hundred and ninety people in the United States are killed by prescription drugs every day. (White)† That number is growing every year due to the lack of knowledge of prescription drugs and the potential harm they can cause. Many people are under the misconception that prescription drugs are safe becauseRead MoreThe Epidemic of Teenagers Using Drugs1687 Words   |  7 PagesThe Epidemic of Teenagers Abusing Drugs Krystyn Romualdo COM/156 November 18, 2012 Jackie Hudspeth Jr The Epidemic of Teenagers Abusing Drugs To have known so many people that have struggled with drug addiction in their teenage years it has become very apparent what a vital time in one’s life it is to know the dangers of abusing drugs as a teenager. Even though not all teens abuse drugs, it is an epidemic in the United States because more teens are turning to drugs to escape or use outRead MorePrescription Drug Abuse1483 Words   |  6 Pagesaudience I will be addressing is parents, caregivers and school educators about the dangers of prescription drugs and how we can better educate teenagers and young adults on the dangers of abusing them. There are many ways that we can teach and educate our teenagers and young adults, but it’s important that families, schools and communities are involved. The rate of prescription drug overdose among teenagers and young adults have sky rocketed over the past several years. This has become a growing epidemicRead MorePrescription Drug Abuse : Drug And Free World1508 Words   |  7 Pagesaged 12 to 17 abuse a prescription pain reliever for the first time (â€Å"Prescription Drug Abuse Statistics – Overdoes Deaths – Drug-Free World,†n.d.) A 2007 survey in the United States found that 3.3% of 12 to 17 years olds and 6% of 17 to 25 year olds had abused prescription drugs in the past month (â€Å"Prescription Drug Abuse Statistics – Overdoes Deaths – Drug-Free World,†n.d.) Prescription drug abuse causes the largest percentage of deaths from drug overdoses (â€Å"Prescription Drug Abuse StatisticsRead MorePast and Current Trends1207 Words   |  5 PagesPast and Current Trends Drugs and alcohol have played a role in American society for many years. There is, however, a wider variety of drugs available today than ever before and with this wider variety there comes a wider range of addictive qualities and health related risks that individuals who take these drugs are subjected. Habit forming drugs were introduced into American society as far back as the 1700s. These drugs were widely used for medicinal purposes without any knowledge of their addictiveRead MoreThe s Fastest Growing Drug Problem1750 Words   |  7 Pagesopioids are described as the â€Å"ation’s fastest-growing drug problem† (p. 276) and are also known as narcotics. Opioids originated from the opium poppy and have been chemically altered throughout the years in order to create more potent drugs such as hydrocodone (e.g., Vicodin), oxycodone (e.g., OxyContin, Percocet), morphine (e.g., Kadian, Avinza), and codeine. Known for analgesic properties, opioids are seen to be the most commonly used drugs among clinicians. Historically, although these narcotics

Geothermal Energy Potential For Solar Energy - 1795 Words

For Longmont, solar energy may be the best option, although Hydro power, Biomass, and Geothermal all present options. For Utica, solar energy potential was very low, while the potential for Hydro power is high and most likely that best option. For Cedar Rapids, solar energy potential was also relatively low, while Biomass presents the greatest potential. Yuma has extremely high potential for solar energy, so this seems to be the best option, but also has high potential for Geothermal energy and Hydro power. I would recommend the following to Mr. Greene for each of the four locations: Longmont, CO: 70% Solar, 30% Geothermal Utica, NY: 100% Solar Cedar Rapids, IA: 30% Solar, 70% Biomass Yuma, AZ: 80% Solar, 20% Geothermal Description of Criteria and Methods Criteria Cost refers to the monetary value that the University of Florida would have to distribute in order to create and maintain an alternative energy system. Specifically, the University of Florida would finance labor and materials (including those that make up the alternative energy system). Efficiency refers to how well an alternative energy system creates usable energy. Because many alternative energy systems rely on the physical location of certain devices and thus are capable of being less efficient in certain physical locations, location is an integral part of efficiency. Methods Research was conducted over the Internet. Specifically, the University of Florida’s online library system was used to findShow MoreRelatedScience Debate : Alternative Energy1157 Words   |  5 PagesAlternative Energy is Better Good morning/afternoon fellow peers and staff members. Today, I am going to prove how alternative energy sources are better than conventional sources. Some people don’t know the difference from alternative and conventional energy sources.Conventional sources are sources that are most common and have been traditionally used in the past. Alternative sources are the more eco-friendly source which makes our world a better place to live in. Examples of alternative energy sourcesRead MoreRenewable Energy: A New Direction Essay1241 Words   |  5 PagesNational Renewable Energy Laboratory (NREL) finds low potential for wind and photovoltaic energy, with favorable potential for geothermal. While this is limiting in terms of options which are currently available it is also good for the Quapaw tribe as this means that there is an option available to the tribe. This entails that implantation of geothermal energy can be achieved successfully to mitigate energy cost. Introduction: â€Å"Up to ninety cents of every dollar the Tribes