Saturday, August 31, 2019

Thrasymachus’ Views on Justice

The position Thrasymachus takes on the definition of justice, as well as its importance in society, is one far differing from the opinions of the other interlocutors in the first book of Plato’s Republic. Embracing his role as a Sophist in Athenian society, Thrasymachus sets out to aggressively dispute Socrates’ opinion that justice is a beneficial and valuable aspect of life and the ideal society. Throughout the course of the dialogue, Thrasymachus formulates three major assertions regarding justice. These claims include his opinion that â€Å"justice is nothing other than the advantage of the stronger,† â€Å"it is just to obey the rulers,† and â€Å"justice is really the good of another [†¦] and harmful to the one who obeys and serves. † Socrates continuously challenges these claims using what is now known as the â€Å"Socratic method† of questioning, while Thrasymachus works to defend his views. This paper seeks to argue the implausibility of Thrasymachus’ views through an analysis of his main claims regarding justice, as well as his view that injustice brings greater happiness. In Book I of Republic, Socrates attempts to define justice with the help of his friends and acquaintances. After a number of suggestions prove false or insufficient, Thrasymachus tries his hand to define the term, convinced that his definition rings true. Thrasymachus begins in stating, â€Å"justice is nothing other than the advantage of the stronger,1† and after prodding, explains what he means by this. Thrasymachus believes that the stronger rule society, therefore, creating laws and defining to the many what should be considered just. He pertains, however, that the stronger create said laws for their own benefit and therefore in acting justly, the ruled are performing for the rulers benefit and not their own. This argument is not feasible for a variety of reasons. One of the key characteristics of justice is fairness, which can also be defined as being reasonable or impartial. 5 Impartiality means that you do not favour one side over another6, and therefore implies that if one were to act justly and therefore impartially, they would not act in a way to benefit only a select few. Furthermore, justice in its true form cannot be used solely for the advantage of the stronger without the masses acknowledging the injustices being imposed upon them, as Thrasymachus suggests is the case. For justice is one of the many characteristics of morality, which is considered to be intrinsic based on an inner conviction. 7 Therefore, if the many were acting against said inner conviction wholly for the benefit of the stronger, would they not experience a natural feeling of injustice? This argument alike can be used to refute another of Thrasymachus’ primary claims that â€Å"justice is really the good of another [†¦] and harmful to the one who obeys and serves. †3 In addition to his definition, Thrasymachus argues the value of justice as a human or societal characteristic, claiming that injustice is far more beneficial to the individual. Thrasymachus asserts that tyranny: makes the doer of injustice happiest and the sufferers of it, who are unwilling to do injustice, most wretched. †¦] injustice, if it is on a large enough scale, is stronger, freer, and more masterly than justice. 5 To decide whether an unjust man finds more happiness than a just man does, one must understand the true meaning of the word. The dictionary defines happiness as â€Å"characterized by pleasure, contentment, or joy. †8 Thrasymachus typifies the unjust man as someone who is constantly seeking self-fulfillment, pleasing their desires no matter what the cost to others. It is in their nature to never be satisfied with what they have, and therefore it is unlikely that the unjust man could ever experience true contentment. In contrast, the just man is content upholding laws and acting for the greater good and is therefore capable of experiencing a greater happiness than one who partakes in injustices. The dictionary goes on to state that happiness can also be defined as â€Å"feeling satisfied that something is right or has been done right. 8 Thus, an unjust man could never truly be happy, as they are aware of the injustices they have committed unto others in order to benefit themselves. In addition, if one is to look to the cardinal virtues, not only is justice itself included, temperance is as well. Temperance, meaning â€Å"restraint in the face of temptation or desire†9 is not a characteristic of an unjust man. In fact, Thrasymachus argues that one should always seek to fulfill their own desires exercising injustice as a way to do so. Virtue is said to be a measure of one’s worth, therefore, in turning their back on it, an unjust man could never be as self fulfilled and happy as a virtuous one. The first book of Republic illustrates a diverse range of views in reference to the definition of justice. None, however, evokes such controversy and analysis as Thrasymachus’ dialogue. His point of view calls to the forefront a number of important questions regarding the issue, and is an essential piece to Plato’s puzzle of defining justice. Thrasymachus’s arguments in and of themselves, however, are implausible as discussed above. Not only does his claim that â€Å"justice is nothing other than the advantage of the stronger,†1 go against morality and assume the masses naive, but his attempt to prove that the unjust man is happier than the just man is insufficient and untrue. Works Cited Encarta World English Dictionary. 2004 Plato. The Republic. Translated by G. M. A. Grube. Revised by C. D. C. Reeve. Indianapolis/Cambridge: Hackett Publishing Company. 1992. 382c

Friday, August 30, 2019

Internal & External Conflict Essay

Struggle, struggle, struggle! We live in a time of conflict, external and internal. External conflict is a struggle between man and an outside force. Internal conflict is a struggle between man and self. Dealing with each conflict can be difficult, but there’s always a way to deal with it nonetheless. Dealing with internal conflict can be more difficult because you’re dealing with your own emotions and it can sometimes lead to depression. Don’t push away your thoughts if you are dealing with internal conflict. Pushing away your thoughts would make the situation more intense. Think about ways you can manage it instead of pushing the thoughts away. It can help if you write the conflict down or don’t let your mind fight itself. Dealing with external conflict is sometimes more simple. Effective listening is a way to deal with external conflict. It’s important to listen and understand the other person’s point of view. Effective listening doesnâ₠¬â„¢t always work out which is why communication is key. It’s important to clearly communicate your own feelings without putting the other person on the defensive. The conflicts I have dealt with in my life are mostly internal. I try my best to keep my problems within myself so that the conflict I’m dealing with doesn’t become another person’s problem. I wouldn’t want an internal conflict to become an external conflict, so I manage my problems myself. Growing up, I’ve always found it difficult to choose between one choice and the other. My most common line I’ve used is â€Å"It doesn’t matter†. I have always been scared of choosing one thing and having it become the wrong choice. Even up to now, I still use that line. I know it’s going to become a problem. Real soon, I would have to stop using that line and start making choices myself. The choices I have to choose from could be as little as which flavor of ice cream I want to as big as choosing when I want to start driving classes. I have to stop having other people choose for me and start choosing for myself because one day, itâ₠¬â„¢s going to become an even bigger problem. Other than that, if something personal were really hitting me hard, I would draw or read just to get through the problem. I would most likely read to escape reality because being in the book’s world is a place I would rather be in at that moment. I rarely deal with external conflict. When I do, I take it really hard because I haven’t dealt with much external conflict in my life. I try my best to be a good person and prevent myself into getting into situations with another person. If I were ever dealing with external conflict, it would most likely be a disagreement with another person. I’m that person who stands their ground. If I had an opinion or a chance to prove someone wrong, I would. It’s not about being right; it’s about preventing another person into believing something else when it’s wrong. Yes, everyone is entitled to his or her own opinion, but sometimes that opinion of something is not right. I have a lot of patience, so I wouldn’t snap at someone right when there’s a disagreement. If someone were really getting on my nerves, I would stand my ground. I would say what I have to say then stop and walk away because sometimes, it’s just not worth it. One external conflict I always have to deal with is plain and simple, my brother. I have three older brothers, but one specific brother of mine is a complete nuisance. We fight on a daily basis and sometimes standing my ground isn’t even worth it. One night, we had a disagreement on school. My brother believes that school is a waste of time and being book smart is not as beneficial as having common sense. He says that being book smart isn’t going to get you anywhere in life and that common sense will make you more successful. I disagree with him completely because nowadays, you need an education to have a successful life. I just want to prove to him that I’m not going to be a failure and striving to do my best is going to pay off. Everyone is going to have to encounter a conflict in his or her life. Nobody’s perfect and everyone’s different so there’s always going to be problems. Conflict isn’t a bad thing. The only kind of bad conflict is unresolved conflict. Getting through a conflict will make you stronger and you’ll be able to conquer life more successfully. Internal conflict is harder to deal with in my own opinion because with internal conflict, no one can help you but yourself. You can get help to deal with an internal conflict, but at the end of the day, it’s up to yourself to get through the problem. When it comes to external conflict, there will always have someone who has your back and will help you out, which is why internal conflict is worst. One conflict can become stronger than the other if you are better at handling one conflict and getting past it than the other. The best ways to deal with internal conflict is to talk about the problem or do something to get your mind off it. The best ways to deal with external conflict is think about a way to solve the conflict without making it worst, walk away, or once again, do something to get your mind off it. One little tip, attitude will only make the conflict worst. Conflict is inevitable and it’s needed. Conflict develops a character. If there weren’t conflict in the world, life would be a bore.

Thursday, August 29, 2019

King Lear Quote Analysis

â€Å"The art of our necessities is strange,' That can make vile things precious. † (3. ) 3. A. Speaker Lear b. Context Lear is raging out in the storm, the Fool urges Lear to find shelter c. Significance While Lear is raging and letting his anger get to the best of hi m, he realizes hat giving all Of the power to Generic and Reagan were foolish decisions. He did don't think about how ruling the kingdom granted him so much power, and realized this when he threw it all away foolishly. Lear learns that you can hate something or someone, until the mom entity need it most. L have no way, and therefore want no eyes; I stumbled when I saw. † (4. 1) 4. A. Speaker Gloucester b. Context Edgar sees an Old Man leading Gloucester, who is remorseful ova ere hating on Edgar, whom he loves and misses. C. Significance Gloucester claims that he would rather be able to see people from the inside, rather than the outer appearance or how they seem. He wants to know the try HTH of everyone s ince he didn't see the people for who they are, but saw them just from hearing ABA out them and assuming who they were.Gloucester doesn't want anymore misunderstanding gas, because that is what caused all of these trials. He realizes that you can only see a person for who they are by their actions. â€Å"The weight of this sad time we must obey;' Speak what we feel, not what we ought to say. / The oldest hath borne most: we that are young/ Shall never see so much, nor live so long. (5. 3) 5. A. Speaker Edgar b. Context Albany, Kent, and Edgar discussing after the tragedy that had jug SST taken place. . Significance Edgar has came up with the conclusion that speaking what we feel and had time to think about it rather than just blurting out whatever is on our mind is t he wisest thing to do because it'll end up in a tragedy such as this. Edgar also states that he, all Eng with Albany and Kent, can never see worst than the tragic events that occurred such as the De tats of Lear and hi s daughters, and his father and brother, Gloucester and Edmund.

