Film Analysis on Badlands (1973) Essay Example | Topics and Well Written Essays - 1500 words

Film Analysis on Badlands (1973) - Essay Example It ends with arrest of Kit while Holly receives probation (Sheen and Spacek 1). Editing The movie is edited in an appropriate and excellent manner because it is based on ancient time. This is apparent from the ancient designs of the houses presented in the movie. The clothing in the film suggests that the story happened in the mid 20th century. The film portrays crime and love as the main themes. In as much as love is a good thing, Kits and Holly’s relationship are characterized criminal activities. Holly narrates the story as it begins with her confession of ignorance on the consequences of her actions as well as Kits. The movie employs narration and flashbacks in presentation of the storyline. At the beginning, Holly confesses her ignorance and then proceeds to explain actions that led to her current state using narration. However, the story does not rely on narration alone but rather takes the audience through flashbacks highlighting activities that took place when Holly me ets Kit (Sheen and Spacek 1). The scenes follow in a successful sequence by portraying the lovable yet precarious situation of Kit and Holly. The audience loves the characters at this stage. The audience’s feelings change as they run from Holly burnt home. The editors made it appear as the expectations of the viewer slowly move from a sweet story to a thrilling encounter that is full of suspense and curiosity. The film portrays arrogant nature of Kit and his antisocial behavior. Holly’s narration uses third person as the subject. Her voice portrays her indifference after developing feelings of romance, violence, fear, hope and the ultimate fate that befalls them. Death does not seem to weigh on the conscience of the two lovers. This comes out in Holly’s passive voice as she describes her father’s reaction when he found out that she was secretly having an affair. In a voice devoid of emotions, she says, â€Å"his punishment for deceiving him: he went and shot my dog. He made me take extra music lessons every day after school, and wait there till he came to pick me up. He said if piano didn’t keep me off the streets, maybe the clarinet would† (Klein 1). She emphasizes her father’s treatment towards her and only mentions the death of the dog as a minor explanation (Klein 1). The film does not offer psychological concepts to explain the actions of the two characters. However, the film edition clearly points out the traits of the two characters. Production of the film is based on narration of Holly’s experience. The story follows the transformation of the girl’s innocence because she eventually realizes the processes in the world and law systems. Consequently, it does not explain Kit’s reasons for behaving in the manner he does. The story’s main setting is the road. Consequently, the film has various characters emerging and disappearing. The story only follows the two characters and touche s on their status at different times. Consequently, the production does not employ complex plotting (Sheen and Spacek 1) Sounds The sounds used in this film are both diegetic and non-diegetic. Diegetic sounds portray the world experienced by the characters, Kit and Holly. On the other hand, non-diegetic music allows the audience to understand the circumstances caused by the actions of the two lovers. Diegetic music entails the sounds felt by the characters while non-diegetic sounds are for the sake of the audience (Klein 1). Non-diegetic sounds emerge at

New Military Interrogation Rules Essay Example for Free

New Military Interrogation Rules Essay The film â€Å"In the Name of the Father† had been based on occurrences that occur even in real life. The film gave us a close look on how our justice system could be manipulated in order to suit the wishes of certain people. The film showed innocent people being convicted and accused of the crimes they have done. The fact that those guilty of the crimes confessed their wrongdoings did not hinder the police from punishing the innocent people. The film showed how unfair the British system of Justice is. It showed how the police made use of their positions in order to justify their brutality. They have even made it a point to use brutality in order to make innocent people confess of the crimes they have not made just as can be seen on one part of the movie wherein Gerry had been beaten by the police in order to write a false confession of the sin he did not make. Another annoying part on the movie had been the fact that his father had been charged as an accomplice and thus he had also been taken into prison where he died. The very fact that his innocent father had been made into a criminal and had died in prison grilled Gerry a lot and thus he did everything in his power in order to clear his father name as well as his own, thus the title â€Å"In the Name of the Father†. Denying their prisoners food, and beating them into pulps can be seen on most part of the movie and the police did not stop their brutality until the prisoners confessed for the sins they have done. Dogs are treated in better ways than the prisoner had been treated by the police in the movie. The things the police did goes against the principle of what justice ought to be like. In fact, the brutality did not even ceased when the real crime offender admitted his sin. The police covered the happenings for such a long time until a lawyer came and meddled with their affairs. Of course, the unfairness of the justice system is not as bad as it used to but it does not necessarily mean that the unfairness of the justice system is no longer present on our society as of today. Being forced to sign a false admission by using police brutality as well as involving the suspect’s family on his hardship is still happening today. I mean there are those who are condemned as criminals and their family suffers almost the same level of torture the suspect’s suffer simply because they are related to the suspect. There are even times that even those people close