Aspects of Health: Contribution to Wellness

Aspects of Health: Contribution to Wellness Charlene Mifsud Health is composed of 5 aspects: social health, physical health, mental health, economical health, spiritual health. Discuss how these five aspects of health contribute towards wellness. Wellness and health do not have the same meaning since health is divided into 5 different components which are: physical health, mental health, spiritual health, economical health and social health, while wellness mostly emphasizes a person’s responsibility for well-being by practicing health-promotion and their life style behaviours. When one is not healthy it does not necessarily mean that the person has a disease or has a pathogen since health as introduced above is divided into different categories. Wellness is when the five different categories of health are balanced and are all positive so if one of the components starts to get negative, we can say the person is starting to feel unwell due to lack of a certain health component. The following discussion will explain each aspect and my own personal opinion is given in each case. Physical health: Physical health concerns the whole physical parts of the human body. One must keep in control of what they eat by following a balanced diet, exercise regularly, not smoke, no drug use, drink water, sleep well and be hygienic. I personally think that these factors will help the well-being of a person and prevent and harm being caused to the physical body. Diseases may arise if one or more of these factors are not followed such as coronary artery disease, hypertension, diabetes, hypercholesterolemia, myocardial infarction, cancers (due to drugs, alcohol or smoking) and countless others. Some may argue that if a person is at a healthy weight they can eat junk food and others might say that if a person is stressed let them smoke since it relaxes them. One needs to be educated about these deadly vices at an early age as to prevent from starting because once a person starts one of these critical habits it’s difficult to stop and may lead to serious damages to body. Also some may arg ue that children should not be taught such things as it may influence them by trying them out since curiosity overcomes us but some might say that it is their decision and the future is in their hands so let them decide what they want in life. Finally in my opinion I would make people aware of what causes illnesses and these will inspire them to maintain a healthy physical body and reduce any risk factors. Those who argue against it, their opinion is accepted but if any future complications arise stopping these unhealthy habits may be even more difficult once taken after long periods of time. Mental health In order to be mentally healthy one must feel comfortable about themselves and raise their self esteem by accepting themselves as they are. Mixing with people and making friends help to stabilize a person and keep their mind positive which will help by avoiding falling into depression of solitude. Economical problems such as being in debt may lead a person to feel melancholic: ‘’More than a quarter of people with mental health problems were in debt.’’(Brian Krans, October 3rd, 2013). If a person is bullied seek immediate help before the victim starts to lose self esteem and may start feeling suicidal. Also if for any reason one may feel stressful, finding ways to calm oneself such as yoga, healthy food, exercise or even join a support group may help before matters go downhill since stress may cause further problems concerning physical health. Some may oppose my personal opinion by saying that if a person does not want to seek help from other professionals l et them be it is their life. Also some may say if a person would rather stay alone than mix with people it would be better for everyone so that person will not pass on their depression to others which most probably this would not happen. Letting people who are in a bad state stay the way they are without convincing them to change will have an impact on the people around them and care for them. Help people who are in need of support as to prevent future harm to themselves and to the people around them. Spiritual health Spiritual health does not necessarily mean believing in a higher being, but it also includes to feel by loving, being compassionate and forgiving. I agree that as human beings we have the capability to love and be compassionate with our partner and this makes one feel spiritually at ease. Forgiveness though must be earned and I personally think that if one asks for forgiveness they mean it and believe that what they have done was wrong. Others may say that everyone deserves forgiveness even if the person does not ask for forgiveness from their victim. These three values assist a person by gaining ethical intelligence, give the true meaning of life, make decisions easier to take, and appreciate all that is around us. Different people from all around the world have different religious beliefs and others have none. Involving oneself by visiting the specific place of worship for a certain religion will make one feel at peace in mind and spirit. I personally will not put my faith on a hig her being and don’t feel spiritually unhealthy. Some may agree with my thoughts and might not believe in superior power but others with different religions do and we must all respect each other. Most sick people pray to their god/s for health or a miracle and if these people did not have faith in such higher beings they would feel hopeless. Faith gives one hope by feeling spiritually at ease when praising their god/s and also when facing difficulties in life. Social health Being socially healthy means that one should get involved in