Management and Business Essay Example | Topics and Well Written Essays - 1750 words

Management and Business - Essay Example So the hue and cry by environmentalists to create such regulations does not seem too environment-friendly, after all [Bhagwati (2004), p.137]. The infant food manufacturers, of these Nestle was specifically targeted by social organizations, contributed to the death of infants from less developed countries (LDCs). They sold their products to people incapable of using them properly. The charges were that many third world nations have contaminated water supply and parents dilute the formula to stretch the supply. The defence by nestle stated that it has never advertised to substitute breast feeding with bottle feeding and that It had actually promoted formula as supplement to aid nutrition. Since mothers in poor nations have deficiencies or their work schedule does not permit them timely feeding. However, despite strong protests against the infant formula controversy, these multinationals are still strongly holding their place in LDCs [Auscampus (2009)]. When government reprimands a fac tory, through its regulations, for dumping hazardous waste into river or destroying environment by its activities, the company can obey the government by cleaning up environment or upgrading its processes. Alternatively it may move over to some other country, the LDC, for its operation. The LDC requires revenue generated by the company but does not use any high tech environment protection rules [VEXEN Crabtree (2006), pars. 2-3]. Are multinationals getting more powerful than state governments The answer could be obtained by evaluating the financial strength and extent of employment generated by these. If the revenue of General Motors and Ford put together, it would supersede the GDP for all of sub-Saharan Africa. The car multinationals are directly providing employment to more than 20 million people and to a lot more in the associated industries. Today these are in position to decide the fate of government. The ownership and power is same with other industries also. Today two corporations control 80 percent of the coffee production of world; merely four corporations account for 87 percent of the world's tobacco industry, and two corporations--Boeing and Airbus have almost monopoly over civilian airplane production by having a share of 95 percent. The top 200 firms now control one fourth of the world's monetary activity. Among the top 100 of these, increase in total assets has been extraordinary. Their assets have gone up to USD 4.2 trillion in 1995 from USD 0.5 trillion i n1980. For example, the wealth of the food and retail multinational Wal-Mart, after buying Asda in Britain, has become more than 161 countries including Israel, Poland and Greece. General Motors is bigger than Denmark while Ford is bigger than South Africa [Morgan (2000), pars.3-5]. These multinationals are better organized than the states where they invest their money. It gives them power to negotiate and manipulate deals particularly in weak and developing nations [Kehl (2009), p.2]. The globalization is not only changing the powers of state, it is also changing the territories of the states. Ohmae [1993 as cited in Axtmann (1996), p.119-120] explained that global economy is

Wednesday, August 28, 2019

Application of epidemiology Case Study Example | Topics and Well Written Essays - 1500 words

Application of epidemiology - Case Study Example of the infections that have occurred within the past year at the facility include the E Coli infection that infected 6 patients at the hospitals Ward 10. Records at the institution also show that there was infection of Fever, coughs and foul smelling urine in various other wards during the same year. Most of the patients who reported high fever were the patients in the intensive care unit but this lasted only a week before it the situation was stabilized. There were 3 patients at the ICU at that time, two males and a female and they recorded high temperatures from late at night till early morning.The other outbreak of these infections was in the pediatric ward, Ward 5 where there was a breakout of cough infections. At the time, the ward had 12 patients, 8 boys and 4 girls. The infection started with a small boy and within a week 7 other patients at the ward had already been put under cough medication. The situation was stabilized in two weeks as the records show this is when the coug h treatment stopped. The treatment of these infection results in an increased expenditure by the hospital. It is therefore important to determine who will bear the costs of this treatment, whether it is the patients, the hospital or if it will be shared by both of them. Even though the patients did not come to the facility with these diseases, they will have to be treated as soon as the symptoms are noticed. The patients can then decide not to pay the extra cost for this extra medication by claiming that the cost was due to negligence by the staff and therefore the cost of treatment lies with the hospital. The issue of whether the patients should be informed of these infections should also be discusses. This is because they might occur without the knowledge of the patients who might think it is just another infection related to their current situation. If they are made aware of these conditions they can sue the hospital for negligence, on the other hand if the patients become aware

Tuesday, August 27, 2019

Do Merit-Based Scholarships Make Sense Research Paper

Do Merit-Based Scholarships Make Sense - Research Paper Example This essay discusses why merit-based scholarships do not actually make sense and why they are unfavorable and unfair for financially needy students. Because of their vested interests, university and college managements seek to attract meritorious students through merit-based scholarships to enhance the public image and fame of their institutions. Merit-based scholarships are provided irrespective of the beneficiary’s financial status, often resulting in the provision of scholarships to those who can already afford their education, and may also result in the disproportionate distribution of financial aid at the expense of need-based scholarships. These scholarships are usually based on admission tests that are not designed for this purpose, and therefore, they are unfair and damage the educational system. In fact, it appears that merit-based scholarships are designed to satiate the interests of college managements and often violate the rights of those actually in need of financ ial aid. These scholarships do not really make sense because financial assistance is provided to the student irrespective of whether he/she needs it or not. As will be discussed further on, merit-based scholarships do more harm than good to the education system. ... A look at Lewis & Clark College scholarships shows that meritorious students in fields such as music and forensics, and those with leadership qualities and other such traits are more favored. Peter Schmidt (2007), in his article, â€Å"At the elite colleges - dim white kids†, argues that the admission policies of most colleges are not usually fair and that more preference is often given to whites from affluent families or those with connections. According to him, students with â€Å"connections† or are from wealthy families obtain entry into colleges and universities selectively through recommendations from wealthy alumni and donors who grant endowments to those educational institutions. Schmidt further argues that the endowments received by educational institutions are also disproportionately distributed. According to him, only 40% of the money from financial aid is being distributed to students having financial need. The remaining is being used for merit-based scholar ships to â€Å"potential recruits who can enhance a college's reputation, or appear likely to cover the rest of their tuition tab and to donate down the road†. As Grossman puts it, â€Å"colleges are like any business for whom â€Å"quality† customers enhance the reputation of the product and attract other customers† (1995). Educational institutions must move on from being mere â€Å"businesses† with vested interests to being cradles of quality education with equal educational opportunities for all. It is seen that merit based scholarships are provided irrespective of the beneficiary’s financial status. Even if a student is wealthy enough to afford his fee, he avails merit-based scholarships based on his exceptional achievements. Other needy students who cannot afford their education

Monday, August 26, 2019

Cloud Security and Privacy Issues Research Paper

Cloud Security and Privacy Issues - Research Paper Example The purpose of this literature review is to outline some of the important security aspects which are discussed in other researches. These days the use of cloud computing has become an attractive trend. Many organizations at the present use clouds to manage their business operations. However, there are several security issues attached with cloud computing. Cloud computing is an up-and-coming paradigm, which guarantees to make the utility computing model broadly implemented by using Virtualization technologies. Additionally, an increasing number of business organizations have begun offering and utilizing cloud-enabled architectures and services. On the other hand, the progression of cloud computing creates a number of new challenges to existing techniques and approaches to build up and change software intensive systems. In this scenario, outline a number of security issues in a cloud computing environment. These problems and issues comprise physical security, data security, middleware safety, application security and network security. However, the key goal is to effectively store and administer data that is not managed by the owner of the data. In addition, the previous researches have focused on specific areas and aspects of cloud computing. Especially, those researches have assessed such issues in a bottom-up approach to security where we are operating on little issues in the cloud computing arrangement that we hope will resolve the bigger issues and complexities of cloud security (Hamlen, Kantarcioglu, Khan, & Thuraisingham, 2010). Initially, they have shown that â€Å"how can we protect data, information and documents that can be published by a 3rd party organization. After that, they have shown that how to protect co-processors and how they can be utilized to improve security. This research lastly discussed how XACML can be established in the Hadoop atmosphere and in protected federated

Sunday, August 25, 2019

Human Resource Management Research Paper Example | Topics and Well Written Essays - 2500 words

Human Resource Management - Research Paper Example The case study is all about the Jet Blue Airways which was founded by David Neeleman in the year 2000. The company has been trying to provide superior service to its staffs and has been constantly struggling for finding the right candidate who could blend with the culture of the organization. Rigorous training was provided to the staffs depending upon the duties and responsibilities. Moreover, the employees or the crew members went out of their way by helping the passengers; and the pilots used to interact with the customers and also engage themselves in activities such as cleaning up the plane for the next flight. The airport manager was found issuing the boarding passes. While recruiting the candidate, the company looked for people who had a positive attitude as the candidate was often asked to do certain things that were not a part of the job description. The airlines basically looked for the five values in the people they hired and these traits were given the first preferences. T he company’s recruitment and selection process have been quite complex. The selection process of the Jet Blue Airways has been focused on the ability of the applicant to handle the situation on several hypothetical situations. Even during the selection process the company tried its best to find the candidates’ abilities to imbibe the values of the Jet Blue. It was also found that despite having revolved around the values of the organization, the employees reported that they were unhappy with the leaders. From the above paragraph, it is evident that the company had a very complex recruitment and selection process. Moreover, it has been focusing more on the values during the selection and the recruitment process. Although, the culture of the organization has helped the company to perform well in the near past, however, it is not always possible for a candidate to have all the five values that the companies look for while recruiting and selecting the candidate. The compan y may face several problems if they have such tight recruitment and selection process. The company also faced problems of leadership and teamwork despite the leaders getting the best training. The company always realized the need to focus on the training of the leaders as they would guide their followers to adhere with the culture of the organization.  