to you are also accused of as accomplice even though the police do not have any sufficient evidences. Often times, we are deceived into thinking that those who are in power is doing things for the common good without realizing the fact that they have been doing things to ensure no one’s good but their own. There are certain rules on the interrogation tactics that are legal to use nowadays but it does not stop some people from abusing their power and still going on with the interrogation tactics being prohibited by the law. We should bear in mind that some interrogation tactics are not allowed nowadays. However, they still happen. There are many cases being reported about police brutality which necessitates improvement however, no such improvements ever happen because police brutality is still very common up to this point in time. The subjects of these abuses are mostly poor people because they do not have the means necessary to demand for justice and thus their voices are seldom heard. Innocent people are being convicted of crimes which they know nothing about. All of us should acknowledge the fact that certain interrogation tactics are banned by the government because they are unjust and it goes against the principle of human rights. Kantian ethics would tell us that each human ought to be treated with respect and not simply as a means to an end. Even using its anti thesis, utilitarianism, police brutalities would still not be justified since it goes against the principle of greatest good for the greatest number of people since only those who hold power could benefit from the rotten way the government works and thus it could lead to the disturbance of the peace within a society. However, these does not stop some people in power from disobeying the law and this could go on forever unless the citizenry decides to do something about it. Reference: CBS News. (2004). New Military Interrogation Rules [Electronic Version]. Use Of Aggressive Tactics Barred; 300 Iraqis Released From Abu Ghraib. Retrieved May 21, 2007 from http://www. cbsnews. com/stories/2004/05/15/iraq/main617654. shtml. Sheridan, J. , George, T. (Writer) (1993). In the Name of the Father. In L. OConnor, G. Byrne T. George (Producer).

Discharge Plan for Older Person

Discharge Plan for Older Person In this assignment the author will discuss a discharge plan with rationale for an older person with a long term condition. Included will be potential and actual problems presenting from the patient profile on discharge from an acute care setting. Reference to the Nursing and Midwifery Councils (NMC) professional code of conduct (2008) shall be made throughout the assignment along with a discussion of legislation in the latter part that is relevant to the plan of care arranged. Moreover any copies of documentation used in the appendix will remain anonymous maintaining confidentiality. The theoretical model used to formulate this plan of care is Roper et al (1990) activities of daily living which concentrates on twelve elements essential for daily living skills and the level of dependence required for them. The elements of the theoretical model chosen will be those applicable to the patients discharge care for example, mobility and breathing. The patient profile referred to is that of an elder gentleman in his late seventies admitted to hospital following weakness on waking to the left side of his body which had mainly affected his mobility. There also appeared to be some facial drooping with dysarthria. For the purpose of this assignment when referring to the patient he will be named as Mr Smith as to personalise the plan of care. Mr Smith has a past medical history of chronic obstructive pulmonary disease (COPD) and asthma for which he receives drug therapy of salbutamol and becotide inhalers. He is also the main carer for his wife whom suffers severe Alzheimers disease. Discharge plan Liaise with the discharge co-ordinator as to the impending discharge of Mr Smith. This will ensure the continuity of his care on discharge. The discharge co-ordinator provides valuable assistance and is able to amplify the experience of a patients venture from hospital to the community Day et al (2009). They are highly skilled nurses in this specialist area and mediate between the multidiscipliness involved in the care needs of Mr Smith. Mobility. Problem 1 Possible changes to Mr Smiths movement, function and orientation. Method/outcome Complete a falls risk assessment using an identified tool and follow advisory notes on completion. With consent liaise with occupational therapy and physiotherapy departments for a discharge assessment and continued rehabilitation within the community. Make certain a home visit with therapy teams has been undertaken before discharge. Rationale A falls risk assessment tool (FRAT) is a way to establish risk and manage falls prevention. Its use is advocated in the National institute for clinical excellence (NICE) guidelines in falls prevention document (2004). Following the use of FRAT (appendix 2) it is decided that Mr Smith is at moderate risk of falling and advices of therapy team input. Mr Smith requires an assessment by the occupational therapy team in his home environment prior to his discharge. This ensures his safety and well being for day to day living and maintains his independence. The visit presents an opportunity for the occupational therapist to evaluate the need for adjustment in the home. For example it is recorded that Mr Smith has some difficulty in rising out of the bath he would therefore need modification in his bathroom to enable him to do this, promoting independence and maintaining his dignity. Mobility doesnt just include the physical aspect of movement it involves fine motor activity, personal assertion, feeling and communicative function also. Having a stroke can cause dysfunction, having a dramatic causatum on the persons life Barnet et al (2009). Making adjustments in the home can be an upsetting experience. An assessment by the physiotherapist will maximise rehabilitation in physical movement and allow instruction on the use of equipment that