spend on energy leaves immediately-Read MoreRenewable Energy Resources In Thaille Essay1552 Words   |  7 Pagestargeting to utilize 0.6% of renewable energy consumption into the country’s final energy consumption by 2035. Yet, oil will still account for the largest share (46%), followed by gas (35%) and electricity (19%). Natural gas and oil will remain the dominant supply fuels for primary energy with small contributions from new renewable energy which is solar and biomass. Currently, the economy already has a 1.2 MW solar power plant and will continue to develop more solar capacity during the outlook periodRead MoreEnergy Resources : Renewable And Non Renewable Ones1225 Words   |  5 Pagesa discovery of the ability to transform the energy into the electricity. In today’s modern world it is hard to imagine that there was a world without the electricity and that electricity was gifted to the humani ty just 400 years ago. As George Gobel said once: â€Å"If it weren’t for electricity, we’d all be watching television by candlelight†. Electricity is the gift granted to humans and it is our generation’s duty to use the electricity energy smartly and pass it to future generations. ForRead MoreDuring the 21st century our country and our planet as a whole is in energy crisis. We have used too1200 Words   |  5 Pagesplanet as a whole is in energy crisis. We have used too many oils and fossil fuel that our non-renewable resources are running out. Oil is limited and is at outrageous prices, this result is making our economy suffering. With fossil fuel and oil as the main source of energy the people of this planet need to start looking for an alternative energy source because our fossil fuel will not last forever and fossil fuel also polluted our planet. This is where a renewable energy comes in. I will start talkingRead MoreAdvantages And Disadvantages Of Fossil Fuels1260 Words   |  6 PagesFossil fuels are hydrocarbons, primarily coal, fuel oil or natural gas, formed from the remains of dead plan ts and animals, and great sources of energy and great sources of pollution. 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With the necessities for diversified economies and youth bulges providing an eager labor force, there is certainly room for growth in the region. A study by the International Renewable Energy Agency (IRENA) shows that countries seriously involved with renewable energies can expect significant job creation. In Germany, for example, the numbers were 150,057 for direct employment and 120,533 for indirect . Coupled with the increasing openness of the societies and the politicalRead MoreRenewable Energy And Solar Energy921 Words   |  4 Pagesrenewable energy . Most of these renewable energies depend in one way or another on sunlight. Wind and hydroelectric power are the direct result of differential heating of the Earth s surface which leads to air moving about (wind) and precipitation forming as the air is lifted. Solar energy is the direct conversion of sunlight using panels or collectors. Biomass energy is stored sunlight contained in plants. Other renewable energies that do not depend on sunlight are geothermal energy, which isRead MoreThe Effects Of Renewable Energy On The Environment1193 Words   |  5 Pages n.d.). Renewable energy can be defined as the energy generated from various natural sources such as sunlight,wind,water,geothermal heat and biomass, which are naturally replenished or renewed (What is renewable energy?, n.d.). The use of renewable energy helps in reducing the carbon dioxide and other carbon compounds that are emitted in to the atmosphere due to burning of fossil fuels, thereby assisting in reducing climate change (Renewable energy facts, n.d.). As the population

Quality Management in Healthcare and Social Care Industry

Questions: 1. Perspectives of Royal United Hospital Bath NHS Trusts Stakeholders regarding quality?2. Standards that exist in health and social care for measuring quality?3. Evaluation of effectiveness of systems, policies and procedures used in achieving quality?4. Methods for evaluating health and social care service quality with regard to external and internal perspectives? Answers: Introduction: Effective quality management is essential for every health and social care sector in terms of providing best care to the service users. In order to improve productivity and efficiency of services they deliver the health and social care organization should focus on quality maintenance. And it has been evidenced that to improve services to users health care sector must follow proper principle, guidelines and procedures set by government or industry authorities. Though having legislation and care standards for health care industry, long term commitments, communications and facilities including all stakeholders are required. Quality standards are set for health and social care and purpose behind it is to increase quality of the sector which providing care to the community throughout responsibility. In light of all these facts this report is made up on Royal United Hospital Bath NHS Trusts to assess its quality standards and principles, discuss the perspective of stakeholders working there and will evaluate different approaches for the particular health care to implement quality standard. This report will explain the systems, policies and actions the hospital can take to tackle the determined shortfalls. 