society whether it’s a hometown or school, getting to know people around us and feel accepted. As human beings we crave acceptance from peers so everyone tries to go along with what the society as a whole is doing. Usually the outcasts of the social groups tend to make small groups of their own and find acceptance with other people with whom they find similarities with. Volunteering in a group or event will give one satisfaction that no other paying job will, such as helping the elderly and being appreciated. In my opinion I do not feel that I have to be accepted in society as a whole so instead I find comfort by needing to be accepted by my family and friends. We do not all have to click and have the same opinions but acceptance of who we are is enough. Some may argue that in order to be accepted in society one must follow the standard lifestyle and any uniqueness will not be tolerated. For example, the typical sexu al orientation is heterosexual, so in some countries around the world homosexuals are not accepted in the society and are labelled as odd beings which may drive these innocent victims mad so they try to be ‘normal’ while others rebel by forming gay right groups. Society has an immense impact on our lives and we all just want to be accepted by someone and be loved the way we are without judgements. Economical health Economical health is earned when people are young by receiving a good education for a future stable job. Continuing education such as attending university will increase the amount of pay in their job which will help the person by being financially stable. Finding a good job that makes the person happy will guarantee economical health if and only if the person does not abuse with the earned money. One must save up earned money and spent on essential equipment such as a home, a car, clothes, food, etc. In my opinion education is a necessity, where one may be grateful for it in the future since nowadays money is requested everywhere. Continuing education may be the hard part as some teenagers might be hard headed and start thinking of getting a simple job and start earning money on their own instead of studying further and get a career later on in life. Personally I would demonstrate on how easier life would be if they had to continue their education. Some may oppose by saying that if i t were not for some teens to be working such simple jobs their family may fall apart since the teenager is the breadwinner of the family. Some may even start a family at a young age and no other option would be possible except to work a simple job and earn enough money. One must be careful to choose the right choices offered in life and seek help when needed, professional if need be. Earning money is not enough one must spend money wisely and not abuse by gambling or buying drugs/alcohol or purchase unnecessary objects. Spending earned money on the right objects in life will give one good economical health. In conclusion to all this, one must try to balance out the five discussed topics above in order to maintain wellness and a healthy lifestyle to prolong life. If one has a good physical health, mentally at peace with no stressors, spiritual beliefs where one may keep hopeful, a good social status and fine economical health this will result by the person being well and healthy. Basically all in all the wellness of the person depends on the different health aspects by keeping them balanced and positive. References Edlin G., Goltanty E., McCormack Brown K., (1932), Health and wellness. (6th ed.). USA: Jones and Bartlett Publishers Krans B., How debt affects your mental health, retrieved January 12th 2013, http://www.healthline.com/health-news/mental-how-debt-affects-mental-health-100313 Strout K., Wellness promotion and the institute of medicine’s future of nursing report: Are nurses ready?, retrieved: January 13th 2012, http://www.nursingcenter.com/lnc/journalarticle?Article_ID=1333059 Ardell D., Definitions of health wellness, retrieved: January 13th 2014, http://www.ilru.org/healthwellness/healthinfo/wellness-definition.html Das B., New textbook, health and wellness for life outlines the six dimensions of wellness, 16th January 2014, http://www.humankinetics.com/excerpts/excerpts/new-texbook-health-and-wellness-for-life-outlines-the-six-dimensions-of-wellness Montague J., Whole-person wellness for vital living, retrieved: 18th January 2014, http://www.seniorfitness.net/Whole_Person_Wellness.htm 1 | Page Decision Making Environment Types: Case Study Decision Making Environment Types: Case Study Organization Management Jiani Li There are two major decision-making environments for managers to address changes, the programmed decision-making environment and the non-programmed decision making environment. Due to the different decision-making environments they work in, different managers may make different decisions in change management. In this case, Specialist Apparel Ltd. may use two change management approachesas to address its current change. One approach is to implement the directive approach, which highlights the boss’ right and authority to impose changes. In this case, Henry is the boss who has the authority to impose changes forcibly. Henry favors the directive approach because he works in non-programmed decision making environment, where a new solution is often necessary. The other approach is the expert approach that requires the problems in change management to be resolved by an expert (Northumbria University, 2014). In this case, the Production Director Jim Foster acts as the expert who argues that the company should rely on the existing employees and customers. Jim Foster favors the expert approach due to his programmed decision-making environment where he relies heavily on his