may be required in doing so, this ascertains safety and accuracy during use. Physiotherapists have superior kinetic knowledge and can introduce advice in falls prevention minimising the occurrence. NMC (2008) requires you as a nurse to refer to another practitioner when it is in the best interests of a persons care. Both therapists will be able to initiate communication with day hospitals for continued rehabilitation therapy sessions within the community. Maintain a safe environment and communication. Problem 2 Mr Smith is to administer daily medication and understand the information provision. Method/outcome Ensure the prescription with 7 days supply is provided and sent to pharmacy in time for discharge. Guarantee Mr Smith and his relatives receive relevant information regarding medication. Explain in an accessible manner. Arrange an out patients appointment. Present written and verbal information regarding the appointment. Inform the GP of Mr Smith discharge. Rationale Mr Smith has been prescribed aspirin 75mg following an ischaemic cerebral vascular accident (CVA). The aspirin is given prophylactically and inhibits platelet aggregation which could otherwise result in a thrombus formation British national formulary (BNF) (2009). Eighty percent of strokes result from ischemia, caused by a thrombus blocking the cerebral circulation therefore, preventative medication such as aspirin reduces the risk of a reoccurrence Greenstein and Gould (2009a). It is important to provide Mr Smith with written and verbal information with regard to instruction on how and when to take his medication, along with the dosage and possible side-effects he may encounter. Educating Mr Smith on the need for medication and possible consequence of non compliance present him with an informed choice and reduces the risk of a drug induced re-admission. Reports suggest that fifty percent of older people may not take medicines prescribed for them as they have not received valued information about the benefits and risks involved Department of health (DOH) (2001). The NMC (2008) says that you must share information about peoples health and regimes in a way they can understand. This facilitates informed choices and compliance. Nurses have a responsibility to continue assessment of their patients suitability for self-administration; the NMCs standards for medicines management (2008) standard 9 require you to acknowledge changes to a patients condition and safety with regard to self-administration. Assessing Mr Smiths understanding and capability of remembering to take his medication is of great importance as if he is likely to encounter difficulty, provision for pre-dispensed medicine or help from a carer can be arranged Wade (2007). Indirect questioning will provide some indication as to how much Mr Smith understands and will not make him feel inadequate, maintaining his dignity and respect. An outpatients appointment with a neurologist will maintain consistent specialist monitoring of Mr Smiths condition even though once discharged the GP is responsible for care in the community and continued prescribing. It is therefore vital that the GP has documentation on this hospital admission and any follow up appointments to be attended. Problem 3 Change to Mr Smiths social and home environmental needs. Method/outcome Inform Mr Smith as to the importance of social services participation and gain his consent. Liaise with social services for an assessment of needs completing the relevant documentation (sections 2 5) in acceptable time ready for Mr Smiths discharge. Rationale Consent must be given by Mr Smith prior to the involvement of social services, even though it is documented that they have had previous input with Mrs Smiths care. It is the individuals right to confidentiality and as a nurse you must respect this NMC (2008). Mr Smith has indicated that he has concerns with regard to coping and caring for his wife whom has severe Alzheimers disease when he is discharged. Social services must assess the need for a care support package and provide financial advice for the services required as Mr Smith is a home owner. With Mr Smiths consent social services may even consider the possibility of Mrs Smith remaining in the nursing home until Mr Smith is more able bodied. The need fulfilment of the dependent can generate emotional stress in the carer and burden their physical well-being with the high level of physical exertion needed to provide endowed care Mackenzie and Lee (2006). When Mr Smith returns home it is the expectation that he will be allowing himself time to recover and not put his self under duress which could result in a relapse in his health. Anecdotally, caring for his wife at this stage would not be beneficial to his rehabilitation. Problem 4 Transportation home on discharge from hospital. Method/outcome Liaise with relatives regarding transport home and if necessary arrange hospital transportation. Verify Mr Smith has keys to his property, that someone will be there to receive him or that the key safe number is available. Rationale It is of upmost importance that Mr Smith and his relatives are fully aware of the date of discharge and the preparations for his arrival. Where possible, Mr Smith and his relatives should contribute to the discharge plan. The expectation of you as a nurse is that you uphold peoples rights to be involved in decisions about their care NMC (2008). Working and playing. Problem 5 Possible isolation and lack of social contact. Method/outcome With consent refer Mr Smith to the community stroke liaison services and complete the relevant referral documentation. Provide the services contact details. Rationale The community stroke liaison nurse is there to provide support with initial changes to Mr Smiths life. She is a specialist in stroke rehabilitation and can present him with coping strategies. These will help Mr Smith focus on problem solving approaches and heighten his sense of control Carpenito-Moyet (2008a). The nurse specialist may also be able to provide Mr Smith with mini health checks and details of support groups, clubs and give advice