Causative Factors Relating to Falls Within the Elderly in...

The purpose of this essay is to analyse and evaluate the risk and causative factors relating to falls associated with the elderly in their home environment. The question presents a case study of Mavis Bazmati and outlines various aspects of her health and home situation. As a community nurse Mavis’ home will be assessed for potential hazards and provide strategies to prevent further falls. There are different community resources that are available to help Mavis and other members of the multi-disciplinary health team to assist with her activities of daily living. Falls in the elderly is a health risk priority (Crisp Taylor. Pg. 235). People aged 65 and over are at most risk as falls can often result in morbidity, mortality and injury†¦show more content†¦There are many risks in the home and identifying the dangers is an essential key for the person’s safety and wellbeing. Slippery floors, poor lighting, pets, inappropriate footwear, electrical cords and loose rugs or mats are just a few potential high risk problems (Heath and Schofield, pg. 262). As a community nurse it is imperative that a home assessment is completed prior to discharge. Although it is unknown if Mavis has dementia it is a factor that should be considered as she is 91 years of age. Another unknown factor is if she has a visibility or mobility impairment or suffers from any alterations in gait (Bueno-Cavanillas, 2000). The home assessment will be conducted on a room to room basis using a falls risk assessment tool. By gathering and documenting this information it will provide more insight into Mavis’ health and lifestyle and give necessary information to other health care members which may be vital. It will be demonstrated in the following examples what rooms are most at high risk for falls, the hazards involved and the strategies for the prevention of falls. The Bathroom: High Risk Area The hazards in this room include: - Slippery floor due to excess water from showering or spillage of urine or body fluids. - Uneven, cracked or broken tiles - Shower recess hob - Open bar heater Strategies to reduce potential hazards: - Non slip tiles or adhesive mats - Direct level entry into shower recess and removing hobShow MoreRelatedAn Evaluation of an on-Farm Food Safety Program for Ontario Greenhouse Vegetable Producers; a Global Blueprint for Fruit and Vegetable Producers51659 Words   |  207 Pagesemployment also provided me with a unique opportunity to read and digest all the food safety dialogue that was in the public realm, and begin to form some opinions about on-farm food safety policy and implementation. During that summer and into the fall I was fortunate enough to be introduced to four individuals who have all acted as mentors to me (whether they know it or not). This thesis would not have been possible if it wasn t for the support and friendship of Shane Morris, Amber Bailey, KatijaRead MoreNational Security Outline Essay40741 Words   |  163 Pagescapabilities as potential threats or should we pursue superior capabilities -US leaders have varied greatly on how much is enough -Domestic strength -Important goal is to seek political cohesion, economic vitality, and good educational policies at home because it will help country to prevail during war (increases domestic support and morale) -Economic vitality and educational strength also provide resources to implement national security, help develop weapons to compete with enemies, and allow country