past experience. The directive approach requires the company to contract with temporary employees. The expert approach requires the company to remain and train the existing employees so that they can operate the newly-purchased machines. If the directive approach is implemented, the change management will subject to Henry’s idea that the organization should focus on the new orders by bringing in new staff.The proponents of this approach include the boss, the sales staff and the new Korean customer Hyonsung. The key details of this approach: bring contract specialist staff who design the products and run the machines lay off some of the existing employees who are currently useless If the expert approach is implemented, the company should continue to focus on the existing orders by retaining the existing staff. The proponents of this approach include the production staff, the low-level employees, and the existing domestic customers such as Rebel Sport. The key details of this approach: Train the existing employees so that they can use the newly-invested CAM and CNC systems According to Bateman and Zeithaml, organizational change includes three major areas, the technological change, the structural change, and the people change (Advameg, Inc, 2014).All of these changes occur in internal environment of Specialist Apparel Ltd. A firm’s internal environment involves multiple factors including value, vision, policies, employees, shareholder, stakeholders, and assets and so on. In this case, the company can manage the technological change, the structural change, and the people change with use of directive and expert approaches. Firstly, the implementation the directive approach will start with people change by bringing with new staff. Then, the new staff will bring new technology into the organization, resulting in technological changes. At the same time, the company may manage the structural change through team building. Secondly, the implantation of the expert approach will bring about significant technological change to the organization by training the existing employees. Also, structural changes may be made as to support the technological changes. For example, the company may change management structure by establishing a new department. In this case, this approach involves no significant people change. Overall, no matter which of the approaches will be taken, there would be changes to the internal environment. Specialist Apparel Ltd’s change management problem is the conflict between the boss’ desire to obtain new orders and enter new markets and the company’s limited ability to fulfill it. The two approaches can be applied to these problems in different ways. One option to overcome this problem is the directive approach proposed by the Managing Director Henry Buck worth. If this approach is applied, the company will focus on the new contract with the Korean customer but drop 65 percent of the existing business. The company will start â€Å"bringing in new specialist contract staff to design the product and run the new machines†. At the same time, the company will seek to identify how to supply Rebel Sport, its biggest customer in New Zealand for the next few months. According its existing production capacity, Specialist Apparel Ltd would be unable to fulfill the domestic orders. The other option to overcome this problem is to adopt the expert approach proposed by Production Manager Jim Foster. If this approach is applied, the company will focus on supplying the existing customers while abandoning the new orders. To achieve this, the company will train up the existing employees to operate the new equipment. Also, the company will retain the existing designing staff without contracting new ones. 4. A change agent refers to the person who has the authority or skills to stimulate, facilitate, and coordinate the change effort. A change agent can be either internal or external. There are different roles that change agents may play in change management, such as consulting, training, and research (Lunenburg, 2010, p.1). In this case, Hyonsung, Henry Buck worth, and Jim Foster are the three major change agents in the change management process. The Korean customer Hyonsung plays a role of initiator in the change management because the company is the change agent who triggers a series of changes to Specialist Apparel Ltd. The advantage of Hyonsung is that it has determining power to make the changes. The limitation of Hyonsung is that the Korean company has little knowledge of Specialist Apparel Ltd. Henry, as the boss of the company, plays the role of leadership in the change management process. He has the power to enforce the change management approaches. Henry’s advantage in change management is his superior power over the implementation and far vision of the organizational future. However, Henry has limitations due to his lack of knowledge in production. Jim Foster plays the role of consulting in the change management process. As the Production Manager, Jim provides advices about change management approach, but need approval for further implementation. Jim’s advantage is that he is production expert. However, Jim has limitation that he has no overall vision of the organization. 5.  