regarding enrolling on an expert patient programme if it is available within the local authority. The expert patient programme is a self management course for people with long term conditions. It was launched in 2002 as a pilot programme but is now national. The course is delivered over a six week period by a trained tutor who is either a volunteer or a previous programme attendee and is vastly beneficial. The service reduces isolation, promotes confidence and empowers those living with deficits or complex needs DOH (2001). Eating and drinking. Problem 6 Nutritional support and secondary prevention Method/outcome With consent refer Mr Smith to a community dietician completing the documentation. Highlight the importance of lifestyle and dietary changes with regard to his condition. Outline the need to attend to any future difficulty in swallowing or further dysarthria. Rationale Following his stroke Mr Smith may have a reduced appetite. Carpentino-Moyet (2008b) suggests this may be due to fatigue, being less mobile or even because of some pain from limb limitation. Carpentino-Moyet (2008c) also discuss that during Illness or convalesce a good nutritional consumption can reduce the risk of further complications and aid faster recovery. Referring to the community dietician ensures that a diet plan optimal in calories and nutrition is received. Making certain that Mr Smith has some understanding about his condition will endeavour compliance with diet and life style changes. The reoccurrence of a CVA is much higher during the first year of rehabilitation, therefore regular checks and life style conversions need to be initiated DOH (2001). Mr Smiths awareness and detection of further difficulties with speech and swallowing is a desired outcome as this could most definitely interfere with his nutritional intake in the future and would incorporate further change to his diet and lifestyle they would also warrant a referral to a speech and language therapist for a swallow assessment. Breathing Problem 7 Mr Smith has COPD and asthma and requires respiratory maintenance and secondary prevention advice. Method/outcome Ensure Mr Smith is aware of how to use his inhalers with the correct technique. Inform him of the importance to have regular visits to the GP or respiratory nurse in order to maintain adequate respiration. Provide cessation of smoking advice. Rationale Belamy and Booker (2000) suggest that the recommended maintenance appointment for patients with mild to moderate COPD should be annually within the primary care setting, they also indicate the monitoring session should involve a full assessment of the patients smoking status, symptom control, and medication efficiency with inhaler technique. Furthermore it allows the health care professional to perform spirometry. It appears that Mr Smiths therapeutic intervention of becotide and salbutamol inhalers have symptomatic control of his COPD at present however, he is now also prescribed aspirin which could contraindicate his condition. Occasionally aspirin causes bronchospasm Greenstein and Gould (2009b) therefore close monitoring is essential. In practice we can promote smoking cessation and provide advice to Mr Smith with regard to the health risks involved following his stroke and COPD. It is his individual choice as to whether he will participate. Many people given smoking cessation advice will continue smoking disregarding concern for their health. The NMC (2008) stipulates that as a nurse you must not discriminate against those in your care, treating people as individuals regardless of whether their choice exacerbates their illnesses. Key issues in older adults and long term conditions care provision: Extensive change has been underway with regard to the care standards and expectations of health and social care services for older people. The force for change has happened due to demographic analysis, which indicates that people are living much longer with an increase in those above the age of eighty. According to the DOH (2001) this figure is expected to have doubled between 1995 and 2025. Such longevity influences the amount of people living with long term conditions. Research and reports from extensive consultation with older people, their carers, healthcare professionals and from media coverage, discuss services declining to meet the needs of older people with age discrimination and depletion of dignity and respect being a major domination as clinical areas lacked evidence based practice DOH (2001). The introduction of clinical governance has helped develop effectiveness of evidence based practice assuring the quality of care is of a high standard. Zwanenberg and Edwards (2004) describe clinical governance as a system to advance the quality of care in which healthcare managers are responsible for policy compliance. They explain that primary care trusts are accountable for providing evidence of their effectiveness and quality of clinical practice and further acknowledge the level of need for accountability since public interest in cases of malpractice. Care plans are aspects of clinical governance policies Lugon and Secker-Walker (1999) as is the essence of care document developed by the DOH in 2001. The essence of care document is a guidance tool specific in enabling healthcare professionals to deliver a structured and patient focused practice within eight areas of care. Some of the areas include food and nutrition, self-care and privacy and dignity. The document also enables professionals to distinguish areas of poor practice allowing for remediation DOH (2001). The national institute of clinical excellence formulated guidelines for practice in assessment and prevention of falls, declaring that falls are a major cause of disability or mortality in the elder population and impact on their quality of health and life NICE (2004). NICE (2004) also report that falling can have a devastating repercussion to an individual causing psychological distress, lack of confidence and poor self esteem, dependency and even pressure injury. The guidelines provide strategies for assessment (FRAT appendix 