Saturday, August 24, 2019

The Role of Computers in Industrial Espionage Research Paper

The Role of Computers in Industrial Espionage - Research Paper Example is, sharing sensitive information with suitable parties while protecting that information against competitors, suppliers, vandals, foreign governments, and customers. The attempt to gain access to a company’s plans, products and clients’ information, and whatever trade secrets are, is considered as industrial espionage. It describes activities such as theft of a business formula, practices, processes, design, instrument, pattern, or any vital information which is generally not accessible because these give the company leverage from competitors. Some other acts associated to this are bribery, blackmail, and technological surveillance. Intellectual property crimes are grave offenses in their own right, â€Å"not because they inflict physical injury or death upon a person, but rather because they steal creative work from its owner.† (Nasheri,) It is inevitable that a company aspires to know the business moves of a rival business and this has been the primary concern of some of the largest companies in the world. They have an annual budget and pool of people to handle these concerns. While it is true that to â€Å"survive in tod ay’s cutthroat business environment, [one] must be properly armed. And one of the most important arrows in the businessman’s quiver is accurate knowledge of his competitors and business environment – in other words, detailed knowledge of the enemy and the terrain of the battlefield,† (Rustmann, 2004) it is however unfortunate that commonly this said conduct is illegal. Oftentimes, rival companies will browse through public records in order to pre-empt actions about another company. However, when the search becomes private, industrial espionage is an unlawful act and punishable with financial penalties and sometimes jail time. Furthermore, this may lead businesses to bankruptcy and also affect the ties of friendly nations for when it already surpasses national boundaries it can make allied nations momentarily are indecisive and doubt

Friday, August 23, 2019

Fatigue design consideration in columns under wave cyclic loading Research Paper

Fatigue design consideration in columns under wave cyclic loading - Research Paper Example Studies reveal that there are significant calculations and estimations that need to be considered to determine the effects of wave conditions on these structures. The present study focuses on these factors, and the types of fatigues that are possible. This would bring into light the necessity for experts to consider an extensive study on the structures, the materials employed and the conditions of the waves such that effective measures may be applied in the process of construction. Introduction: Considering the issue of cyclic wave loading, it is necessary to understand that both cyclic strains and residual strains or strains that are permanent in nature are developed when a sequence of cyclic loads affect the underground soil. The permanent or residual strains stay behind at the end of each cyclic load reflecting a growing effect that gets accumulated with the effects left by earlier storms. Greater attention has been provided to evaluations of peak cyclic displacements that occur a long with a storm. However there are greater needs for studies on issues of permanent displacement. While considering these issues, it is also necessary to take into consideration the relationships among the properties of the soil, cyclic loading as well as well as the residual strains and the shear stress (Marr et al, 1981, pp.1129-1130). Concrete components used in offshore structures encounter forces of strong wave owing to frequent storms and are open to tremendously rigorous conditions of the environment leading to decay of steel that is fixed in the structure and worsening of the concrete material. Fatigue loading tests are conducted in this regard in order to obtain fatigue properties of column joints that are already stressed, the results of which can then be compared to those obtained from static loadings. Considering joints and columns in the offshore structures, it has been found that many types of offshore structures constituting concrete that is already stressed have be en built up with intentions to make use of the space of the offshore and to take advantage of the natural resources in offshore regions (Kiyomia et al, 1988, p.139). The present study focuses on the concept of fatigue design implemented in columns under cyclic wave loading. Literature Review: Kiyomia et al (1988, pp.139-140) in their studies had discussed about the determination of the conditions of waves for fatigue designs. According to them the waves of sea are an assortment of numerous sinusoidal waves reflecting different periods of time and amplitudes. Moreover, the conditions of the wave vary based on the site of the construction. The conditions of the waves at every location need to be estimated and assessed by statistical procedures by means of wave records. â€Å"The relationships between the numbers of waves and the wave heights are needed to determine the fatigue limit state according to the service life of the facility when using Miner's rule for calculating the fatigu e strength of the joints. To estimate the serviceability of the joints, the wave conditions, expressed as the number of waves and wave heights over a period of 1 month to 1 year, are needed†. A study considered by International Maritime Organization discussed that the likelihood of damages to fatigue designs owing to cyclic wave loading need to be taken concern of in the â€Å"design of self-elevating and column-stabilized units† (International Maritime Organization, 1990, p.72). Such analyses of the fatigue designs are required to be conducted with the studies based on the intended mode and the operations involved in the designs of the units. Also, the analysis needs to consider the life of the intended design and the convenience of individual structural

Thursday, August 22, 2019

I-phone advertisement Essay Example for Free

I-phone advertisement Essay An enormous amount of potential as well as an enormous amount of controversy is associated with the new age of recorded music and especially regarding how the new digital technology pertains to artists royalties and corporate profits. The problem is basically one of free-access and the debate over file-sharing and free downloading which has been raging for many years now. With new products like the I-phone further establishing digital access and portability at the top-tier of consumer demand, the controversy regarding corporate and artist royalties and issues of copyright promises to extend far into the future. The I-phone is represented in a recent ad as almost as a natural force of nature and implies that those who have not experienced its capacities are, in fact, living a lesser-life; (I-pod, 2007) in fact the new age of music is upon us regardless of whether the next turn in technology will expand or restrict access for consumers. The overall problem can be broken into two sub-problems 1) file sharing by consumers which results in royalty losses for the corporate or artists interests and 2) the issue of fan-made remixes of artists material which may result in a radical alteration of what the artist originally intended. In order for both issues to be addressed simultaneously it will be necessary to adopt some form of free file-sharing which is not wholly free, and which we will presently discuss. Proposal My proposal is that all major-label record companies include the option of a limited number of file-share downloads which are available for those who purchase a specific number of products and/or pay a fee to access this service. What this means is that each major label would post the music on their label online and allow free downloads of a portion of their catalog while leaving the hottest newest releases or niche market products in a state of buy-only. Simultaneously, the labels could offer on online DJ or radio service which should function similarly to the Yahoo online Jukebox or other similar sites. The free access of samples of the record labels catalog would also be a form of music sharing but not file sharing as the files could be heard on-site but not downloaded. Opposing Views The new-wave of technology has not only made it harder for headline artists to ensure that their due royalties are paid to them for their music, but it has made it much more difficult for big-name artists to ensure that anyone is even listening to their music at all. The idea that small-time musicians and even un-signed musicians and bands can attract downloads as well as those acts and bands which are backed by huge corporations. The new environment is a dual challenge to music industry players[] First, with so much music available, the greatest threat to big record companies is not that listeners will consume their music illegally but that they will consume, whether legally or illegally, someone elses music entirely (Drew, 2005; p. 543) which may be the most exciting promise of all from a consumers perspective. Research sources indicate that the radical evolution has just begun and will have far-flung consequences that cant be presently predicted. One authoritative source, Edgar Bronfman Jr., the head of Universal, the worlds biggest music company,(Mann, 2000; p. 39) said the following regarding the future of the entertainment industries: a few clicks of your mouse will make it possible for you to summon every book ever written in any language, every movie ever made, every television show ever produced, and every piece of music ever recorded. In this vast intellectual commons nothing will ever again be out of print or impossible to find; every scrap of human culture transcribed, no matter how obscure or commercially unsuccessful, will be available to all. (Mann, 2000; p. 39) Of course to Bronfman and others like him with a vested interest in the consumption of entertainment products, particularly music, the new technologies are viewed as an evil threat. This threat is financial in nature: the thought of such systems spreading to films, videos, books, and magazines has riveted the attention of artists, writers, and producers (Mann, 2000; p. 40) all of whom are, obviously, looking to preserve and extend their lucrative financial holdings into the new age. Conclusion It would be impossible to completely shut-down file sharing of music online or to completely stop online music piracy. However, a similar situation existed and still exists for movies, television shows, and video games all of which can be illegally recorded and shared as well as ripped without due pay to the companies and artists who produced them. By adopting new approaches to free-share options, record companies and artists might at least begin to recover some of the lost revenue base they have experienced as consumers migrate to illegal sites for file downloads. References Anonymous. I-phone advertisement, archived You-Tube; accessed 11-26-07 ; http://youtube. com/watch? v=FLxB4pHH_GY Mann, Charles C. Heavenly Jukebox: Rampant Music Piracy May Hurt Musicians Less Than They Fear. the Real Threat to Listeners and, Conceivably, Democracy Itself Is the Music Industrys Reaction to It; The Atlantic Monthly, Vol. 286, September 2000. p. 39+ Drew, Rob. Mixed Blessings: The Commercial Mix and the Future of Music Aggregation; Popular Music and Society, Vol. 28, 2005. p. 533+

Wednesday, August 21, 2019

Harley Davidson History Essay Example for Free

Harley Davidson History Essay Actually, the history of the Harley-Davidson Company began in 1903, when two brothers, Bill Harley and Walter Davidson, invented their first motorcycle in Milwaukee (Gannon, 2002, p. 8). At that period of time other companies produced motorcycles in the North-American states and one of them, the Indian Motorcycle Company, became the main competitor of Harley-Davidson for many years. In fact, it was a bicycle, equipped with a one-cylinder motor. All details of that motorcycle were produced manually. Later, the second version of that bike was produced with more powerful motor and it became the first motorcycle for sale (p. 10). Three bikes were assembled that year and the Harley-Davidson Company opened the first page of its history. In 1904, the brothers produced 8 motorcycles and in 1906 it were 50. The company developed very quickly and by that period of time it included about 20 employees hired. Harley-Davidson constantly aspired to create a high speed bike and as a result the new model known as V-twin was introduced in 1909. The specially designed vacuum valves and a belt transmission were the main features of that model (Oliver, 1957, p. 26). In 1910, the legendary Bar and Shield logo was developed. It continues to be the main defining symbol of Harley-Davidson bikes today (p. 28). The significant progress of the Harley-Davidson Company took place in 1912. A new 6-story factory was built and first overseas sales were made in Japan. That year Harley-Davidson presented its first version of gear box. The mechanism of chain gear was designed in 1913 and a three-speed sliding-gear transmission was developed in 1915 (p. 32). It should be emphasized that the First World War played a big role in the development of the Harley-Davidson Company. So, about 20,000 motorcycles were sold to the U. S. military forces by the end of 1918 (Walker, 2000, p. 67). The given order significantly improved the reputation of Harley-Davidson and having 2,000 additional dealerships worldwide the company managed to become the biggest motorcycle factory in the world (Oliver, 1957, p. 34). Improving the construction of V-twin motors, company’s constructors couldn’t get rid of the main problems, typical for the given class of motors. The opened valves often clogged up and had a lot of maintenance problems. At that time, Indian Motorcycle Company used another construction of V-motors. Though, theoretically that construction was less effective the engineers managed to bring it to perfection and got the maximal power and maintenance simplicity. For that reason, the administration of the Harley-Davidson Company took decision to create its own class of V-motors with longitudinal placement. The first pattern of that bike appeared in the last days of the second decade (p. 35). The new model, equipped with the Flathead V-twin engine was invented in 1929 (Walker, 2000, p. 72). The motors of the given model were equipped with side-valves and the classical Flathead could successfully compete with the production of the Indian Motorcycle Company. Unfortunately, Flathead appeared two months earlier the moment when the Great Depression began. The number of sales decreased in several times, but the company managed to survive when others went bankrupt. However, having survived the depression time the company managed to stabilize its economy and was in very advantageous position – huge demand and the absence of supply. In 1932, the three-wheel Servi-Car was developed (Oliver, 1957, p. 38). Together with the change, called as the eagle design, which was painted on all Harley-Davidson gas tanks, there were a lot of changes made in the engine’ s construction. Afterwards, the given model made a good impression on the U. S. police, as a result, Servi-Car managed to become police vehicle (p. 38). In 1936, the Knucklehead motorbike was invented and managed to become the victory over the Indian (p. 39). The given model took place on the market for 12 years and had a huge influence on the further developments. The engineers continued working on Knucklehead model even during the Second World War. Having changed the motor’s configuration and added the hydraulic device intended for pushing valves, the constructors managed to get rid of adjusting gaps. Due to the aluminum body of engine the motor’s heat emission was increased. Afterwards, bikers called that model – Penhead. The main event which took place in 1953, it was the collapse of the main competitor of Harley Davidson Indian Motorcycle Company (Walker, 2000, p. 88). Nevertheless, the company faced a lot of problems in the marketing field due to the fast development of Japanese and European motorbike companies. Thus, having sold the part of its stocks, Harley Davidson was involved in the cruel fight against foreign producers. In 1969, American Machine and Foundry Company bought the control packet of shares of Harley Davidson and became its actual owner (Oliver, 1957, p. 40). The new motorcycles had a negative impact on the company’s reputation and Harley Davidson began to lose the market of Big-twin and Sportster models. In 1971, FX Super Glide model was produced (p. 43). Although the given model wasn’t popular, Harley Davidson developed its further unique motorcycles on the basis of FX Super Glide. By the middle of 70-s the given models couldn’t cope with the production of Japanese competitors. As a result, in 1981 senior members of Harley-Davidson bought back Harley-Davidson Motor Company from AMF (Walker, 2000, p. 90). In 1983 the group H. O. G was founded and became the largest factory-sponsored motorcycle club in the world. By the year 2000, the club had over 500,000 members (Gannon, 2002, p. 15). In 1984, the new Evolution V2 model with an aluminum head was presented to public (Oliver, 1957, p. 42). At the end of this revolutionary decade for Harley-Davidson, the FXSTS Springer Softail model was introduced into the lineup. It was made on the basis of motorcycles of the 1940-s and equipped with the modern 1340 cc motor (Walker, 2000, p. 92). The appearance of the given engine allowed the Harley Davidson Company to produce many motorcycles by individual orders. So, introduction of such model as FLSTF Fat-Boy in the early 1990-s can be considered as a good evidence of that fact. In 2001, the new model of Harley-Davidson was presented for the 2002 model year. The main feature of the given model was suggested to be the modern engine, equipped with a liquid-cooled system. It should be pointed out that today the Harley Davidson Company takes the leading position in the business World, when demand exceeds supply, that allows to increase the prices of production and stock. References Gannon E. , Veno A. (2002). Brotherhoods: Inside the Outlaw Motorcycle Clubs. Crows Nest: Allen Unwin Oliver S. H. (1957). Automobiles and Motorcycles in the U. S. National Museum. Washington: Smithsonian Institution Walker S. M. (2000). Bikers: Culture, Politics and Power. New York: Berg