The contextual factors influence the company and the staff’s response differently. The organizational culture, which refers to the beliefs, attitudes, and practices that define an organization. An organizational culture can be described as its personality or character. Organizational culture has double roles. On the one hand, it integrates all the organizational members, facilitating the internal communication. On the other hand, organizational culture also helps organizations make decisions to adapt to external changes. In this case, the organizational culture may play a critical role in making the change management decisions. If the culture of Specialist Apparel Ltd is aggressive, it would be likely to adopt the directive approach, by bringing in new staff and focusing on new orders. By contrast, if the culture of Specialist Apparel Ltd is conservative, it would be more likely to adopt the expert approach, by retaining the existing staff and focusing on the current orders. Management style, refers to the way how the organization is managed. If the company has directive or authoritative manage styles, it is likely to adopt directive change management approach by bringing in new staff. If the company adopts affinitive or participative management style, it is like to adopt expert change management approaching by retaining the existing staff. Organizational ethics and value, which refer to the code of conduct that communicates the value of the organization to its employees(McGew, 2014).If the company pay less attention to stakeholders, it is like to follow the directive approach. If the company’s organizational ethics and value are based on the stakeholder theory, it is like to adopt the expert approach. Participation, which refers to the extent to which the employees participate in the change management. If Specialist Apparel Ltd has low level of participation, it is likely to adopt the directive approach. By contrast, if the organization has high level of participation, it would be more likely to adopt the expert approach. Communication, which refers to the level of communication within the organization. If the company conventionally has low level of communication, it will be more likely to implement the directive approach. By contrast, if the company has high level of communication, it will be more likely to follow the advice given by the Production Manager and adopt the expert approach. Environmental pressure, which refers to the pressure the company receives from the environment. The environment that a firm operates in can be divided into three levels, i.e. the internal environment, the micro environment and the external environment. Accordingly, the environment pressure may come from a number of sources, it is more complex compared to other contextual factors. In this case, the environment pressure mainly from the internal and micro-environment. In the internal environment, the environmental pressure may come from the employees. If the organization receive great pressure from the existing employees, the organization would be more likely to retain the existing staff and provide training courses to them. In the micro-environment, the environmental pressure mainly come from the existing and potential customers. If the existing customer gives great pressure, Specialist Apparel Ltd would be likely to focus on the existing orders. If Specialist Apparel Ltd receives great pressure from the potential customers, it would be likely to bring in new staff and drop some of the existing orders. Reference List: Advameg, Inc., 2014, ‘Managing Organizational Change’ [online]. Available from: http://www.referenceforbusiness.com/small/Mail-Op/Managing-Organizational-Change.html [Accessed 4 June 2014]. Lunenburg, F. (2010) ‘Managing Change: The Role of the Change Agent’, International Journal of Management, Business, and Administration, vol. 13, no. 1, August, pp. 1-6. McGew, M., 2014, ‘Definition of Organizational Ethics Values’ [online]. Available from: http://www.ehow.com/info_8447553_definition-organizational-ethics-values.html [Accessed 4 June 2014]. Northumbria University, 2014, ‘Change strategy and approaches’ [online]. Available from: http://www.jiscinfonet.ac.uk/infokits/change-management/strategy-approaches [Accessed 4 June 2014].

Career Objectives Essay

My career objective is to develop and build-up manpower with practical knowledge and problem solving skills to expand small and medium agribusiness enterprises and improve the productivity of agribusiness value chain in agricultural industry and also in my country. Also I plan to apply acquired knowledge and practical skills from TAMU to up-scale agribusiness management, farmer producer organizations and groups, agribusiness supply chain management and improve agribusiness marketing of processed commodities and small business enterprise development. To be involved in international research, outreach programs and teaching in various aspects of agribusiness management and Enterprise Development. These activities inform our domestic efforts and enable me to address important problems and opportunities in my country’s (Nigeria) agribusiness supply chain and Enterprise Development. Also to help in the attainment of the national objective of poverty alleviation and food security in my country as envisage by the Agricultural Perspective Plan (APP) through assured and efficient agricultural marketing system. To create environment for incentive price of the farmers at the same time help the consumers in their access to agricultural produces at a comfortable price. To carry out relevant agriculture marketing research activities to support the future marketing policies and programs. To facilitate and support agro entrepreneur’s association for promoting agribusiness and export from Nigeria. To construct and strengthen agriculture marketing infrastructure. Commercialization of the agriculture has been my priority at the recent time which has increased substantial market surplus of various agricultural commodities, like vegetables, fruits, species, cash crops and other agricultural products within the country. With the increase in volume of marketable surplus, t he need for assured market outlet has become very necessary. This calls for improvement is the my overall interest.