2) of those at risk of falling, including individuals following a stroke and suggest setting provision for interventions such as physical therapy, home adjustment and the revisal of visual deficit NICE (2004). The development of the national service framework (NSF) for older people by the DOH (2001) delivers policies as to the standard of healthcare that older people should receive. The NSF endeavoured to set strategies over a 10 year programme looking for improvements within specific areas of health promoting independence and providing treatment with respect and dignity. The document lists the quality of care that is required on the best available evidence and provides one standard for all, achieving consistency within healthcare DOH (2001). The focus of the NSF for older people was to abolish age discrimination and provide a patient centred approach to care DOH (2001). The document defines stroke and falls prevention, promotion of health and introduces standards of care for hospital and intermediate settings and for mental health illness in older people. The DOH in connection with the NSF for older people also developed the NSF for long term conditions in 2005. The document expresses the need for the promotion of quality of life with autonomy based around the individuals specific need for their condition. Implementation of this policy includes provision of support for housing, benefits, education and pension schemes helping those suffering with long term conditions to live as independently as possible with access to services as required DOH (2005). A stroke (CVA) is classified as a long term condition and the DOH (2007) stroke strategy document identifies the need for health promotion and management of risk. The plan of action firstly focuses on awareness and prevention, treatment and services available for those whose lives have been affected by stroke. Secondly, it identifies that all needs, health and social of the individual, should be contemplated in a plan of care not just medical ones DOH (2007). The stroke strategy guidelines allow for individuals following a minor event to be given an MRI scan within 24 hours, as evidence suggest eighty percent will follow on to have a severe stroke DOH (2007). Clinical areas can therefore reduce deaths in practice if they adhere to this policy. Promotion of healthy weight, physical exercise and smoking cessation along with regular blood pressure checks and advice on alcohol consumption further reduce risks DOH (2007). The stroke strategy also expresses the need for a multidisciplinary approach, all health and social care workers collaborating together cultivating a stroke care community that will provide the best possible service for those affected returning home DOH (2007). Continued assessment by the multidisciplines following a hospital admission is essential to ensure an individuals suitability for discharge. The DOH (2004) suggests that consideration be made for the individuals physiological, functional and psycho-social wellbeing during the assessments. Being fit for discharge means that receiving care in an acute setting is no longer needed and continued care can be provided between the GP, community services and outpatients appointments DOH (2004). One professional included in the multidiscipline approach within the community is a pharmacist with initiatives developed to increase their involvement in care, such as repeat dispensing, medication reviews and independent prescribing especially for those with long term illness DOH (2005). The pharmacists involvement within the multidisciplinary team is very beneficial to patient care as it decreases medication errors, discovering discrepancies and many contra-indications before the medication reaches the patient. All legislation and government policies have influence on the way healthcare professionals practice. They provide guidelines as to accommodate continuity of healthcare in general. They set standards for quality of care that service users can expect when accessing healthcare provision and project how they will receive this provision. Legislation is an important aspect of healthcare and individuals have the right to life without discrimination, being treated equally with dignity and respect regardless of their condition, disability or age. The writer concludes that Mr Smith is awaiting discharge from hospital following a stroke. Evident from the patient profile he has achieved a satisfactory level of independence and he appears to be making good progress. The discharge plan documented for Mr Smith incorporates many of the NHS and social care policy initiatives to deliver continuity of care from hospital to home using elements from the Roper et al (1990) theoretical nursing model. The discharge plan supports the inclusion of multidisciplines, health promotion, prevention strategies and patient participation. It also up holds the NMC code of professional conduct (2008) whilst focusing on independence and maintenance of ones dignity, providing community support and rehabilitation. References: Barret, D. Wilson, B. Woollands, A. (2009) Care planning a guide for nurses, Essex: Pearson Education Limited. Belamy, D. Booker, R. (2000) Chronic obstructive pulmonary disease in primary care, all you need to know to manage COPD in your practice 3rd ed. London: Class Publishing. BNF 57 (2009) British national formulary. London: BMJ Group/RPS publishing. Carpenito-Moyet, L.J. (2008) Nursing care plans documentation, nursing diagnoses and collaborative problems 5th ed. Hong Kong: Lippincott Williams Wilkins. Day, M.R. McCarthy,G. Coffey, A. (2009) Discharge planning: the role of the discharge co-ordinator, Nursing Older People, 21, (1), pp. 26-31. Department of Health (2001) Medicines and older people: implementing medicine-related aspects of the NSF for older people, The Department of Health. [online]. Available from: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4008020 [accessed 18/03/2010]. Department of Health (2001) The essence of care: patient-focused benchmarking for healthcare practitioners, The Department of Health. [online]. Available