1 Perspectives of Royal United Hospital Bath NHS Trusts Stakeholders regarding quality Every stakeholder associated with the health and social care services has their own opinion and perspective about the quality provided and standard maintained by the health care home. Any service which offer satisfaction to stakeholder means quality for them. Service users perspectives of quality is depend upon their way of thinking, their values and experience they got from particular health care. For patients measurement of quality is about the treatment they get, responsiveness of hospital staff, how their dignity be respected, confidentiality and safety. If hospital fulfill all these measures then perspective of patient about hospital quality standard is good. In the case of Royal United Hospital it had been seen that patient safety indicators decreased. Patients had to wait more for surgery and elective surgical procedures were also being cancelled (ARAH, WESTERT, HURST KLAZINGA, 2006). Such incidents tend to create negative perspective of service users. Another instance we can take which shows that the Royal Hospital have not been able to met personal needs of service users. Lack of facilities like shortage of beds and availability of staff create discomfort among service users. Other stakeholder is health care professionals include senior nurses and doctors. According to them quality is the outcomes of services users and result of care taken by them, positive result of their treatment. There perspective about quality is adopting adequate skills to provide proper care and treatment, taking right decisions for their patients, availability of instrument and all media of treatment in hospital define high quality (BALDOCK, 1997). The way and ability to conduct their duties to promote quality of services depend on commitment and effort of healthcare professionals. Case study of Royal United Hospital shows that Health professionals did not understand much about record systems importance which promotes quality of service. Senior nurses and some doctors are not serious about implementation of policies and procedures which essential to fulfill service users needs. Another stakeholder is Care Quality Commission (CQC) whose perspective is very important regarding to the hospital. CQCs view of looking towards hospital issues can make difference is obtaining quality of care, because they have the responsibility monitoring GP surgeries, hospital facilities and all practices conducted by hospital (BAMFORD, QURESHI, NICHOLAS, VERNON, 1999). They need to ensure about safety, effectiveness, and availability of services and care with high quality (The Royal United Hospital page 29). Royal United Hospital Bath NHS Trusts CQC perspective initiates measures through putting service users on the centre of care; they were in the favor of promoting independence and equality. Always try to improve performance of hospital to achieve standard. Inspection and regulation of hospital helps to maintain quality is the opinion of CQC which is stated in the given case. CQC also understands the need of updating standard continuously to meet needs and satisfaction of service users at NHS trust. 1.1 Analysis of external agencies role in setting standard: External agencies plays important role in order to provide good quality of services and setting standard of care for health sector. Plenty of external agencies work for it such as National institute for clinical excellence, Care Quality Commission, Health Service Commissioners and local authorities. Role of each agency is important in setting standards and achieving quality outcome for health and social care sector. National Institute for Clinical Excellence: This independent organization provides guidance in terms of promoting good health which prevent and treat ill health. In Royal United Nursing home professionals reassured before giving prescriptions to the service users having problem of anxiety and panic attacks and require regular sedatives for sleeping. For this case if required professionals also ask review and advice of government practitioner. Service providers and professionals take training of National Institute of Clinical Excellence guidelines for treating different medical conditions. As compare to CQC NICE guidance mostly used to assure about quality of services and NICE also make sure that value for money are maintained. Care Quality Commission: The care provided by local authorities, NHS, private companies and voluntary organization are regulated by CQC. They always aim to provide quality and better health care to each service user. In Royal United Hospital CQC makes minimum three inspections yearly on the measure of cleanliness, care quality and so on. CQC has the power to take action on the behalf of service user if the care and quality provided by health care is not acceptable. CQC perspective initiates measures through putting service users on the centre of care; they were in the favour of promoting independence and equality. Always try to improve performance of their hospital to achieve standard. 1.2 Impact of poor service quality on Royal United Hospital Bath NHS Trusts stakeholders: If health care sector not providing sufficient and effective service quality it leaves negative impact on its stakeholders. Stakeholder temperament seems to be changed in some cases due to the poor quality of services provided by health care. Service users complaining about getting poor service continuously and more over that no one is taking accountability that means change should be needed. Solution over it is every service user should get consultant in charge for the sake of services they are receiving. In order to maintain stability in stakeholders perspective quality measuring is required in hospital industry. Every stakeholder has their opinion about quality standard which no one can change, but coordination and same indicator of quality among stakeholder is essential. The case study about Royal United Hospital shows that lack of coordination and lack of similar opinion is main among stakeholders is main reason of poor quality services (BENZEVAL, JUDGE, 2001). Level of poor quality will be reduced with the help of monitoring and measuring quality because health care service very is complex. For instance take an example from case study which determine that service users affected due to the poor quality of care, as the record shows dehydration complaint is found in many patients due to lack of fluid intake (The Royal United Hospital CQC report 2013). 