Improving Supply Chain Performance Of Blood Services

Improving Supply Chain Performance Of Blood Services Blood Banking services is one of the most important operations worldwide. The blood banking service provides the resources for transfusion needed in every medical intervention, whether in peacetime or during war. This paper observes the process of blood banking supply chain, starting with the upstream suppliers of raw material (blood) and down to the downstream consumers of products (hospitals). In the first part of this paper we present an overview of the supply chain of blood banking, and review the relevant research and literature regarding supply chain management of blood banking. In the second part, we select two areas of the supply chain and select key performance indicators (KPIs) that observe the quality of the supply chain of blood banking, from an aspect of service quality and cost control. We set the current levels of these KPIs with relevant information if it is readily available or by extrapolation from historical data where the current levels are unavailable. In the third part, we propose changes to the supply chain to improve the areas of review. These improvements will be indicated by changes in the selected KPIs. Analysis of supply chain performance Corporate Overview Canadian Blood Services (CBS) is the national non-profit organization created to manage the blood supply throughout Canada outside Quebec. Canadian Blood Services operates 41 permanent collection sites and more than 20,000 donor clinics annually (Canadian Blood Services, 2009; British Columbia Ministry of Health Services, 2002). The main products of CBS are Red Blood Cells, Plasma protein products, Platelets and Plasma for transfusion. In 2008 CBS collected 915,858 units of whole blood from 425,000 donors. CBS services provides blood supply services for a population approximately 26,201,377 (Statistics Canada, 2010). Blood Banking Process Overview of CBS The overall process of blood supply is the following: a given geographic region is serviced by a regional blood center (RBC) and smaller community blood centers (CBCs). These are responsible for providing blood products to hospitals. To achieve this, the Blood Centers must plan donor collection at planned locations. Donors are invited to donate blood to donor clinics. To reach a wider donor population, mobile collection units (specialized vehicles) are sent to sites where there are no fixed donor clinics (Pierskalla, 2004.). Depending on the requirements for blood products, the whole blood are collected into appropriate bags are used when drawing blood. The collected whole blood is sent to a CBC or RBC for processing. There, it is tested for viruses and diseases, and final components are prepared from the whole blood. The components are placed into inventory for shipments to hospitals based on their blood product requirements. CBS operates only 41 permanent collection sites/RBC. The supply of blood products is then distributed to hospital blood centers, without community blood centers. The blood products are highly perishable, with shelf life from 5 to 35 days. If a particular component exceeds its maximum shelf life, it must be destroyed. This process is presented on the following figure. Current target of meeting demand is 95% of hospital demand nine months out of twelve. Literature review (Keal and Hebert, 2010) conclude that blood banks must reorganize their mindset and adopt KPIs on a daily basis. Naturally, financial, operations and executive levels may be interested in a different set of indicators. Blood banks need to perform analysis with a much greater frequency then currently performed to become more elastic to demand and changing environment. As a first step, a blood bank needs to identify which issues it needs to address when implementing KPIs. (Jennings, 1973)- Cooperation between is successful in outdate and shortage management is a good choice. Common inventory policy between blood centers reduce the numnber of outdates and shortages by 72% in a 20 blood center cluster, and by 64% for a 5 blood center cluster. Simple threshold transfer policy reduce the numnber of outdates and shortages by 61% in a 20 blood center cluster, and by 54% for a 5 blood center cluster. This operates on a Outdate / Shortage ratio of 1.0 (equal number of shortages and outdates). Simple treshold transfer is much more efficient in transport logistics and costs, as well as information support systems. (Prastacos, 1984) Blood collection is through organized collections, invited donors and walk in donors. No donor should be returned. This variance in collection environemnt dictates very careful selection of Optimal component processing policies to achieve optimal supply of proposed products. Donors react positively to positive reinforcement (rewards, altruism, health checks). The positive reinforcement is a key conclusion of the research of (Oswalt, 1977). (Hemmelmayr et al., 2009)- Discusses that a Vendor-managed inventory (VMI) control for blood products can be extremely efficient, including scenarios of multiple products. (Jones, 2003) Changes to regulation and public events can cause a significant dip in donations and cause blood product shortages. These can be localized, and impact the different regions differently, thus testing the elasticity of the system. Donors react positively to positive reinforcement (rewards, altruism, health checks).The blood donor pool needs to be further researched, since significant number of potential donors are untapped. (Katsaliaki and Brailsford, 2007) – performs a computer simulation model of the blood banking environment end-to-end and concludes that there are room for changes that will improve the overall system state. These changes include changes in stock planning, management of inventory Key Performance Indicators, KPIÂ ´s, are indicators showing what needs to be done in an internal operative perspective. These KPIÂ ´s focus on the parts of an organisations performance that are the most critical to success, both for present time and future. A good KPI affects a number of critical success factors. It also affects other KPIÂ ´s in a positive manner. Parmenter (2007, page 3) Due to Neely et al (2000), each company has to map their way to success through identifying a number of key factors in the process When implementing KPIs, it is of utmost importance that goal measures for every KPI are defined. Shahin and Mahbod (2007) claim that SMART goal setting is a commonly used set of criteria of how to set goals. SMART stands for Specific, Measurable, Achievable, Realistic and Time Sensitive. The service level is the ability for the company to secure delivery to its customers. When calculating the safety stock the service level is used. (Mattsson, 2004, page 160) decrease the holding stock to 4 days, the introduction of two routine deliveries in working hours to better manage orders from the NBS and grouped transport to hospitals, a more insensitive ad-hoc ordering point for RBCs to 35% of the optimal stock level, the reduction of the total crossmatch release period (before and after transfusion) to 1 day, the increase of the transfusion to crossmatch ratio to 70%, either through stricter compliance with the recommended ordering system leading to more accurate orders placed by doctors, or by applyingm ultiple-crossmatchingte chniques, strict adherence of the hospital blood bank when cross-matching units to a FIFO order for units coming from the Centre and LIFO for the unused, returned units from the other wards. In other words, compliance with a FIFO order accordingt o the collection/productiond ate of the unit Analysis of Key Performance Indicators of Procurement The main challenge in the procurement process for blood banks is the supply of the source of all blood products – donors who can vary since donors are volunteers. The supply is further impacted by the list of viruses and diseases that the donations need to be screened for before the products can be used for transfusions (Pierskalla, 2004.). All collected whole blood and blood products are stored in special containers – bags that differ depending on the product they contain. A defective batch of containers delivered from the manufacturer will cause a recall and destruction of an entire batch of collected WBC or entire batches of products. The CBS procurement KPIs that will be investigated are: Percent of RBC shipped vs whole blood collected – This KPI will measure the ratio of of red blood cells shipped to the whole blood collected. From the collected blood, there can be discards due to a variety of reasons (quality control, test results, post-donation information, equipment problems, process non-conformances). This ratio indicates the quality of blood collection and processing. CBS has an average of 79% ratio of this KPI over a 3 year period (Canadian Blood Services, 2009). Number of Blood product recalls per 10,000 collections – This KPI measures the number of blood product recalls once they have been distributed to the hospitals that need to be recalled due to errors, accidents and post-donation information, for every 10,000 blood collections. This ratio is important to since it influences the overall customer satisfaction, and causes costs for the reverse logistics. CBS had the worst recall ratio in 2008, with significant decrease in 2009 (Canadian Blood Services, 2009). Number of Whole blood donors – A very straightforward KPI, which tracks the number of persons that donated whole blood – the upstream suppliers. This KPI needs to be closely followed, since a declining number of donors indicate a very real risk of blood and product shortages since the upstream supply is reducing. CBS historical data for this KPI indicates a varying trend in the past 3 years (Canadian Blood Services, 2009). Number of Units of whole blood collected vs Number of Whole blood donors – This KPI presents the prolificacy of each donor during the year. The average waiting period between donations for a donor is 70 days. This means that at most, a single donor can make 5 donations per year. CBS has this KPI at a very constant 2.17 over the 3 year period (Canadian Blood Services, 2009). Number of blood containers defective per 10,000 units collected- Since the blood procurement process is extremely dependent on the correct and good quality containers –bags. Therefore, a KPI is needed to identify the amount of defective containers, and properly manage the supplier relationship with the suppliers of these containers. CBS has seen the most defective bags are noted in 2008, with a declining trend in 2009. Analysis of Key Performance Indicators of Inventory Management As (Jennings, 1973) concludes, three of the most important measures in inventory management in any blood bank are shortage, outdating and cost. We will review the following KPIs in the CBS model: Number of component indate discards over components produced – The discarded components from inventory within their shelf life are part of the total loss of stock. Recalls for any reasons, as well as defective containers cause indate discards. But indate discards from inventory reduces available inventory, and can impact the carefully planned balance of procurement, stock and distribution. CBS has a trend of reduction of indate discards in stock, which is consistent with the increasing percentage of delivery of products to collected blood units. Number of outdated components to total components in inventory – Since blood products are extremely perishable, there is no opportunity to keep a stock of blood products for any long period of time unless they are cryofrozen (out of scope of this paper). The outdated components are the stock of products that have not been used before their shelf life has passed. This KPI is crucial in tracking the expiry of products (and conversely money) due to poor planning. CBS is reducing the outdated products and bringing it to 2.5% at an annual level. Cost per blood product unit shipped – Since everything is about cost reduction or customer support, this ratio is crucial for cost management. Every step in the blood banking process is very expensive, and the tracking of this KPI is important for top management, as well as the logistics manager. As can be seen in the diagram, this KPI for CBS is showing increasing costs (Canadian Blood Services, 2009; British Columbia Ministry of Health Services, 2002) Percent of Order fill rate, by blood product type – This KPI directly tracks the downstream supply chain service quality. The percent of order fill rate is in essence the achieved service level for each type of product. total blood requests, by type of blood product (red blood cells, platelets etc.). CBS sees a reduction of the service level for order fulfillment in the 3 year period (Canadian Blood Services, 2009). Proposed Changes for Improving Performance After reviewing the KPIs of the two processes of interest, certain trends are identified that need to be analyzed and remedial action be taken. Each of these KPIs will require a logistic effort. Procurement The procurement process of Blood Banking supply chain was observed through 5 KPIs and it was identified that 3 are indicating positive trend. The other 2 KPIs are indicating negative trends that need to be treat: Increasing units of whole blood collected per donor, which indicates reduced motivation of the supply sources. The positive donor motivation should be returned only through positive reinforcement. (Prastacos, 1984; Oswalt, 1977). In logistics terms this would mean more equipment, human resources, marketing material and constant communication with donor relationship teams to provide necessary resources. Number of blood containers defective is widely varying. Most organisations monitor their suppliers to make sure that they continue to give satisfactory service. This is called supplier rating or vendor rating (Waters, 2003) Multiple suppliers and very frequent tracking of this KPI (weekly level) (Keal and Hebert, 2010) so proper remedial action can be taken . FIFO/LIFO Inventory Management The inventory management process of Blood Banking supply chain was observed through 4 KPIs. While 2 KPIs indicate good trends and successful operation, the other 2 indicate serious issues that need to be remedied. The main actions that need to be taken from the investigated KPIs are: Increasing order fill rate. The following diagram presents the overall service level of CBS for order fill rate. It can be concluded that the overall service level (product of service levels of the three products) is steadily declining. The safety stock needs to be increased on all three products to include (Ballou, 2004; Waters, 2003) Trans-Shipment for grouped Stock Centers (Jennings, 1973) and re-use of returned indate products (Katsaliaki and Brailsford, 2007) Vendor Managed Inventory for hospitals (Hemmelmayr et al., 2009) Controlling cost per blood product unit. There is a consistent trend of increasing cost of blood product unit. The cost breakdown in Appendix C shows that the major cost elements are the blood collections and distribution, consisting of 50% of all costs (excluding administration). Since the best positions for cost reduction are at the point of contact between supply chain partners (Waters, 2003), these exact points should be investigated for cost reduction. Conclusion Blood Banking is operating the supply of a key component of life – blood and bood products. It is considered a crucial service for any country, and is even treated as a big business in some countries. The logistical issues of blood banking are many on every level, since blood banking must achieve very fast delivery of products, and any stock-outs may mean loss of human life. This is further Through adoption of KPI tracking throughout the processes of blood banking, a blood service like Canadian Blood Services (CBS) can achieve a very quick reaction time to adverse indications of deficiencies in the process. The procurement process has logistical issues that need to be followed by the logistician in the area of donor treatment, which is an activity that will be performed in coordination with Marketing. A more pressing issue is the management and tracking of quality of blood containers and their suppliers, since a faulty series of containers will cause product recalls, stock-outs and financial losses. The inventory management process as a first priority must focus on achieving an much better overall service level of order fill rate than the current one. The service level needs to be increased by a higher safety stock, but since only increasing the safety stock is costly, a trans-shipment of products between centers need to be performed. Also, this service level can be improved by agreeing on a Vendor Managed Inventory with the hospitals. The other issue is cost of blood product management, through optimizing the process which requires most logistics – blood collections. An optimized process of blood collections which can reduce costs of that process by 10% will show significant improvement of the cost of blood product.