from: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4127915.pdf [accessed 12/02/10]. Department of Health (2001) The national service framework for older people, The Department of Health. [online]. Available from: http://www.dh.gov.uk/dr_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4071283.pdf [accessed 14/02/2010]. Department of Health (2002) The expert patient program, a new approach to chronic disease management for the 21st century, The Department of Health. [online]. Available from: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4018578.pdf [accessed 30/03/2010]. Department of Health (2004) Achieving timely simple discharge from hospital, a toolkit for the multi-disciplinary team, The Department of Health. [online]. Available from: http://www.dh.gov.uk/dr_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4088367.pdf [Accessed 26/03/2010]. Department of Health (2005) The national service framework for long-term conditions, London: The Stationary Office. Department of Health (2007) National stroke strategy, Department of Health. [online]. Available from: http://www.dh.gov.uk/dr_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_081059.pdf [accessed 25/03/2010]. Greenstein, B. Gould, D. (2009) Trounces clinical pharmacology for nurses 18th ed. London: Churchill Livingstone Elsevier. Lugon, M. Secker-Walker, J. (1999) Clinical governance, making it happen. London: Royal Society of Medicine Press. Mackenzie, A. Lee, D.T.F. (2006) Carers and lay caring, In: Nursing older people: Redfern, S.J. Ross, F.M. (eds.) Nursing older people. 4th ed. London: Elsevier. National Institute of Clinical Excellence (2004) Clinical practice guidelines for assessment and prevention of falls in older people. CG21. London: Royal College of Nursing. Nursing and Midwifery Council (2008) Professional code of conduct, London. Nursing and Midwifery Council (2008) Standards for medicine management, London. Roper, N. Logan, W. Tierney, A.J. (1990) The elements of nursing, based on activities of daily living. New York: Churchill Livingstone. Wade, S. (2007) Refusing discharge or transfer of care, in: Nurse facilitated hospital discharge: Lees, L. (ed.) Nurse facilitated hospital discharge. Keswick: MK Publishing. Zwannenberg, T.V. Edwards, C. (2004) Clinical governance in primary care, in: Clinical governance in primary care: Zwannenberg, T.V. Harrison, J. (eds.) Clinical governance in primary care. 2nd ed. Oxon: Radcliffe Medical Press Ltd.

Technology and the Media Essay -- social issues

Technology and the Media In this essay, British historian and broadcaster Asa Briggs looks at how technological advances made in recent decades have created a revolution in the media, allowing people to communicate in ways they had never dreamed of. Briggs notes that although these new modes of communication—including the television, the personal computer, the Internet, and other digital technologies—are available throughout many parts of the world, these media may be used in different ways depending upon the prevailing political and social circumstances. Briggs also raises questions about the future of the media and how the unfolding media revolution will affect people’s lives. Technology and the Media The sense that the world is in the middle of a continuing communications revolution has been strong since the 1960s when television made its great breakthrough. It was then that the Canadian writer on communications, Marshall McLuhan, made his memorable statements that â€Å"the medium is the message† and that the world was becoming a global village. It was then too that the word â€Å"media† became part of daily speech, covering not only electronic media, live television, but older print media, particularly the press. Comparisons were drawn between the progress and the development of television in the 20th century and the advent and diffusion of printing in the 15th and 16th centuries. Yet much had happened between. It was not until the 19th century that the newspaper became the dominant pre-electronic medium, following in the wake of the pamphlet and the book and in the company of the periodical. It was during the 19th century also that the communications revolution speeded up, beginning with transport, the railway, and leading on through the telegraph, the telephone, radio, and motion pictures into the 20th-century world of the motor car and the airplane. Not everyone sees that process in perspective. It is important to do so. It is generally recognized, however, that the introduction of the computer in the 20th century, followed by the invention of the integrated circuit during the 1960s, radically changed the process, although its impact on the media was not immediately apparent. It now became possible to combine thousands, later millions, of individual transistors on a single chip. Computers became smaller and more powerful. They became â€Å"personal... ...ia—from books to motion pictures and from cable to satellite—endanger individual freedom? Will the opportunity of choice, offered to individuals, mean that the field of choice will be genuinely widened? May we not have more and more of the same thing?It is logical to separate out questions relating to technological developments from questions relating to ownership and control, but, in practice, visions of the future world involve bringing them together. It is difficult in present circumstances to avoid the blurring of â€Å"image† (seeing the world as it is presented to us or as we present it to ourselves) and â€Å"reality.† Can â€Å"truth† survive? The media in their mediation can create what has come to be called â€Å"virtual reality†; and Internet can offer fantasy ways of escaping from the restraints of life as it is lived to a world of cyberspace. Cyber words have multiplied during the 1980s and 1990s—from â€Å"cybernautà ¢â‚¬  to â€Å"cyborg† through a whole new vocabulary. It may well be that through an effort to chart the words that we use, and the dates when they were first used, we can achieve a greater understanding of a continuing historical process that encompasses the future as well as the past.