2 Standards that exist in health and social care for measuring quality: Standard is level of quality against which performance of health care can be measured. Having standard is essential and requires ensuring and measuring safe and effective practice. It designed in order to encourage and support a better practice environment in health care. Due to implementing standard individual would be able to receive right care within health and social care. Person-centered approach can be facilitated through quality standards. Due to implementing specific standards in health care sector error will be reduced and quality will be increased (Department of Health, Social Services and Public Safety 2006). Care Quality Commission introduces many quality and safety standards and record keeping is one of them. Record keeping standard ensures that patients do not get unsafe and incorrect treatment and care standard in any manner (Care Quality Commission, 2010). In record keeping it is initiated that patients treatment, medical condition and other important information related to care should be recorded by service provider on regular basis. The maintained records have been assessable whenever it will be required. Service users experience and trust improve due to keeping such relevant record. Level of health professionals practice can raised. As far as our case concern it is found that record keeping system did not implemented by the RUH bath and hence the fail to meet CQC standard of record keeping. Though RUH Bath maintained some records but when CQC requested to look those records they were not easily assessed (The Royal United Hospital CQC report 2013). Another standard incorporated by CQC to maintain high quality of care is respecting dignity and rights of individuals (Care Quality Commission, 2014). It is important to increase satisfaction level of service users and their experience that their dignity should be maintained. Dignity is related with individuals feeling and behaviour. But contrast is experienced in RUH Bath as per the case study which evidenced that some of the times patients dignity was not respected. Safeguarding people who use services from abuse is also the essential standard quality and safety of CQC. It simply required that people should be protected from abuse and staff should respect their human rights. 2.1 Evaluation of different approaches to implementing quality systems: In above section the important of providing quality care to the service users is discussed. Now it is also essential to understand and evaluate the approaches that are very crucial for implementation of quality system. The quality management systems are important and focused towards patients satisfaction and derive value for their money. First quality management system we discuss here is Total Quality Management (TQM) system. The application of quality management processes throughout the organization. This includes working on problems and strengthening areas that cross departmental lines. This quality management system is person focused and it aims to increase satisfaction and care standard of service users and provide value for their money. Another quality system is benchmarking which work on compare and implement basis. It is required to compare your organization quality and care with other competitive organization. Through this comparison best and different trends are discovered and projected into our organization practices. It will help to improve and meet the expectation of people working in and getting served through the organization. It adopt the process which compares current data of the health care organization with its old records and compare the performance which helps to determine difference between current and past performance. The variation determined alert the manager to implement changes. Approaches to implement quality system: Policies and procedures: These are outlines in various government document and these guidelines can also set things informed through regulations. Different policies and procedures are implemented for different situations in health care such as in accidental case hospital first file a report of resident accident, after that their family members are being informed about accident (BOYNE, 2002). The patient is treated and then precautions are put to avoid future consequences. Policy of infection control helps to prevent spread of infection within health care. All the protective measures have to be followed while handling the infectious wastes and treated residents. Resources: Adequate and efficient amount of staff help to provide highest quality of services and most importantly services are provided on time and quality of those services maintained. If hospital have appropriate resources then total quality management will be easy to manage. Benefits of applying resources: Due to applying policies and procedures hospital cannot have to face any legal consequences. If procedures are followed properly it will create positive image of the hospital obeying the policies like infection control will help to prevent people from infection and maintain quality standard of hospital Availability of proper resources helps to serve the service users on time and hence people would not have to wait longer for getting treated. Availability of proper equipment and machines and tools will help to treat any kind of disease without wasting time. Consequences: Lack of adequate resources and late in treatment lead to dissatisfaction of service users because they are unable to get adequate services as well as service provider are over worked so that they unable to do anything Best Approach for RUH is increasing the resources. Because it is found at various situation that patients had to wait more for surgery and elective surgical procedures were also being cancelled. Such incidents tend to create negative perspective of service users. Another instance we can take which shows that the Royal Hospital have not been able to met personal needs of service users. Lack of facilities like shortage of beds and availability of staff create discomfort among service users. 