Technology and education

Introduction: Disability and TechnologyAccording to the U. S. Department of Commerce, more than half of all Americans use the Internet in some way, but â€Å"persons with a disability are only half as likely to have access to the Internet as those without a disability†¦ [a]nd while just under 25% of those without a disability have never used a personal computer, close to 60% of those with a disability fall into that category.† In addition â€Å"[a]mong those with a disability, people who have impaired vision†¦ have even lower rates of Internet access and are less likely to use a computer regularly than people with hearing and mobility problems† (National Telecommunications and Information Administration, 2000, p. xv).Cyndi Rowland, director of the Web Accessibility in Mind (WebAIM) project at Utah State University's Center for Persons with Disabilities, calls for a â€Å"national solution† to the problem of inaccessibility, especially â€Å"if we are t o abide by civil rights legislation, federal rulings, and common ethics† (Rowland, 2000, p. 10). Understanding the specific needs and concerns of students with disabilities may aid educators, information technology designers, and educational institutions to ensure that students with disabilities, particularly those who are blind or visually impaired, are not left behind in this technological â€Å"revolution.†The Internet and the web have become an integral part of higher education, transforming the educational experiences of all   students. In 1997, the World Wide Web Consortium (W3C), the international body that oversees the protocols and operations of the Internet, created the Web Accessibility Initiative (WAI). WAI is responsible for promoting web functionality for people with disabilities and establishing accessibility guidelines. In this age of computer technology, many of the tools needed to enable students with disabilities to obtain equity in education and be yond already exist. For those involved in educational institutions, these tools can provide opportunities and independence, eliminating the obstacles and barriers that many of the current systems still enable.A review of the literature related to attitudes and other barriers that people with disabilities must contend with every day at school and at work, the integration of computer technology in postsecondary education, and the needs and concerns of students with disabilities, in particular those who are blind or visually impaired, may provide some insights for future policies and guidelines regarding access and use of computer technologies for students who are blind or visually impaired.Technology: Enhancing Modern EducationExperiences of people with visual impairments in the workplace and their use of computer technology and the Internet was the focus of a qualitative study conducted in Australia by Williamson, Albrecht, Schauder, and Bow (2001). Primarily through focus group rese arch, the researchers presented the perceived benefits and concerns of the study's participants. Most agreed that the Internet enabled them to participate in an information and communication format that is becoming a primary source for many people. Many also saw the Internet as enabling them to be less reliant on others and, therefore, facilitating an increase in their own privacy.However, some were concerned about a reduction in social contact and an increase in isolationism. An additional concern was that there would be a decline in the quality of services from such entities as the government and banks because more is being done online. Training was viewed as critical to successfully using the Internet and computer technology. This, it was believed by many, was the key to achieving equality in the workplace, yet many felt it was a low priority by agencies and workplaces. Cost was also viewed as a barrier to accessing computers and the Internet.With various Internet advances, more individuals in all sectors of the community are working from home.   For visually impaired members of community the Internet has the potential to free them from the restrictions they have experienced in the past while seeking to obtain employment. â€Å"Once the challenges of access have been surmounted, [visually impaired] users can take their places in the digitalized workforce† (Williamson et al., 2001, pp. 693-4).With computer technology becoming a part of all college students' educational experiences, how are postsecondary schools preparing students for a computer-integrated future? To determine how the use of various technologies affect student learning, Shuell and Farber (2001) conducted a study of 728 sighted undergraduate and graduate students at a large northeastern university, where they found that, in general, students perceived the use of computer technology in their courses to be very beneficial. Students also believed that the use of communication technology brought an increase in their sense of involvement in a course.Eighty-eight percent of the sample indicated that their use of computer technology helped them learn materials and skills, and 75 percent indicated that using computer technology improved the quality of interaction with their instructor. Students also viewed the use of dynamic computer presentations and the Internet in lectures very favorably; it kept their interest, and the students believed that it improved their learning.  