Tuesday, August 20, 2019

Soccer :: essays research papers

The official soccer rules are called the "Laws of the Game" and are revised annually (usually in July) by FIFA (pronounced "FEE' fuh"), the world soccer governing body, but youth organizations usually adjust the rules to fit children. Typical adjustments are field sizes, game lengths, number of players per team, the number and frequency of substitutions, "offside" is sometimes not called, and slide tackling is sometimes not allowed. Field sizes, ball sizes, length of games & rules vary by age group. The FIFA rules do not require separate teams for girls and boys, but many soccer clubs and associations have separate leagues for boys and girls. Discuss the rule variations with an official of your league. In brief, the "Laws of the Game" are not simple and can be difficult to understand. The official FIFA rules have 17 sections and the rule book is about 70 pages long. There are also an additional 44 pages titled "Questions and Answers". In addition, how to interpret the rules is discussed in referee clinics, special memos, videos for referees, and a guidebook for soccer officials that is over 300 pages long. There is also the problem that the rules use many soccer terms that are not defined in the rules (we try to define all of these terms in the SoccerHelp Dictionary) and there are quirks, such as the fact that terms which are commonly used such as "Hand Ball", "obstruction", and "Linesmen" are not defined in the official rules. Another confusing aspect of the rules is the way "Fouls" are defined; basically, they are defined not only as "Fouls" but also in the rules regarding "Cards". For this reason, to understand "Fouls" you must also read "Cards".

Monday, August 19, 2019

Tracing the Rap/Hip-Hop Dichotomy in Popular and Underground Music Essa

Tracing the Rap/Hip-Hop Dichotomy in Popular and Underground Music Rap music has experienced a radical increase in popularity in the last five years. In the year 2000, rap became the second-best-selling genre in music, capturing 12.9 percent of the year's $14.3 billion in total record sales ("Rap/Hip Hop" Sc 1). Though rap is no stranger to criticism, that criticism has increased in both quantity and vociferousness at about the same rate as the number of rap albums climbing the charts. And the growing evidence that, apparently, in order to achieve commercial success, each rap album must be more negative and offensive than the last does not help to address these criticisms. Unfortunately, the critics miss most of the rarely-seen other side of the genre: Hip-hop, rap music that is true the art form's roots of black empowerment and social progress. But black empowerment and social progress don't sell nearly as many records as the themes of mistreating women, abusing substances, and accumulating vast piles of wealth, so these are the messages that rap/hip-hop has come to embody in popular perception. However, as an introductory piece on a web site called The Hip Hop Headrush clearly states: "Hip-hop is not violence, misogyny, and narcotic substances—if you believe that, then the media and commercial mainstream music buyers have you sadly confused" ("Mindless Music" Sc 1). I will attempt to flush out this rap/hip-hop dichotomy by indulging a brief history of the musical form, examining criticisms and defenses of the branch of the form I'll define as "rap," and investigating a few hip-hop groups that present thoughtful, positive worldviews rather than the sex/drugs/money/violence messages of their rap counterparts.... ... to the Mainstream: The Political Power of Hip-Hop.† Media, Culture, and Society 20.2 (1998): 219. Academic Search Elite. Palni SiteSearch. Goshen College Good Library. 26 October 2001. Stern, Jane. â€Å"Rap.† Jane & Michael Stern’s Encyclopedia of Pop Culture. New York: Harper Perennial, 1992. 412-15. Turkish, Tavia Nyong’o. â€Å"Who’s Afraid of Marshall Mathers?† Gay & Lesbian Review 8.3 (2001): 14. Academic Search Elite. Palni SiteSearch. Goshen College Good Library. 26 October 2001. Tyler, Robin. â€Å"Eminem: Pied Pier of Hate.† Gay & Lesbian Review 8.3 (2001): 12. Academic Search Elite. Palni SiteSearch. Goshen College Good Library. 26 October 2001. Wahl, Greg. â€Å"’I Fought the Law (And I Cold Won!)’: Hip-Hop in the Mainstream.† College Literature 26.1 (1999): 10. Academic Search Elite. Palni SiteSearch. Goshen College Good Library. 26 October 2001.

Sunday, August 18, 2019

Children, Television, and Violence Essay -- Children Effect Violence M

Children, Television, and Violence TV violence may influence children more than most people are aware of. The amount of violence on TV is an important topic in today's society. One of the reasons it should be so important to all of us is because almost everyone in America today has a television set, and because of it's availability, children are viewing disturbing images everyday from the comfort of their own homes. Television is all about ratings. To keep the viewers from changing the channel, networks will try to do anything. Even the news is displaying more bloody details than people need to see. If there isn ¡Ã‚ ¯t a murder, rape, or shoot-out on the news, people are let down. They may get bored with the broadcast and change the channel. That is the main reason why kids can be exposed to view acts of violence even while watching a comedy. By putting violence into the equation, networks become more confident that you are not going to change the channel. The networks don ¡Ã‚ ¯t give a damn about the affects it m ay have on the children watching, just as long as the ratings are high and the money keeps rolling in. The network broadcasters need to decrease the violence because it often confuses children, and as we all know children are visual learners. This may cause young kids sometimes blur things with the real world that they see on TV. It helps makes this happen by shaping an altered reality. Children do not seem to have a full grasp of the real world and the situations it m...