2.2 Analysis of RUHs potential barriers in delivering quality health and social care services: External barrier: Barrier created due to external factors in front of the RUH prevent the hospital from achieving quality standards and are given as below: Legislation: In certain cases it is found that RUH has to face certain legal issue. This type of controversies effect on hospitals image and quality of care was affected. Warning notice from the CQC standard had also been issued after the inspection of their team. Social policy: In terms of ensuring the experience of service user at the highest quality level, safety has to be promoted and value for money in place of health is required. In lack of social setting staff do not able to empower with the right skills and training in quality improvement and measuring techniques. Internal barrier: Interaction between people: Having right staff and correct attitude towards quality is basic criteria for maintaining good practice in healthcare. But it is not being practices in RUH identified in case study. This attitude and less interaction create potential barrier in front of hospital. Organizational structure: RUH need to make changes in structure of its organization in order to gain quality standard. Value, ethics and believes of staff should be improves and for this proper training is required to be arranged. Impact of the barriers are quite obvious, as staff does not feel motivated and satisfied while working in the hospital and providing services to the patients. As it is known less satisfied and motivated staff cannot be committed towards their organization which will impact through their services provided. If service user get less quality service they got dissatisfied and such dissatisfaction chain lead RUH towards less quality and service provider organizations category. 3 Evaluation of effectiveness of systems, policies and procedures used in achieving quality: The first policy RUH used as specified in case scenario was safe wandering policy. This has implemented occur need of attaching bracelets to the wrists of some people with dementia and had at the risk of wandering off the ward. These would only be attached on the recommendation of the consultant for the ward. Another policy identified is trust policy. This policy had been detailed that when and how the bracelets could be used. It was also emphasized that Deprivation of Liberty Safeguards had to follow (CHALLIS, CLARKSON WARBURTON, 2006). Different procedures are implemented for different situations in health care such as in accidental case hospital first file a report of resident accident, after that their family members are being informed about accident. The patient is treated and then precautions are put to avoid future consequences. The escalation procedures are used in RUH in order to manage the waiting times. It is being told by senior staff and surgical outpatients that if due to new referrals impact on appointment waiting time had been occurring then it is the right of service user to notify it to lead consultant who should provide other doctor or additional clinics to complete the service. The quality systems identified in scenario was Total Quality Management (TQM) system. The application of quality management processes throughout the organization. This includes working on problems and strengthening areas that cross departmental lines. This quality management system is person focused and it aims to increase satisfaction and care standard of service users and provide value for their money. Benchmarking work is to compare and implement facts. It is required to compare your organization quality and care with other competitive organization. Through this comparison best and different trends are discovered and projected into our organization practices. It will help to improve and meet the expectation of people working in and getting served through the organization. It adopt the process which compares current data of the health care organization with its old records and compare the performance which helps to determine difference between current and past performance (DAVIES CHALLIS, 1986). The variation determined alert the manager to implement changes. 3.1 Analysis of factor influencing the achievement of quality in RUH: In order to get success in any work it is important to have any support along with the hard work. The same thing goes correct about RUH there are various factor which influence the health care organization to achieve quality of services and getting positive feedback from service user. Funding: In order to perform service, provide facility and having sufficient resource it is important to have sufficient funding. This is the factor which goes correct for RUH that they got proper funding the trust received 2.35 million of NHS funding which promote it towards improvement of services. This was increased trust confidence and it leads significant change effectively. The funding had been used by RUH to support the innovative changes and new ideas would help to improve the quality. User of service expectation: When someone expect from you more you automatically starts to improve yourself in order to meet their expectation. Same thing happen with RUH, it got large amount of funding which means people want to see them working more quality work and serve people with excellence. This pressure automatically leads the hospital towards improvisation in its working practices and its service providers working with more discipline. Media: when patients dissatisfaction graph goes high and patient started complaining about the services and quality of facilities provided by RUH media builds pressure on the hospital. The pressure of media and media reports lead the hospital to improve its quality of services. 