Ã‚  Ã‚   Students also favored electronic forums as a way to interact with their peers (e.g., email, listservs, and newsgroups) and believed that the use of these forms of computer technology increased the quality of these interactions.Another interesting finding in this study was that students who considered themselves to be more independent tended to respond more favorably to these technologies and the learning benefits associated with them. One theme of this study was the appreciation that stude nts had of the ability for computer technologies to enable independent learning. When serving the needs of students with disabilities, independence is a key factor to consider.Lewis, Coursol, and Khan (2001) examined the use and effect of computer technology on student development and education. They surveyed 124 sighted undergraduate students who attended a regional public institution in the Midwest. Technology choices, which included use of email, the Internet, and multimedia, were based on technology trends in higher education.Results indicated that the majority of students were comfortable with computer technology, using such tools as email and the Internet for both academic and social purposes. Both men and women spent about the same amount of time on email, class assignments on the computer, playing computer games, and shopping on the Internet. However, women spent significantly fewer hours surfing the Internet than men did.Consistent with Shuell and Farber (2001), Lewis et al . (2001) also confirmed that students believe the use of email increases their frequency of communication with faculty, which, in turn, enhances the faculty-student relationship and enables faculty to be more accessible. The issue of accessibility was discussed in this report and how there is a need for higher educational institutions to address this issue, which the authors indicate to be a social problem that has significant economic and social implications. They point to the need to recognize that there are some students, including those with disabilities, who may be at a disadvantage when a course requires the retrieval of materials from the web.The use of computer technology has become an accepted and expected component of every student's postsecondary educational experience. To better understand the use and effectiveness of these technologies, all of the studies used in this paper that focused on computer technology in higher education examined one or more aspects of the integ ration of these technologies into the educational system. The Arant (1996) study focused on the use of the Internet and the World Wide Web in higher education.Employing both qualitative and quantitative methods (phone interviews and a survey), it concluded that, while using online components to traditional courses did not support the apparent belief that online education saved time and money, it did change the way in which courses were taught, with additional online portions being incorporated into courses. For students who are visually impaired or blind, this could result in additional barriers.Computer Technology and Visually Impaired StudentsIn an extensive two-year study in Canada, Fichten, Barile, and Asuncion (1999) investigated the computer, information, learning, and adaptive technology needs and concerns of Canadian postsecondary students with disabilities. Of the findings from this study, computers were found to be critical to the success of students with disabilities, and the vast majority of students, regardless of gender, age, program of study, or type of disability, could and did use computer technologies to help them succeed. An important development that emerged from this study was that students often â€Å"cross-used† technologies. For example, while students with visual impairments are expected to use screen reader software, students with learning disabilities also used this software.The students in this study considered computers as â€Å"electronic curb cuts,† enabling technologies that allow students with disabilities to better prepare for and participate in the information-based economy of tomorrow. Fichten, et al. (1999) urged postsecondary education institutions to design for accessibility and to consider the needs of students with disabilities before making purchases.   What the authors describe as â€Å"troubling† is â€Å"the absence, in many cases, of planning for access† for students with disabilities by postsecondary institutions (Fichten et al., p. 179).  As some technological barriers fall, others are slowly erected as new technologies continue to become part of a student's educational experiences. One suggestion the authors had for government funding bodies to help raise awareness of these issues was to take accessibility issues into consideration when reviewing grant applications and to create incentives for businesses to develop and market technologies that are accessible to all students. The authors wrote: The enormous potential of computers to remove barriers to students with disabilities and concerns over barriers posed by limitations in access were central issues noted by respondents in all categories in all phases of the research (p. 180).Shaw and Giacquinta (2000) used a questionnaire that was very carefully developed, field tested, and revised several times before being used for this study. The sample consisted of 412 sighted graduate students. This study was very well thought out and documented.  Ã‚   The authors suggested that faculty integrate more computer technology into their curricula (e.g., with the use of such tools as Blackboard, WebCT, and course web pages). They did not, however, take into consideration the ramifications of that suggestion as it applies to students who are blind or visually impaired.  Ã‚   Unfortunately, unless having been asked to consider it, most faculty do not think about students who are blind or visually impaired (or who have any other disability) when they begin to integrate technology into their curriculum.Shuell and Farber (2001) piloted a questionnaire and discussed it within two focus groups before using it for the study. Their sample was composed of 728 sighted undergraduate and graduate students.  Ã‚   Both qualitative and quantitative data showed a link between active, participatory learning and the positive perception of students regarding technology as a learning tool; they also confirmed tha t the use of technology made the classes seem more personal to the students.However, the authors caution that the apparent relationship found in their study between a positive perception of computer technology by students and students' actual learning is still unclear. Lewis et al. (2001) used an author-constructed survey, which they described as â€Å"a self-report, forced-choice survey.