Parent Figures in Adventures of Huckleberry Finn - 1398 Words

Name Course Course Instructor Date Parent figures in Adventures of Huckleberry Finn In Mark Twain’s Adventures of Huckleberry Finn, Huck indirectly searches for a home among the different characters, with whom he interacts. The theme of parental figures is core to this piece of work. There are different characters, which represent parental figures. These are important to Huck, as they help to shape him into a man. The characters that are a representation of parental figures include Jim, Mr. Grangerford, Miss Watson, Judge Thatcher, and Widow Douglas. According to De Koster, these are seen to play an important role in different aspects in the development of Huck, thus are a personification of parental figure to Huck (56). This essay†¦show more content†¦For instance, the biological father of Huck is missing in his life, and most times Huck does not know where his father is, sometimes he thinks his father is dead, only to learn that he is still alive (Twain 24). Therefore, Huck lacks motherly care and su pport from his father, yet a father figure is paramount in the life of a growing young man. A parental figure can act as an idol, a friend, and a teacher. Therefore, when Huck fails to find this in his biological parents, he finds it in other people he draws close. It is possible to argue that Huck does not have a strong parental influence in his life, since Pap failed as a parent. In the father-son relationship between Huck and Pap, there was no mutual love and respect. Pap was alcoholic and therefore, characterized a bad parent. Instead of being a protective father, Pap was a drunk, and this would have a negative influence on the life of Huck. However, it is also possible to argue that Pap and his state of failed fatherhood to Huck taught Huck survival skills and independence. The lack of fatherliness of Pap can be seen in the way he is unconcerned about Huck. For instance, he does not care about the well-being of Huck, but only cares more about his money and alcohol. In addition, although most parents work hard for their children’s sake, this was not the case with Pap. Pap did not want Huck to go to school and become better than him (Crowley 391). This is seen in Pap’s utterance, â€Å"Now looky here; you stop thatShow MoreRelatedParental Influence on Huck Finn Essay1587 Words   |  7 PagesParental Influence on Huck Finn In Mark Twains novel Adventures of Huckleberry Finn, the adults in Hucks life play an important role in the development of the plot. Pap, Hucks father, constantly abuses the boy, never allowing him to become an intelligent or decent human being. He beats and attacks Huck whenever they meet up, and tries to destroy Hucks chances of having a normal life. This situation is balanced by several good role models and parent figures for Huck. Jim, the runaway slaveRead MoreMark Twain and The Adventures of Huckleberry Finn1575 Words   |  6 Pages Mark Twain and The Adventures of Huckleberry Finn Controversy Mark Twain, born Samuel Langhorne Clemens, is a highly recognizable figure in American literature. Born in Florida, Missouri Mark Twain and his family moved to Hannibal, Missouri where Twain discovered and fell in love with the mighty Mississippi River. The river and his life in Hannibal became his inspiration and guiding light in most of his writing. Although Twain loved the river and did a great deal of traveling, he eventuallyRead More The Integrity and Strength of Mark Twains The Adventures of Huckleberry Finn1395 Words   |  6 PagesThe Integrity and Strength of Huckleberry Finn  Ã‚     Ã‚  Ã‚  Ã‚   When one is young they must learn from their parents how to behave. A childs parents impose societys unspoken rules in hope that one day their child will inuitivly decerne wrong from right and make decisions based on their own judgment. These moral and ethical decisions will affect one for their entire life. In Mark Twains, Adventures of Huckleberry Finn, Huck is faced with the decision of choosing to regard all he has been taughtRead MoreSocietal Values vs. Moral Instincts Essay770 Words   |  4 PagesOn his many adventures, Huckleberry Finn encounters numerous situations in which his morality is tested or needs to be implemented. Huck has moral dilemmas to a degree, but he figures out the answer to his questions. He also figures out that sometimes, society has it all wrong, and that at times you just have to follow your heart. In The Adventures of Huckleberry Finn by Mark Twain, Twain reveals that what is honorable is to follow your natural moral instincts, not what society and civilization sayRead MoreThe Adventures Of Huckleberry Finn By Mark Twain1542 Words   |  7 Pages Over the last 130 years â€Å"The Adventures of Huckleberry Finn† has been called everything from a piece of trash to a national treasure. Mark Twain, whose real name is Samuel Clemens wrote â€Å"The Adventures of Huckleberry Finn.† Only one month after it was published, librarians in Concord, Massachusetts had it banned. â€Å"He has had his problems with librarians from the start when, in 1885, â€Å"those moral-ice-bergs,† the Library Committee of Concord−symbolic seat of freedom−pronounced the book rough, coarseRead MoreThe Pros And Cons Of Books976 Words   |  4 Pagesbooks that are banned are the ones that define our past. Book censorship is when the government or a school bans a book because of its depiction to the reader. Book banning is becoming more prevalent as the years have gone by because there are more parents that want to protect their children. Book banning is an extremely important topic because it is shielding young people’s knowledge of what the world truly is. This is a problem because when kids are finally on their own they might not be ready toRead MoreThe Adv entures Of Huckleberry Finn By Mark Twain1346 Words   |  6 Pages An in depth look at â€Å"The Adventures of Huckleberry Finn† Racism was an ever present evil that was prevelant during the 1830s and 1840s that lead to a multitude of wrongdoings against blacks. The Adventures of Huckleberry Finn is about a young child name Huck and how he matures in a society teeming with racism. While on his adventure, he must learn to make tough, adult-like decisions. He travels down the Mississippi River with a runaway slave who later becomes one his his greatest friends. In MarkRead MoreThe Adventures Of Huckleberry Finn By Mark Twain1088 Words   |  5 Pagesis just the same?† (Twain 97). The Adventures of Huckleberry Finn by Mark Twain is a novel about a young boy named Huck Finn who goes on many exciting adventures with a slave named Jim. Huck’s friendship with Jim blooms along the way, and his morality is questioned as he is faced to be the hero of the novel. In The Adventures of Huckleberry Finn, three meaningful subjects are explored in heroism, friendship, and morality that are still relevant today. Huck Finn is a young boy with immense heroicRead MoreThe Adventures Of Huckleberry Finn By Mark Twain931 Words   |  4 PagesColin Yokanovich Mrs. Hocks Advanced English 10 8 September 2014 Jim and Huck’s Maturing Relationship The book Adventures of Huckleberry Finn, by Mark Twain, follows Huckleberry Finn and a â€Å"runaway† slave Jim’s relationship. Their bond transitions from a coincidental meeting, to a friendship, and eventually to a father-son relationship. The first stages of their relationship are haphazard, as Huck and Jim do not have a strong previous relationship. The only connection that Huck and Jim share isRead MoreHuckleberry Finn, By Samuel Longhorn Clemens1520 Words   |  7 Pagesas follows: 1. (adj.) the essence of a thing while in it’s purest and most concentrated form. 2. (adj.) The most typical example or representative. Huckleberry Finn, written in December of 1884, by Samuel longhorn Clemens (under surname â€Å"Mark Twain†) encompasses the life, thoughts and adventures of the 12-year-old title character Huckleberry â€Å"Huck† Finn. Throughout the book Huck struggles with a negative opinion of racism and slavery that is otherwise not voiced by your everyday American southerner