European History-The Later middle Ages Essay

Black Death was a plague that swept across Europe in the 14th century resulting in an irrevocable change to Europe’s religious structure which was highly dominated by the Roman Catholic Church. Besides, Black Death resulted in harassment of minority groups such as Jews on not only grounds of religious detestation but also a way of attacking the church or the kings who were perceived to protect them. This was heightened by feelings that the church as an institution had failed to provide social guidance equally among all people. The Pope condemned the killings and tried to stop it but to no avail resulting in renewed religious fanaticism and fervor amid Black Plague. This resulted is weakening of the old connection between the society and the religion (Tuchman 20-50). The fact that the clergy were not able to banish or cure the disease and explain its causes resulted in cynicism toward church. At the time of Black Death the Pope was based in France and was seen to have abandoned church leadership for French monarchy hence leaving its people at the time of need. This compounded disillusionment among people towards the church and embraced other religious outfits such as Order of Flagellants. Subsequently, as the disease caused death in monasteries, few years later there was a shortage of clergy. New clergy members replaced those who had died but did not have life-long convictions hence resulting in more abuses and weakening of church position in the society (Tuchman 50). 2. The Hundred Years’ War occurred in the years between 1336 and 1453 and it was mostly between France and England. England traded with Flanders in exchange of its fleece for wine in the Southern France. This was a triangular-like trade in which English traded with France indirectly through Flanders. However, the king of France was persistently struggling to regain control over the wealth in Flanders as a result the English could not let it go as it could have meant their only source of foreign exchange is gone. In these misunderstandings, a civil war broke out whereby the English supported the manufacturing companies whereas the French supported land-owning nobility. Besides, the English had a control over duchy of Guienne in France. In this regard, King Edward III became disappointed with King Phillip IV’s broken promise to restore a part of the Guienne to the English. Additionally, King Phillip went against English wish and supported Scotland which angered England. This war became more complex as the right over the territorial control –dynast conflict- was coupled with conflict over succession of throne. For instance, King Edward III who had risen to the throne in 1327 could have claimed to succeed Charles IV of France after he died in 1328 without any heir. Some years later, King Edward declared himself the King of France to provoke France so that he can attract resistance from them (Allmand 20-50). The war resulted in paradigm shift in terms of tactics, weapons, and technology employed in military war. For instance, the use of cavalry which by then was powerful machinery was abandoned for longbow. Other weapons introduced during the war include gunpowder and cannons. The war revealed the extent to which royal authority in England could be questioned especially in the succession lapse when King Edward III died. The Peasant’s revolt in 1381 witnessed an uprising against the throne by peasants leading to the King (Richard III) giving in to their demands. The war rekindled patriotism and nationalism among the French nationals. The country transformed from being a feudal monarchy to being a centralized state. Besides, the growth of French as a royal and commerce language disappeared during the war (Anne 5-20). 3. It is in the fourteenth century that majority of European countries experienced some of the worst natural disasters and social upheavals. The first disaster is the Little Ice Age, a climatic disaster. During this period, epidemics, famine and heavy rains became evident resulting in weakened agricultural productivity. The second natural disaster during the fourteenth century was The Black Death, a plague that nearly brought life to a standstill in Europe. Social upheavals include the hundred years’ war (1337-1450), internal church wrangles in the Catholic Church, and rise up of Islam militants. As a result of The Little Ice Age, France experienced heavy rains around 1315 that culminated into famine in the later years. All these disasters had a large impact on drastically reducing the overall population of Europe as many individuals died. It is also important to note that a lot of minorities for instance Jew were killed or extradited for Europe especially during Black Death. It is also during this time that the highly dominant Catholic Church received much criticism from the society. Additionally, the Church differed with the monarchy when taxes were imposed on its officials resulting into ‘Babylonian Exile’. In 1377 amid the crisis, Pope Gregory XI relocated to Rome for Avignon, France (Tuchman 25-70). 4. In the 14th century, Italy like many other European countries experienced a lot of hardships economically, socially, politically, and in religion. Besides, in the mid 14century, Italy undergone rebirth what is popularly referred to as ‘renaissance’. In the cities where the feudal system was not strong for instance in the northern frontier –Venice, Florence, and Milan- a strong economical and political atmosphere became dominant and their political structure ruled surrounding regions impacting significant influence over them. In the same period, south of Italy became highly dominated by Papal administration especially in Rome. The papal administration exerted a lot of rivalry to the Northern cities as well as influencing to a large extent the Italian politics and lifestyles. During the 14th century, the political elite advocated for the principle of humanism by arguing that a person can achieve considerably while in this world in terms of politics and life among others. Therefore, the medieval perceptions that people had changed drastically as they geared towards showcasing their talents (Jackson 310-320). 