3.2 Suggest ways in which the health and social care service could improve its quality: Improving quality required find out problem first and the as per the case scenario RUH having some problems. In some occasion it is found that patients had not been treated with respect by service providers. Their dignity had not been maintained and staff need more training to maintain safety while treating children and in serious situation. According to the CQCs view of looking towards hospital issues can make difference is obtaining quality of care, because they have the responsibility monitoring GP surgeries, hospital facilities and all practices conducted by hospital. They need to ensure about safety, effectiveness, and availability of services and care with high quality (The Royal United Hospital page 29). Service users perspectives of quality is depend upon their way of thinking, their values and experience they got from particular health care. For patients measurement of quality is about the treatment they get, responsiveness of hospital staff, how their dignity be respected, confidentiality and safety. If hospital fulfill all these measures then perspective of patient about hospital quality standard is good. In the case of Royal United Hospital it had been seen that patient safety indicators decreased. Patients had to wait more for surgery and elective surgical procedures were also being cancelled. Such incidents tend to create negative perspective of service users. Another instance we can take which shows that the Royal Hospital have not been able to met personal needs of service users. Lack of facilities like shortage of beds and availability of staff create discomfort among service users. Hence quality improvement needs effectiveness, safety, and efficiency of services. 4 Methods for evaluating health and social care service quality with regard to external and internal perspectives: In order to evaluate effectiveness of quality of service use of surveys and questionnaires is important. Due to questionnaires uses it perspective of different people from service users to service providers and commission is get clear and hence survey and questionnaires are used. From the survey it is observed that service users perspectives of quality is depend upon their way of thinking, their values and experience they got from particular health care. For patients measurement of quality is about the treatment they get, responsiveness of hospital staff, how their dignity be respected, confidentiality and safety. If hospital fulfill all these measures then perspective of patient about hospital quality standard is good. In the case of Royal United Hospital it had been seen that patient safety indicators decreased. Patients had to wait more for surgery and elective surgical procedures were also being cancelled. Such incidents tend to create negative perspective of service users. Another instance we can take which shows that the Royal Hospital have not been able to met personal needs of service users. Lack of facilities like shortage of beds and availability of staff create discomfort among service users. Hence quality improvement needs effectiveness, safety, a nd efficiency of services. Questionnaire help to provide area of improvement, measure level of satisfaction and motivation and also provide information about expectations. This will also be used by hospital authorities in order to reduce errors in hospital facilities and operating systems. There are advantages and disadvantages of using surveys and questioners. Some of advantages involve real word observation of the service, involvement of many people who can offer huge amount of information and different points of view, and an opportunity to produce a huge amount of data at small format. As disadvantages could be consider lack of details information, lack of respond, and validity of information produce (Kelley, K. et al 2003). 4.1 Impact that involving users of services in the Evaluation process has on service quality: Today patients are involved in all the aspects of design and delivery and hence their response and advice would be valuable for hospitals. Royal United Hospital Bath NHS Trusts CQC perspective initiates measures through putting service users on the centre of care; they were in the favor of promoting independence and equality. Always try to improve performance of hospital to achieve standard. Inspection and regulation of hospital helps to maintain quality is the opinion of CQC which is stated in the given case. CQC also understands the need of updating standard continuously to meet needs and satisfaction of service users at NHS trust. There perspective about quality is adopting adequate skills to provide proper care and treatment, taking right decisions for their patients, availability of instrument and all media of treatment in hospital define high quality DAVIES, B., FERNNDEZ, J. L. NOMER, B. (2000b). The way and ability to conduct their duties to promote quality of services depend on commitment and effort of healthcare professionals. Case study of Royal United Hospital shows that