Saturday, August 17, 2019

Administer Medication to Individuals Essay

This governs the manufacture and supply of medicines. This requires that the local pharmacist or dispensing doctor is responsible for supplying medication. He or she can only do this on the receipt of a prescription from an authorised person e.g. a doctor. According to the law (The Medicines Act 1968) medicines can be given by a third party, e.g. a suitably trained care worker, to the person that they were intended for when this is strictly in accordance with the directions that the prescriber has given. The Misuse of Drugs Act 1971 and Amendments 1985, 2001 see more:handling medication This controls dangerous or otherwise harmful drugs designated as Controlled drugs. (CD) The main purpose of this act is to prevent the misuse of controlled drugs. Some CD’s are prescribed drugs used to treat severe pain. Some people abuse them by taking them when there is no clinical reason. The  purpose of the legislation impacts on care homes by requiring special arrangements for storage, administration, records and disposal. The misuse of drugs (Safe custody) Amendment Regulation 2007 This specifies how controlled drugs are stored and is referred to in the Standards for care homes. Controlled drugs must be kept in a Controlled drugs cabinet that complies with these regulations. The regulations specify the quality, construction, method of fixing and lock and key for the cupboard. The safer management of controlled drugs (2006) This specifies how controlled drugs are stored, administered and disposed of. Controlled drugs must be kept in a controlled drugs cabinet that complies with these regulations. Records must be made for all controlled drugs transactions. Care Home Regulations 2001 Regulation 13 states that a registered provider must make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. This applies to all medicines including controlled drugs. Health & Safety at Work Act 1974 To maintain safety for all in the workplace your employer must ensure that anyone administering medication has attended the appropriate training. The risks associated with the handling or administration of any medicine should be assessed for both staff and patients. Control of Substances Hazardous to Health Regulations 2002 (COSHH) The law requires employers to control exposure to hazardous substances for both employees and others who may be exposed and to ensure employees and properly informed, trained and supervised. Care Standards Act 2000 Regulates and inspects services used by people for care services, provides guidance and information. The Act, has a major impact on the quality of care provided to children and vulnerable adults, and could make the system of regulation and inspection of care in particular simpler, more transparent and navigable. All care including that provided by local authorities falls within the scope of the Act. Its key provisions are: * The creation of a National Care Standards Commission (NCSC) for England to undertake the  regulation of care. * The creation of a General Social Care Council (GSCC) for England and a Care Council for Wales to register social workers, regulate the training of the social care workforce and raise standards in social care through the production of codes of conduct and the maintained of a register of social care staff Access to Health Records Act 1990 The act defines who can see medical records. The individual can see his or her own records, but nobody else can except with the individuals permission. This includes next of kin and friends. Data Protection Act 1998 The Act applies to any organisation that keeps personal records on a computer to register as a data user and they must comply with specific regulations. They must be secure, allow the individual to have access to their records, record only relevant information, only be used for its stated purpose. Hazardous Waste Regulation 2005 Dispensed medication for individual service users either at home or in a care setting can be described as household waste or is covered by the Hazardous Waste Regulations 2005. These medications can be returned to the dispensing pharmacist for disposal. However, care situations that provide nursing care not covered by this legislation and must make their own arrangements for the disposal of unwanted medicine through a licensed waste management company. There should be a written policy in place which describes the local procedure for recording of unwanted medication to be returned to the pharmacist. All medication should be recorded and signed for by the receiving pharmacist and a copy kept by the organisation. National Minimum Standards * Standards 9.5 and 20.7 states that controlled drugs should be kept in a designated CD cupboard until staff are responsible for giving them to people. * Standards 9.7 and 20.9 Controlled drugs should be given by care workers who have been trained and designated to do so. Another trained and designated member of staff should witness this process. * Standards 9.8 and 20.11 care homes should keep additional records of receipt  administration and disposal of controlled drugs in a register. Working in line with your organisation’s policies and procedures enable you to work in line with best practice and the law (legislation). There must be a policy at your work place for the receipt, recording, storage, handling, administration and disposal of medicines. Check your policies and procedures file which should list the procedures relating to administration of medication with regards to your job role. 2.1 Common side effects from medicines All medicines can potentially cause side effects or adverse reactions and these can vary from person to person. Side effects may be minor or extreme enough to be life threatening. Common side effects include: rashes, stiffness, breathing difficulties, shaking, swelling, headaches, nausea, drowsiness, vomiting, constipation, diarrhoea, weight gain. Side effects can either present as one symptom or as a combination of symptoms. Staff must monitor all medication given and record and adverse reactions in the service users care/support plans. The service users GP must be contacted and the medication stopped until informed otherwise. All medication should come with a description leaflet, which lists possible side effects. These should be retained for future reference. If medication for service users come in MDS packs then the pharmacist should be contacted for information on all medication dispensed in this manner. Older people are particularly susceptible to reacting adversely to medication and are often already taking many different types of medication. Staff should be particularly vigilant with older people. Common adverse reaction symptoms in older people are: restlessness, falls, confusion, drowsiness, depression, constipation, incontinence, and Parkinson’s symptoms. Policies and procedures should be put in place locally, describing the steps to be followed in the event of an adverse reaction to a medicine, whether minor or life threatening. Read more:  Medication to Individuals Essay Common types of medication Types of medication Function Antibiotics To fight infection Analgesics To relieve  pain Anti-histamines To relieve allergy symptoms Antacids For digestion Anticoagulants To prevent blood clots Psychotropic medicines which interact with the nervous system Diuretics Used to get rid of excess fluid Laxatives To alleviate constipation Hormones E.g. steroids or insulin Cytotoxic medicines to treat some forms of cancer Medication Common side effects Hypnotics and sedatives –Temazepam and Nitrazepam Causes drowsiness in the morning Antibiotics such as Erythromycin and Amoxicillin Nausea and vomiting, diarrhoea and skin rashes. Analgesics Strong painkillers such as codeine and morphine Nausea and vomiting, drowsiness, confusion and constipation. Antidepressants such as Amitriptyline becoming sleepy and confused. 2.2 Some medication which demands the measurement of specific physiological measurements are as follow: Insulin (blood glucose testing) to ensure the blood glucose is not too high (which prevents healing and increases the risk of damage to the nerve endings among many other effects) or too low (could induce a loss of consciousness for example) and warfarin (a blood thinner) which requires the blood to be checked regularly to monitor how effective the drug is i.e. is it preventing the blood being too â€Å"thin† (which could cause an internal bleed) or under anti-coagulated leaving the patient at risk of blood clots. There is also Digoxin. The pulse should be recorded prior to administration of the drug. Also a test is used to monitor the concentration of the drug in the blood. The dose of digoxin prescribed may be adjusted depending on the level measured. A doctor may order one or more digoxin tests when a person begins treatment to determine if the initial dosage is within therapeutic range and then order it at regular intervals to ensure that the therapeutic level is maintained. Apart from the administration of insulin you may not be expected to have a full knowledge of the others above or to take out the clinical activities but there should be an awareness of the reasons for clinical monitoring and to ensure that these take place as directed by a clinician. 2.3 The individuals you work with may experience unwanted or adverse effects after the administration of medication and you need to recognise this and take action. Adverse effects could be: * Anaphylactic shock – occurs sometimes after the use of an antibiotic. * Swelling of body parts, skin changes, breathing difficulties etc. If you observe any adverse changes you need to follow the laid down procedures at your workplace which you need to write out to support your answer of the appropriate action to take. * Inform the manager and seek professional help immediately. * Observe the individual * Document all adverse reactions and action taken * Treat the symptoms following clinical advice. * Record the medicine and reaction in the care plan and MAR chart. * Inform the individual’s own doctor and the pharmacist as soon as possible. 2.4 Administration Route * Oral – by mouth, tablets and syrups * Aural – ear drops * Rectal – suppositories * Vaginal – tablets, creams * Sublingual – under tongue * Nasogastric – via a nasogastric tube * Buccal – between the lips and gums * Inhaled – into lungs via inhaler or nebuliser * Ocular/ophthalmic – eye drops * Nasal – sprays, drops * Topical – skin creams * Intra venous – directly or via a drip into a vein * Intramuscular – injection into muscle * Subcutaneous – injection into subcutaneous layer of skin * Transdermal – injection under top layer of skin, patches e.g. HRT * Peg – Percutaneous Endoscopic Gastrostomy – medicines are introduced via a PEG tube which has been inserted directly into the service users stomach. 3.1/2 Using a few of the different routes of administration highlight the materials or equipments involved. For example * A service user who has a severe chest condition may require a nebulizer. This devise pumps air through a mask/mouthpiece that contains the medicine in a chamber. The medicine is converted into a fine mist and the service user inhales the medicine. * Oral administration – spoon, pill pot, water, gloves * Topical administration – gloves to avoid cross contamination and potential harm to yourself. 5.3 An example of this would be what to do when you make an error in administration of medication. Anyone can make a mistake but it is important that you report the incident immediately to your manager to avoid any damage or deterioration to the health of the individual. Your workplace should have a policy in place of what to do when an error in administration has been made and why. Read and summarise. If you have administered medicine to an individual and they develop an adverse effect which you are not competent to handle you need to report following the procedures at your workplace. Medication errors happen, but you should report errors immediately. An error in the administration of a medicine can be at best inconvenient or at worst  fatal. Common medication errors include; – * Under administration * Over administration * Incorrect medication * Incorrect prescription * Non administration * Non recording * Administration of wrong medicine to wrong service user * Administration at wrong time. When any error in administering medication occurs, the local procedure must be followed immediately and should include the following steps:- * Report immediately to your line manager and follow directions given * Report immediately to the prescriber/GP/pharmacist and follow directions given * If serious error is made the service user may need hospital treatment * Document error fully All incidents should be fully investigated, the results documented and every possible action taken to prevent the mistake happening again. If serious negligence or an attempt to cover up the mistake is discovered, this should be treated as a disciplinary offence. Failure to record medication errors is a Registration Offence for qualified staff and should be reported to the NMC. The Care Commission and CQC also require to be notified of medication errors. 