Essay on Examining the Jealousy of Iago and Othello Essay Example For Students

Essay on Examining the Jealousy of Iago and Othello Essay Literary Analysis Jealousy can do horrible things to people, and It could even cause their death as Marleen states, â€Å"Love sees sharply, hatred sees even more sharp, but Jealousy sees the sharpest for it is love and hate at the same time† In Othello by William Shakespeare, Othello caused Desdamona’s death because she never thought of running away when Othello was getting jealous and wanted to kill her. Desdemonas love made her ignore Othellos jealousy. The theme of jealousy is demonstrated in the play by Iago and Othello. The first Theme of jealousy is demonstrated by Iago. â€Å"O, Beware, my lord, of jealousy! / It is the green-eyed monster which doth mock / the meat it feeds on. (3.3.170-172). Iago pretends to warn Othello not to be a jealous man, pointing out that jealousy ends up destroying the heart of the man who falls prey to it. â€Å"The Moor already changes with my poison. / Dangerous conceits are in their natures poisons. / Which at the first are scarce found to distaste, / But with a little act upon the blood / Burn like the mines of sulfur..† (3.3.335-343). Iago realiz.

Toyota Production System and 5s Essay Example

Toyota Production System and 5s Essay Introduction Brief outline of the organization Implementation of 5S with respect of TQM and complement ISO Organizational culture and change undertaken in implementing 5S Content Define 5S Importance of 5S in the organization Culture that supports the 5S in the organization Methodology of 5S implementation How it can complement TQM and ISO certification Recommend organizational change that can to be undertaken to further improve quality Conclusion Outlook of 5S for the organization Evaluate the organizational culture and change in implementing quality. Management prospective on 5S in regards to quality. An example of 5S by Toyota Definition of 5S 5S, the brainchild of Hiroyuki Hirano from Japan, is widely considered as being the basis for Lean Manufacturing as it is concerned with stability and standardization to bring about improved safety, quality, delivery performance and cost control. Why a basis for Lean? Lean Manufacturing is a methodology derived from the Toyota Production System TPS) which originated in post World War II Japan. It came about when Kiichiro Toyoda and Taiichi Ohno amongst others explored means of making a high variety of quality cars at minimal cost, given the lack of capital expenditure available at the time. The fundamental principle of TPS is to increase productivity and generate product flow through the value stream by a disciplined and focused effort on eliminating waste. The foundation for TPS is stability, i. e. minimal process variation, this being achieved by standardization of work practices. What is Waste? We will write a custom essay sample on Toyota Production System and 5s specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Toyota Production System and 5s specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Toyota Production System and 5s specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Waste (Muda) in lean terms is described perfectly by Wikipedia as being any expenditure of resources for means other than the creation of value for the presumed customer. Waste can include anything from excessive motion and transport of materials to defects, over-production and inventory. Most literature now describes the 8 wastes, although Toyota have classified many more. What are the 5Ss? 5S is a systematic approach to workplace organization. The 5Ss are: 1. Sort (Seiri) sort out what is needed and get rid of what isnt 2. Set (Seiton) a place for everything and everything in its place 3. Shine (Seiso) clean and maintain so always looks like the photo 4. Standardize (Seiketsu) make it the standard and instill discipline 5. Sustain (Shitsuke) audit the system and improve it (start again) It should be mentioned for accuracy that Toyota uses 4S. Sustainability, the fifth S, is already encompassed within the TPS continuous improvement culture. Beside the improvements on safety, quality, delivery and cost mentioned above, there are also additional behavioral benefits associated with 5S, such as increased pride and sense of ownership in the workplace, increased discipline and higher employee motivation. Where does 5S succeed? Hirano is reported to have said that good workplaces begin with 5S and bad workplaces fall apart beginning with 5S. So why is this? 5S only works when there is top-down commitment from senior management to operator level. Without this any 5S program is doomed from the outset. Also there needs to be an infrastructure in place for sustainability and continuous improvement (time and resources, ideas scheme etc. ) otherwise the best youll achieve is 4S before the system stagnates. 