Health professionals did not understand much about record systems importance which promotes quality of service. Senior nurses and some doctors are not serious about implementation of policies and procedures which essential to fulfill service users needs. Conclusion: For improving productivity and efficiency of quality and services provided by the health care sector it is important to maintain quality standard. It is concluded through the report that different stakeholders have their different opinion and hence hospital should respect and use their perspective to improve quality of services. And it has been evidenced that to improve services to users health care sector must follow proper principle, guidelines and procedures set by government or industry authorities. Though having legislation and care standards for health care industry, long term commitments, communications and facilities including all stakeholders are required. Reference List: Academy of Medical Royal College (2010). MPROVING QUALITY AND PRODUCTIVITY IN THENHS WHILST FACING THE FINANCIAL PRESSURES [online] Available at: https://www.aomrc.org.uk/publications/statements/doc_view/233-academy-statement-improving-quality-productivity-in-the-nhs-whilst-facing-the-financial-pressures.html [Accessed on 26/02/2014] Adass(2013) A protocol between CQC and councils with social services responsibilities [pdf] Available at: https://www.cqc.org.uk/sites/default/files/media/documents/cqc_adass_provider_protocol.pdf [Accessed on 20/03/2014] Alimo-Metcalfe, B. et al (2011). Engaging leadership Creating organisations that maximise the potential of their people [pdf] Available at: https://www.cipd.co.uk/NR/rdonlyres/F72D3236-E832-4663-ABEC-BCC7890DC431/0/Engaging_leadership_STF.pdf [Accessed on 06/04/2014] BMJ Publishing Group (2014). Improving the quality of care through clinical governance https://www.bmj.com/content/322/7302/1580 [Accessed on 04/04/2014] Care Quality Commission (2014) About us [online] Available at: https://www.cqc.org.uk/about-us [Accessed on 04/03/2014] Care Quality Commission (2014) The essential standards [online] Available at: https://www.cqc.org.uk/organisations-we-regulate/registering-first-time/essential-standards [Accessed on 20/03/2014] Care Quality Commission (2014) CQC launch 'State of Care' report 2012 [online] Available at: https://www.cqc.org.uk/media/cqc-launch-state-care-report-2012 [Accessed on 23/03/2014] Care Quality Commission (2014). Respecting peoples dignity and rights. [online] Available at: https://www.cqc.org.uk/public/reports-surveys-and-reviews/reports/state-care-report-2009/care-meets-individuals-needs/respe [Accessed on 27/03/2014] Care Quality Commission(2010) Summary of regulations, outcomes and judgement framework [pdf] Available at: https://www.cqc.org.uk/sites/default/files/media/documents/guidance_about_compliance_summary.pdf [Accessed on 23/03/2014] Clinical Audit (2009). What is Clinical Audit? [pdf] Available at: https://www.rcpsych.ac.uk/pdf/clinauditchap1.pdf [Accessed on 07/04/2014] Department of Health Social Services and Public Safety (2006) The Quality Standards for Health and Social Care [pdf] Available at: https://www.dhsspsni.gov.uk/qpi_quality_standards_for_health___social_care.pdf [Accessed on 23/03/2014] Department of Health (2013) Compassion in Practice [pdf] Available at: https://www.england.nhs.uk/wp-content/uploads/2012/12/compassion-in-practice.pdf [Accessed on 04/04/2014] Department of Health (2013) Delivering high quality, effective, compassionate care: Developing the right people with the right skills and the right values [pdf] Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/203332/29257_2900971_Delivering_Accessible.pdf [Access on 06/04/2014] DiMeglio K, Lucas, S. Lucas, Padula, C. (2005). Group Cohesion and Nurse Satisfaction. Journal of Nursing Administration. 35:3 , 110-120 Economics of Engineering Decisions (2008). Different Perspectives of Health and Social care. Is the Consensus Possible?[pdf] Available at: https://www.ktu.lt/lt/mokslas/zurnalai/inzeko/56/1392-2758-2008-1-56-104.pdf [Accessed 26/02/2014] Employers(2013) Minimum standards for healthcare support workers[online] Available at:https://www.nhsemployers.org/PlanningYourWorkforce/SupportWorkforce/regulation/Pages/Minimum-Standards-for-Healthcare-Support-Workers.aspx [Accessed on 23/03/2014] Evangelical Community Hospital (2013). Continuous Quality Improvement (CQI) [online] Available at: https://www.evanhospital.com/about/cqi [Accessed on 06/04/2014] ARAH, O. A., WESTERT, G. P., HURST, J. KLAZINGA, N. S. (2006) A conceptual framework for the OECD Health Care Quality Indicators Project. Int J Qual Health Care, 18, 5-13. BALDOCK, J. (1997) Social Care in Old Age: More Than a Funding Problem. Social Policy Administration, 31, 73-89. BAMFORD, C. H., QURESHI, H., NICHOLAS, E. VERNON, A. (1999) Outcomes of Social Care for Disabled People and Carers. IN SOCIAL POLICY 20 RESEARCH UNIT (Ed.) Outcomes in Community Care Practice. York, Social Policy Research Unit. BENZEVAL, M. JUDGE, K. (2001) Income and health: the time dimension. Social Science and Medicine, 52, 1371-90. BEVAN, G. CORNWELL, J. (2006) Structure and logic of regulation and governance of quality of health care: was OFSTED a model for the Commission for Health Improvement? Health Economics, Policy and Law, 1, 343-370. BLANE, D. (1995) Social determinants of health - socioeconomic status, social class, and ethnicity. American Journal of Public Health, 85, 903-5. BOBINAC, A., VAN EXEL, N. J. A., RUTTEN, F. F. H. BROUWER, W. B. F. (2010) Caring for and caring about: Disentangling the caregiver effect and the family effect. Journal of Health Economics, 29, 549-556. BOYNE, G. A. (2002) Concepts and Indicators of Local Authority Performance: An Evaluation of the Statutory