5.5 Even if an individual wishes to self administer their medication it is still necessary to maintain a record of their current medication as stated in the National minimum standards which states â€Å" The service user, following assessment as able to self administer medication, has a lockable space in which to store medication, to which suitably trained, designated care staff may have access with the service users permission† It is necessary to confirm that the individual actually takes the medication because you are required to complete the MAR (Medicines Administration record) accurately. If the individual passed the medication to another individual, that person  could become seriously ill as could the person who the medication was intended for. You are responsible for the administration and its accuracy and it is your duty of care to protect individuals from harm. 5.7 CONTROLLED DRUGS Special arrangements apply to the disposal of Controlled Drugs (CD’s) in care homes registered to provide nursing care in England and Wales: * If supplied for a named person: denature CDs using a kit designed for this purpose and then consign to a licensed waste disposal company * If supplied as a ‘stock’ for the care home (nursing) : an authorised person must witness the disposal. For all other social care settings, the CDs should be returned to the pharmacist or dispensing doctor who supplied them at the earliest opportunity for safe denaturing and disposal. When CDs are returned for disposal, a record of the return should be made in the CD record book. It is good practice to obtain a signature for receipt from the pharmacist or dispensing doctor. Handling non prescribed controlled drugs and their disposal Sometimes people bring illicit substances into care homes. The care setting should take advice from local police and if necessary the Serious and Organised Crime Agency concerning appropriate procedures for dealing with this. Homecare providers should devise policies and procedures in relation to service users using illicit drugs. This may include a requirement for care workers to vacate the premises if a service user is smoking, consuming or injecting illegal substances. Legal advice should be sought in situations where care workers may be at risk of aiding and abetting a service user to perform an illegal act. DISPOSAL OF MEDICINES All care settings should have a written policy for the safe disposal of surplus, unwanted or expired medicines. When care staff are responsible for the disposal, a complete record of medicines should be made The normal method for disposing of medicines should be by returning them to the supplier. The supplier can then ensure that these medicines are disposed of  in accordance with current waste regulations. In England, care homes (nursing) must not return medicines to a community pharmacist but use a licensed waste management company. Additional advice is provided by CQC in safe disposal of waste medicines from care homes (nursing). The situations when medicines might need to be disposed of include: * A person’s treatment has changed or is discontinued – the remaining supplies of it should be disposed of safely (with the persons consent) * A person transfers to another care service – they should take all of their medicines with them, unless they agree to dispose of any that are no longer needed * A person dies. The person’s medicines should be kept for seven days, in case the Coroner’s Office, Procurator Fiscal (in Scotland) or courts ask for them * The medicine reaches its expiry date. Some medicine expiry dates are shortened when the product has been opened and is in use, for example, eye drops. When applicable, this sis stated in the product information leaflet (PIL). All disposals of medicines must be clearly documented. Administer Medication To Individuals Essay The Medicines Act 1968. This governs the control of medicines for human and veterinary use which includes the manufacture and supply of medicines – the Act defines three categories of medicine:- 1. Prescription Only Medicines (POM) These are available only from the chemist /pharmacy if prescribed by GP. 2. Pharmacy Medicines Available from the pharmacy but without a prescriptions 3. General Sales List (GSL) Medicines which may be bought from any shop without a prescriptions. Human Medicines Regulations 2012 These Regulations set out a complex regime for the authorisation of medicinal products for human use, Manufacture, import, distribution, sale and supply of those products. For the labelling and advertising and for drug safety. See more:  Masters of Satire: John Dryden and Jonathan Swift Essay The Misuse Of Drugs Act 1971 This act creates three classes of controlled substances A, B, and C, and ranges of penalties for illegal or unlicensed possession and possession with the intent to supply are graded differently within each class. The lists of substances within each class can be amended by order so the Home Secretary can list new drugs and upgrade or downgrade or de-list previously controlled drugs with less of the bureaucracy and delay The Misuse of Drugs (Safe Custody) Regulations 2001. The Misuse of Drugs Act controls the export, import, supply and possession of dangerous or otherwise harmful drugs. In effect the Act largely renders unlawful all activities in the drugs controlled under the act except provided for under the regulations made under the Act. The drugs which are subject to the control of the Misuse of Drugs Act 1971 Health Act 2006 An Act to make provision of the prohibition of smoking in certain premises, places and vehicles and for amending the minimum age of persons to whom tobacco may be sold, to make provisions in relation to the prevention and control of health care associated infection, to make provisions in relation  to the management and use of controlled drugs, to make provision in relation to the management and use of controlled drugs, to make provision in relation to the supervision of certain dealings with medicinal products and the running of pharmacy premises and about orders under the Medicines Act 1968 and orders amending that Act under the Health Act 1999 Health and Social Care Act 2008 (2012) The main focus of the Health and Social Care Act 2008 was to create a new regulator whose aim and purpose was to provide registration and inspection of health and adult social care services together for the first time, with the aim of ensuring safety and quality of care for service users. The Care Quality Commission was established by statute, with enhanced powers to regulate primary care services, including hospitals, GP practices, Dental practices, Ambulance Services and Care Homes. These powers include failing registration, fines and even closing practices down which do not adhere to the Fundamental Standards in Quality and Safety. This cohesive approach has led to the CQC becoming one of the most powerful regulatory bodies in the UK. Read more: The Health and Social Care Act 2012 made minor changes to the 2008 Act, but for the purposes of Health and Adult Social Care professionals looking at the registration and inspection regime, this only amounted to terminological clarification, a strengthening of the relationship between the CQC and Monitor and the establishment of The Healthwatch England Committee as part of the CQC. In addition to this the following institutions have been abolished: The Office of the Health Professions Adjudicator, The National Information Governance Board for Health and Social Care, The National Patient Safety Agency and The NHS Institute for Innovation and Improvement. The Controlled Drugs (Supervision and management And Use) Regulations 2006 The Misuse of Drugs Regulations 2001 divide controlled drugs (CDs) into five schedules corresponding to their theraputic usefulness and misuse potential. A Number of changes affecting the prescribing, record keeping and destruction of CDs have been introduced a s a result of amendments to the Misuse Of Drugs Regulations 2001. The Controlled Drugs (Supervision of Management and Use) Regulations 2006 came into effect on 1st January 2007. The Health and Safety at Work Act – The Health and Safety at Work Act 1974 is also referred to as JSWA, The HSW Act, The 1974 Act or  HASAWA. This is the primary piece of legislation covering occupational health and safety in Great Britain. The Health and Safety Executive with local authorities (and other enforcing authorities) is responsible for enforcing the Act and a number of other Acts and Statutory Instruments relevant to the working environment. Essential Standards (Regulation 13) 2008.2010 – This is a very small part in Regulation 13 as in, The registered pewrson must have suitable arrangements in place for obtaining and acting in the best interest of the individual. Where they are able to give valid consent to the examination, care, treatment and support they receive. Understand and know how to change any decisions about examination, care, treatment as in medication and support that has been previously agreed, can be confident that their human rights are respected and taken into account accordance with the consent of service users in relation to the care and treatment provided for them. Data Protection Act 1998 – The Act’s definition of â€Å"personal data† covers any data that can be used to identify a living individual. Individuals can be identified by various means including their names and address, telephone number or email address. The Act applies only to data which is held or intended to be held on computers (equipment operating automatically in response to instructions given for that purpose) or held in a relevant filing system. Control Of Substances Hazardous to Health (COSHH) Regulations 2002 The occupational use of nano materials is regulated under the Control of Substances Hazardous to Health (COSHH) is the law that requires employers to control substances that are hazardous to health and includes nano materials. This covers controlled drugs as well The Environmental Protection Act 1990 & The Waste and Contaminated land Order 1997 – place a Duty Of Care on anyone who produces, collects, treats and disposes of waste. This includes feminine hygiene, clinical, sharps, medicines, dental wastes, confidential waste or other waste to be recycled. The main principles of duty of care are about documenting the transfer of waste and checking up on anyone you transfer waste to (e.g. if they are a registered carrier of waste, if they are taking waste to suitably licensed / permitted sites). You should only use a Contractor who can provide proof of compliance with the legislation. Hazardous Waste Regulations 2005 – The regulations replaced the special waste regulations 1996 in England and fully meet the requirements of the Hazardous Waste Directive. The regulations  remove the current need to pre-notify the Environment Agency before hazardous waste can be moved off site, and include a simpler method for tracking wastes once they have been moved. The include a new system to ensure that certain sites where hazardous waste is produced are notified to the Environment Agency. This will improve the whole regulation of the hazardous waste chain from source site to waste site. These regulations had previously amended certain clinical, medicinal and dental wastes they are now affected by the new Regulations as well as you must not mix hazardous with non-hazardous waste. Soft/hard Clinical waste, Sharps and pharmaceutical-sharpes This waste may be classed as hazardous, due to its infectious nature. The Department of Health has produced important new guidance in Safe Management of Healthcare waste. Offensive waste-Sanitary, Incontinence, red lidded sharps. Feminine hygiene, nappy and incontinence and fully discharged syringes are not classed as hazardous or special waste and do not require consignment notes. The Guideline policies and procedures in the Care Home I work in In my workplace, I have access Common Types of Medication Effects Potential Side Effects Analgesics. e.g. Paracetamol Analgesics are used to relieve pain such as headaches Addiction to these can happen if taken over a long period of time. Also, irritation of the stomach, liver damage and sleep disturbances as some analgesics contain caffeine. Antibiotics. e.g. Amoxicillin Antibiotics are used to treat infections that are caused by bacteria Diarrhoea, feeling sick and vomiting are the most common side effects. Some people get a fungal infection such as thrush after  treatment with antibiotics for a longer period of time.   More serious side-effects of antibiotics include kidney problems, blood disorders, increased sensitivity to the sun and deafness. However, these are rare. Antidepressants. e.g. Citalopram Antidepressants work by changing the chemical balance in the brain and that can in turn change the psychological state of the mind such as depression Common side effects include blurred vision, dizziness, drowsiness, increased appetite, nausea, restlessness, shaking or trembling and difficulty sleeping. Other side effects include, dry mouthy, constipation and sweating Anticoagulants. e.g. Warfarin Anticoagulants are used to prevent blood clotting A side effect common to all anticoagulants is the risk of excessive bleeding (Haemorrhages) This is because these medicines increase the time that it takes clots to form. If clots take too long to form, then you can experience excessive bleeding. Side effects may include passing blood in your urine or faeces, severe bruising, prolonged nosebleeds (Lasting longer than 10 Minutes) Blood in your vomit, coughing up blood unusual headaches, sudden sever back pain and difficulty breathing or chest pain. Some Side effects with warfarin include rashes, diarrhoea, nausea (Feeling sick) and vomiting Identify Medication Which Demands The Measurement of Specific Physiological Measurements Describe The Common Adverse Reactions To Medication, How Each Can Be Recognised And the Appropriate Action(s) Required Unexpected adverse reactions can happen for any drug potentially that an individual is taking. For example one individual I work a person may have an adverse reaction to penicillin, anaphylactic shock; the signs of this are the swelling of for example the lips or face, a skin rash and the individual may also have breathing difficulties. This is why it is important that all information about an individual is recorded in full in their care plan and on the MAR sheet. Other severe adverse reactions could include a fever and skin blistering; if adverse reactions are not treated they could fatal. These usually occur within an hour of the medications being administered. Sometimes adverse reactions can develop a few weeks after and may cause damage to the kidneys or liver. If a service user at my place of work happened to have an adverse reaction to a medication, I would notify the Nurse on duty and/or House Manager. It would be up to them to contact the local GP for advice, and if necessary to make arrangements to