† One of the problems with this study is that a self-report is subject to response bias, although the results of this study were consistent with the others regarding a positive perception and use of computer technology by students in postsecondary institutions. Both Shuell et al. and Lewis et al. recommended that future research focus on the impact of technology on student learning. Lewis et al. also recommended the need to examine the use of technology among specific groups, such as students who are Hispanic, African American, and commuters.ConclusionGiven the state of existing literature in the area of postsecondary students who are blind or visually impaired, combined with the overwhelming integration of computer technology into the academic environment, there is still a need for a more substantive exploration into how postsecondary institutions are supporting and serving the best interests of these students. Disability scholars Susan R. Jones and Julie Smart point out the relationship between individuals who have a disability and how society views people with disabilities. They assert that disability is a universal issue, and yet there is no single disability experience.With a focus on the prejudices, discrimination and stigma experienced by people with disabilities and their responses to their disabilities, Jones (1996) and Smart (2001) define disability as a socially constructed phenomenon that combines the experiences of those living with a disability together with their environments. Goggin and Newell (2003) further state that â€Å"in the name of inclusionâ₠¬  society builds disability into digital technologies, arguing that disability has been constructed in the technological world of computing and computer networks and that there is a need to critically analyze the ways in which it is constructed within contemporary society.ReferencesArant, Jr., M. D. (1996, August). Going online to teach journalism and mass communication.   Ã‚  Ã‚  Ã‚   (ERIC Document Reproduction Service No. ED399596)Fichten, C, Barile, M., & Asuncion, J. V. (1999). Learning technologies:Students with   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   disabilities inpostsecondary education [Montreal: Final Report to the Office of   Ã‚  Ã‚  Ã‚   Learning Technologies]. Adaptech Project,Dawson College. (ERIC Document   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Reproduction Service No. ED433625)Goggin, G. & Newell, C. (2003). Digital disability: The social construction of disability in   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   new media. Lanham, MD: Rowman & Littlefield.Jones, S. R. (1996). Toward inclusive theory: Disability as social construction. NASPA   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Journal, 33(4), 347-354.Lewis, J., Coursol, D., & Khan, L. (2001). College students @ tech.edu: A study of comfort and the use of technology. Journal of College Student Development, 42(6), 625-631.National Telecommunications and Information Administration. (2000). Falling through the   Ã‚   net: Toward digital inclusion. A report of American's access to technology tools. Retrieved March 18, 2009, from   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.ntia.doc.gOv/ntiahome/fttn00/Falling.htm#6Rowland, C. (2000, October). Accessibility of the internet in postsecondary education:   Ã‚   Meeting the challenge. Paper presented at the Universal Web Accessibility   Ã‚  Ã‚  Ã‚   Symposium 2000, San Antonio, Texas. Retrieved March 18, 2009, from   Ã‚  Ã‚   http://www.webaim.org/articles/meetchallenge/Shuell, T. J., & Farber, S. L. (2001). Students' perceptions of technology use in college      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   courses. Journal of Educational Computing Research, 24(2), 119-138.Shaw, F. S., & Giacquinta, J. B. (2000). A survey of graduate students as end users of   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   computer technology: New roles for faculty. Information Technology, Learning, and   Ã‚  Ã‚  Ã‚   Performance Journal, 18(1), 21-40.Smart, Julie (2001). Disability, Society, and the Individual. Gaithersburg, Maryland: Aspen Publishers.Williamson, K., Albrecht, A., Schauder, D., & Bow, A. (2001). Australian perspectives on the   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   use of the internet by people who are visually impaired and professionals who work   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   with them. Journal of Visual Impairment & Blindness, 95(11), 690 – 701.

What Disorder ( Ocd ) Do You Think Sonya Is Likely...

Daniella Salawu What disorder(s) do you think Sonya is likely experiencing? Provide support for the diagnosis/diagnoses you make, walking me through your reasons. Specifically, you might outline what is needed to meet diagnostic criteria and explain how the patient fits these criteria. (10pts) Sonya is likely experiencing obsessive-compulsive disorder (OCD). It is the disorder that exhibits recurrent obsessions and/or compulsions (Nevid pg. 189). Obsessions are recurrent and intrusive thoughts (189). In this case study,Sonya admitted that she was a lifelong worrier. She also states that she repeatedly in a state of anxiousness or worriness (frets) about her family’s health, her future, and finances ( 189). Compulsions are repetitive behaviors that the person feels compelled to perform ( 189). Sonya has exhibit some compulsions in her perfectionistic tendencies. In Sonya childhood, she reviewed her homework assignments multiple times for â€Å"careless mistakes†. She even stated that she spent three times as long on homework than other children. In high school, she was very preoccupied in her appearance. She would iron her clothes the night before class. The next morning, she would check for wrinkles. If she find a wrinkle, she would iron her clothes ag ain. Perfectionist’s beliefs involves exaggerating the consequences of submitting less than perfect work. They might feel compelled to redo their works until every detail is flawless (190). For example, Sonya states that

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. 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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. 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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. 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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). 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