5S will not work if it is not correctly understood. It is not simply a tidying up exercise and if it is believed as such then the program will only succeed to the second S before eventually being considered a failure. It works when management understand 5S as being fundamental to good performance rather than secondary to it. 5S succeeds in environments where there is discipline and self regulations in place to ensure standards are kept, this being owned by the workforce itself. Standards are typically maintained through a simple daily auditing system of different areas, or zones, with a person or small team being responsible for each. Even with all this in place, long term sustainability will only be possible if the system is continually measured and improved and if members of senior management carry out periodic inspections of each area. One common error by senior management is never being visible on the factory floor. How to Implement 5S 1. Sort The first step, Sort, begins with selecting a dedicated area for focus (could be an office environment, not only a factory floor) and assigning red tags to items that are either no longer needed or their usefulness is unknown. A quarantine area needs to be assigned for all red tagged items if they cannot be thrown away immediately, or if there is a lot of uncertainty as to whether items are still required. This both frees up space in the workplace and provides time to decide whether to keep or discard the items in question. Theres a tendency at this stage for magpies to want to hang onto stuff that hasnt been used for a long time. Critical reflection is required to ensure that emotional ties do not get in the way of logic. 2. Set The second step, Set, involves finding a place for everything that is left over after Sort, keeping in mind work place effectiveness, safety and ergonomics. The following questions should be answered: †¢Where should the item be located? Ease of access is required. Keep passageways clear and avoid cables and piping on floor. †¢How large and heavy is the object? Avoid reaching, bending and lifting where possible. †¢How frequently is the item used? Organize by frequency of use and keep frequently used items close to hand. Set involves providing means for organizing items such as shadow boards, shelves, cabinets and containers. It also involves implementation of visual management to highlight to anyone whether a normal or abnormal state exists. The simplest of examples is a petrol gauge in a car. Green signals good, red signals bad. Another would be floor markings and labels indicating where an item should be found if not being used. 3. Shine The third step, Shine, requires items and the workplace to be cleaned and in a good state of repair. It is also about inspecting, as during inspection you will tend to find risks to safety and quality, for example due to damaged tools or faulty equipment. Shine does not just apply to material objects, but also people. Ensuring good condition of the correct clothing and that the correct PPE is being worn is equally important. For example gloves, hard hats, safety glasses and steel toe caps. 4. Standardize The forth step, Standardize, is about putting in place procedures and ensuring that a workplace is always how it should be. It provides visual management aids and daily checks in order to easily recognize whether the standard developed in the first three steps is being maintained. Visual management display boards in the work areas, creation of an address system and labelling of all equipment are key parts of this step. 5. Sustain The final step, Sustain is essentially about involving and motivating all members of the organization in assuring that the standards are applied and improved through employee empowerment and autonomy. Lean Manufacturing is as much about engaging and empowering the full intellectual capacity of the organization as it is about tools and methods. The PDCA (Plan-Do-Check-Act) or Demin Cycleis the methodology adopted by most lean organizations for continuous improvement activity. Sustain not only involves daily auditing of the workplace by those that work in it, but also periodic inspections by all management levels. For example by local managers on a weekly basis to ensure all check sheets are signed off, and by the senior managers on a monthly basis. Many companies have recognition or reward schemes in place to encourage healthy competition between work areas or between factories within the same organization. This also serves to help generate and turn improvement ideas into action.