get the service user to hospital for treatment. Explain the Different Routes Of Medicine Administration Routes Of Administration Explanation Inhalation Inhalers and nebulisers are used for individuals who have respiratory conditions as these deliver the medication directly to the lungs. Conditions such as Asthma and COPD Oral This medication is taken via the mouth. This can be in the form of tablets and capsules. If am individual finds it difficult to swallow tablets oral medication is also available in liquids, suspensions and syrups. Sub lingual medications are for example when tablets are placed under the tongue to dissolve quickly Transdermal Transdermal medications come in the form of patches that are applied to the skin normally to the chest or upper arm. They work by allowing the medication to be released slowly and then absorbed. For example, Hormone Replacement Therapy (HRT) patches and nicotine patches. Topical Topical medications come in the form of creams and gels and are applied directly to the skin surface usually to treat skin conditions. Instillation  Instillation medications come in the form of drops or ointments and can be instilled via the eyes, nose or ears. Drops can be used for ear or eye  infections. Nose sprays are used for treating for example hay fever. Intravenous Intravenous medication enters directly into the veins and absorbed quickly. This route can only be done by a doctor or trained nurse Rectal/Vaginal Rectal medications are absorbed very quickly. Suppositories are available and are given into the rectum. Pessaries are given into the vagina. Only after training can these medications be administered. Subcutaneous Subcutaneous medications are injected just beneath the skin i.e. insulin is administered in this way. Only after training can these medications be administered. Intramuscular Intramuscular medication is injected directly into the large muscles in the body, i.e. the legs or bottom. This route can only be done by a doctor or trained nurse. Administer medication to individuals Essay Current legislation, guidelines, policies and protocols relevant to administering medication are:- The Medicines Act 1968 – requires that local pharmacist or dispencing doctor is responsible for supplying medication. The Misuse of Drugs Act 1971 – controls dangerous and harmful drugs, I.e. controlled drugs (CD’s) The Misuse of Drugs and the Misuse of Drugs Regulations 2007 – specifies about handling, record keeping and storing controlled drugs correctly. The Safer Management of Controlled Drugs Regulations 2006 – specifies how controlled drugs are stored, administered and disposed of. Common types of medication include:- Medication Effects Side effects PareacetamolIt is commonly used for the relief of headaches and other minor aches and pains Mild to no side effects. Prolonged daily use increases the risk of upper gastrointestinal complications such as stomach bleedingOmeprazole suppresses gastric acid secretion by specific inhibition of the H+/K+-ATPase in the gastric parietal cell. By acting specifically on the proton pump, omeprazole blocks the final step in acid production, thus reducing gastric acidity headache, diarrhea, abdominal pain, nausea, dizziness, trouble awakening and sleep deprivation Levothyroxine Levothyroxine is approved to treat hypothyroidism and to suppress thyroid hormone release in the management of cancerous thyroid nodules and growth of goiterrs. See more:  First Poem for You Essay Levothyroxine may increase the effect of blood thinners such as warfarin. Therefore, monitoring of blood clotting is necessary, and a decrease in the dose of warfarin may be necessary. AsprinUsed to relive minor aches and pains such as headaches. It can be also used to thin the blood to reduce the possibility of a blood clots, heart attacks and strokes. Aspirin use has been shown to increase the risk of gastrointestinal bleeding2 Medication that demands the measurement of specific psychological measurements includes :Spironolactone – blood pressure Furosemide- blood  pressure Digoxin – blood pressure Warfarin – INR blood test 3 Common side effects to medication include: Side effects How can be recognised Actions required Weight gain Visual and my weighing Diet control Constipation Not being able to pass a bowel motion LaxitivesDrowsiness Person being very sleepy Rest until drowsiness wears off Rashes Visual appearance on the skin Stop medication and consult GP Vomiting Person is vomiting Consult GP DiahorreaPerson having loose bowlesSeek advice from GP Swelling Swelling of limbs face ectStop medication and consult GP Breathing difficulties Person finding in difficult to breath Ring 999 4 Different routes of medicine administration: Oral – tablets, capsules, liquids etc. These are swallowed by the person. Sublingually – tablets or liquids are administered under the tongue for speed of absorption. Inhalation administration – this is breathed in through the nose or mouth so its delivered straight into where it is most needed i.e. the lungs. Intramuscular (IM) injection administration – injected into large muscles onto the body e.g. legs, bottom. Can only be performed by a trained doctor or nurse.Intravenous (IV) injection administration – administered directly into the veins so it is rapidly absorbed into the body.Subcutaneous injection – medicine is injected directly under the skin, most common type of medicine injected in this way is insulin. Instillation administration – these can be a suspension or liquid and can be administered in a number of ways via ear nose or eyes. Rectal Administration – these are usually suppositories and are absorbed into the body quickly by this route. Vaginal administration – only really used to treat conditions in the vagina such as thrush Topical application administration – creams, ointments and gels are applied to the skin. Transdermal patch – this is applied the skin for slow absorption into the body. Explain the types, function and purpose of equipment and materials used when administering medication. Type Purpose and function Gloves They protect the skin and stops cross contamination Aprons They protect cloth and create a barrier which helps prevent cross contamination Sharps bin This is used for the safe disposal of needles etc. Needles These are available in an array of sizes so they are specific to the function and resident using them. They are used to inject insulin into diabetics Syringe These are available in different sizes and are used to obtain the correct amount on medication. Medication pots These are used to safely transport and hold the medication before being administered to the resident. Monitored dosage system (MDS) This is system pharmacists use to dispense medicines and must be used with accordance to the MAR record. inhalers You can also compliance aids such as Aerochambers to aid to inhale the medicine correctly. The required information on prescriptions and medications charts include: The name or names and address of the patient or patients. The name and quantity of the drug or device prescribed and the directions for use. The date of issue. Either rubber stamped, typed, or printed by hand or typeset, the name, address, and telephone number of the prescriber, his or her license classification, and his or her federal registry number, if a controlled substance is prescribed. Strength The time the medication should be administered. Outcome 4 In order to ensure I follow standards to prevent infection control I must make sure that I wash mu hands before and after each resident. You should always wear gloves if you run the risk of handling them inadvertently if they are cytotoxic. Medicines should always be stored in a clean and tidy environment. All medication a resident takes will be recorded on the MDS chart and all staff trained in administering medication will know how to record and understand the MAR charts. If resident B requests some pain relief you should always refer to the MDS chart to see what type of pain relief medication they are taking. It will also state how often they can have the medication and by what route the medication should be given. When preparing medication you should always refer to the MDS chart as it will tell you the exact time that the resident had their last pain relief. If it is ok to give the resident the medication then you should prepare the medication and then take it straight to the person. You should then immediately record the transaction onto the MDS chart either by signing it to say that the medicine has been taken or recording the reason for non-administration. This is done be a code described on the MDS chart. You have to obtain the residents consent before administering them their medication. They must know what the medication they are taking and have the right to refuse medication. The resident may ask what their medication is for and I must give them this information. If a resident is not capable of making an informed choice i.e. the resident has got a mental illness and it is essential that that resident has their medication then it may have to be administered covertly (hidden or disguised in food) this must only be done after discussion with a doctor. All medication for each individual resident will be stored in MDS and are clearly labelled so selecting to correct medication is easier. After selecting all the correct medication with accordance to the MDS chart you should then check you have the correct type and dosage against the MDS chart. If any medicines have to be prepared for example having 10mls of lactulose you should ensue you prepare the correct amount them double check the amount against the MDS chart. There are different routes for administering medication. You should always read the label of medication to ensure that are administering it in in the correct way. If you are giving insulin to a resident it is important to  alternate sites of injection, so you must look in their insulin record book to see which site was used for the last injection. You must also make sure that the site is clean before you inject. You must ensure that you give the correct medication at the correct dose by the correct route at the correct time with agreed support. You must always use the medication system in place at the home and make sure that medication is given as stated on the MDS charts. My doing this you will stay in line with legislation and the homes policies. There may be immediate problems when administering medication which have to be resolved and reported such as: Missed medication – the medication may have been missed as the resident was asleep, or because they go out regular social events. If they miss their medication on a regular occasion that you should talk to their GP or pharmacist to see if their medication regime can be changed so it is more suited therefore they do not miss medications. Spilt medication – this may occasionally happen you may knock over a resident dispersible aspirin, if this happens you should give them the last dose from the MDS blister pack and record to say why this is missing. A person decides not to take prescribed medication – you must find out why the person is choosing not to take their medication. You can explain the side effects if the person does not take their medication but you cannot force then to take it. You must inform their GP of their wishes not to take the medication. Wrong medication used – mistakes can happen in social care especially if poor systems are in place. If a medication error has been made you must follow the correct procedures. You must seek advice from a doctor to make sure the medication that has been given in error does not react with any other medication that the resident is taking. You must them fill out an incident report. Adverse reaction – these may occur when a resident takes any medicine. They may have been taking the medication for a short or long time before that reaction happens. It is important to document the reaction when it occurs and inform the doctor. All of the above must be reported to the senior member on shift and also recorded in their care notes. When administering medication you must monitor the resident throughout so you can observe if any adverse reaction are taking place. If any adverse reactions are taking place you must take the appropriate action depending on the type of reaction. This must then also be recorded in their care notes and their doctor will also have to be informed. It is necessary to confirm that the resident has taken their medication and does not pass it on to others as the medication if taken by another resident may be harmful to them. The resident if they have mental health issues may not realise that the medication is only for them to take and may believe them to be sweets. You must also ensure they take them so that you can sign the MDS chart or else you cannot correctly sing the chart as you are signing to say they have took the medication. You should only leave medication with a resident if a risk assessment has been carried out. All medication must be stored in a locked dry room. The room must not be above 25 °Ã¡ ¶Å" to ensure that they are stored within their product licences and their stability is maintained. The MDS chart must also be stored in a locked cupboard as all information about a resident medication is confidential. The drugs trolley’s whilst in use must be kept in good vision in order to maintain security. After each medication round the trolleys must be locked up in the locked cupboard at the senior member on shift should hold the keys to this room in order to maintain security. Any out-of-date and part used medication must be sent back in the correct way in accordance to your MDS. All medication must be counted and recorded on the medication returns record. You have to record which resident’s medication it is, what strength, the amount being returned and the reason for disposal. Two members of staff have to sign and count the medication being returned, the pharmacist then collects the medication and will return the receipt that the homes keeps to record that the medication has been returned.