Frameworks in England and Wales. Public Money and Management, 22, 17-24. CHALLIS, D. (1981) The measurement of outcome in social care of the elderly. Journal of social policy, 10, 179-208. CHALLIS, D., CLARKSON, P. WARBURTON, R. (2006) Performance Indicators in Social Care for Older People, Aldershot, Ashgate. COMMISSION FOR SOCIAL CARE INSPECTION (2007) Performance Assessment Handbook 2006-07. Adult Social Care Services. London, Commission for Social Care Inspection. COMMUNITIES AND LOCAL GOVERNMENT (2007) The new performance framework for local authorities and local authority partnerships: single set of national indicators. IN COMMUNITIES AND LOCAL GOVERNMENT (Ed.). TSO. CUTLER, T. WAINE, B. (2003) Advancing Public Accountability? The Social Services 'Star' Ratings. Public Money Management, 23, 125-128. DAVIES, B. (1985) Production of Welfare Approach. Discussion Paper 400. Canterbury, Personal Social Services Research Unit. 21 DAVIES, B. CHALLIS, D. (1986) Matching Resources to Needs in Community Care, Aldershot, Gower. DAVIES, B., FERNNDEZ, J.-L. NOMER, B. (2000a) Equity and Efficiency Policy in Community Care., Aldershot, Ashgate. DAVIES, B., FERNNDEZ, J. L. NOMER, B. (2000b) Equity and Efficiency Policy in Community Care, Aldershot, Ashgate. DAVIES, B. KNAPP, M. (1981) Old People's Homes and the Production of Welfare, London, Routledge and Keegan Paul. DAVIES, B. VERRY, D. (1976) University Costs and Outputs, Amsterdam, Elsevier.

Lifetime Parental Support Essays - Childhood, Family, Parenting

Lifetime Parental Support Love for life Raised with strict family values, I cringe to phrases like, "I can't wait to get my children out of the house," or "As soon as my children reach 18, they are on their own." I become shocked to discover that age defines the release date in which children are no longer supported by parents. Children are the offspring to which parents give birth to in life. Regardless of the age, an individual will always be a child to one's mother or father and should receive support until, and beyond, the age of being released into the world. Support is the assistance provided on earth. In order to live happily in this world, one must be supported or support themselves with food, a house, finance, security, approval, acceptance, and love. These, all of which are determined by Abraham H. Maslow, a well- respected psychologist, are the "hierarchy of needs." These are needs that everyone should have the ability to acquire. Unfortunately, the much needed support from many parents are being cut off too early. As a college student entering adulthood, I witness many peers facing very stressful times of their lives. At this time of their lives, a number of peers have been "released" from parental support, hoped to have been given to them until individual security was found. Instead, many peers have found themselves desperately "on their own." This early release from parental support comes at a crucial time to many, because it disrupts the need to prepare themselves completely for society. To too many of my fellow students, education and support is replaced by financial and emotional burdens. The weight of the many hardships that arrive, restricts a clear thinking mind, necessary for education and personal development. A child must have full support from the parents to gain knowledge and security in the world. Immature detachment of parental support, will result in the disturbance to acquire personal potential. Parents should think about the needs of the children and continue to support them through the many lengths and levels throughout life. We live in a complex society where love, care, advice, and assistance are of priceless value. Because living is about learning, parents should be available to their children for understanding life's dynamic possibilities. Parents helping their children learn from their past experiences will aid them to become more knowledgeable of the world and what to expect from it. The less parents teach children of past encounters, the more their children tend to repeat life's mistakes. Support should vary according to how much the child needs in order to support him or herself. Though food, house, finance, and security needs are met by the child, a parent should continue to be open with love and acceptance. Should in one day all material items disappear, the most important necessity needed to remain secure, is love and acceptance. Parenting is giving love and support without an expiration date. The parent-child relationship is a significant element of human nature. The relationship is devotion that a child receives from the parent and gives back to his or her own mother or father. If a child receives plenty of affection from the parents, the child will tend to give this love back, later down the road of life. From being nurtured as an infant to support of a parent of old age, if a child was brought up lovingly and supportively, it is likely that when the parents reach an elderly stage, they will also be taken care of, lovingly and supportively. Like the saying, "What comes around, goes around," life tends to perform karma in many ways throughout life. Unconditional love and support will take away the worries that many face. Unconditional love and support replaces the need for extreme individual responsibility. Responsibility is what many parents think about when making the mistake of releasing children too early into society. What parents believe as laying responsibility upon their child, actually turns into uncertainty, insecurity, lack of confidence, and sense of rejection. These experiences impair concentration required to focus on education and personal growth. In some case these experiences of uncertainty, insecurity, etc., develop into depression, which places major stress upon