5. In the fourteenth century, the Roman Catholic had strong influence on the political and social life in most parts of Italy whereas Germany was under monarch rule. For instance, Germany was ruled mostly by the Habsburgs with power centering around three houses of dynasty: Habsburg, Wittelsbach, and Luxemburg. Therefore most parts of Germany were controlled by the emperor. It is also during the fourteenth century that Germany flourished although it was hit by the Black Plague. In Italy the papal administration and secular leadership was not totally in agreement in terms of managing economic resources and to develop central governments. Subsequently, around the year 1300, the well established Holy Roman Empire failed to maintain its centralized form of governance across Europe resulting into war between different states such as the barbaric German tribes that invaded Italy. This culminated into having a power vacuum until in 17th century. In Italy for instance, the independence of some of its states in the North coupled with wrangles between the in the Papacy prevented realization of a strong centralized governance (Tuchman 50). 6. It is in the 14th century that the Church experienced faced difficult times and gradually lost its prestige and power in the society. The Church failed to provide moral and spiritual guidance to the people and it can be explained in three distinct stages. First is the Avignon Papacy of 1305 to 1378. During the time pope was located in Avignon, France and officials were seen to monarch’s puppet. They were corrupt, disregarded social morals, were left out in condemning the hundred years’ war, and failed in their responsibility during the Black Plague. A lot of groups also criticized the Church for owning wealth and property as this was against God’s teaching because Jesus owned nothing. Some people also claimed that Church should consist of members only and not be led by a single individual. At this time papacy defended its righteousness persistently as well as attacking its critics but it is evident that papacy lost its moral authority and credibility to the people (Jackson 322). The second event that degraded credibility of papacy was the great schism of between 1378 and 1415. After Gregory XI died, the College of Cardinals in Rome was forced by an angry Roman mob to choose a pope of Italian origin. Urban VI was chosen and immediately after, French cardinals protested by fleeing Rome into Avignon where they chose another French pope as they claimed the election was not free and fair. This culminated into having two papal administrations at Rome and at Avignon hence resulting in financial crisis. Besides, the notion that Church was autonomous from state and secular sanctions failed to be realized. Wrangles existed between the two centers of power leading to excommunication claims by either of the side for receiving sacraments. Third is the Council of Pisa that met in 1408 and resolved to elect a new pope thereby dismissing the two rival popes. They based this on the principle of conciliarism. However, this was not adhered to by the two rival popes and resulted in having three popes. This complicated the matters more in regard to who had supreme power to elect pope leading to the Holy Roman Emperor backing the Conciliarists in holding another council to resolve the issue in 1415 (Jackson 323). . 7. The religious rift which occurred in the Church around 11th century A. D. is what widely referred to as the Great Schism. The Roman Catholic Church and the Geek Catholic also known Greek Orthodox Church separated during the p[period which lasted between 1378 and 1415. The acrimony between the West patriarchate in Rome and East patriarchates in Jerusalem, Antioch, Byzantium, and Alexandria was on of the cause. This was heightened more by language differences because the West spoke Latin whereas East spoke Greek. Besides, the rift grew more when Emperor Constantine considered transferring the capital from Rome to Byzantium. Additionally, during the same time German tribes invaded Europe leading to political instability (Jackson 323). This political turmoil coupled with geographical distances and economic hardship lead to ultimate separation of West from the East. As a result it is only a few theologians from West who could speak the predominant Greek language in the East. Communication broke lose among the west and east clergy. There was decreased literacy in the West as compared to highly educated East populace. Thus the church had significant influence among the East populace. The clergy in the East was capable of translating the Bible into local languages and with time it became mature enough to establish self governance. The occurrence of the Great Schism was also a sign of failure in leadership among the church officials in the 14th century (Jackson 324). Works Cited Allmand, C. T. The hundred year’s war: England and France at war, c. 1300-c. 1450. United Kingdom: Cambridge University Press, 1988. Anne Curry. The Hundred Years War. 2nd ed. UK: Palgrave Macmillan, 2003. Tuchman, Barbara W. A Distant Mirror. New York: Knopf, 1978. Jackson, Spielvogel J. Western Civilization. 7th ed. Cengage Learn

How to Write a Marketing Resume That Will Help Land Your Dream Job

How to Write a Marketing Resume That Will Help Land Your Dream Job Writing a marketing resume isn’t easy. If you consider yourself a writer by trade, that sentiment might feel ironic. But, it’s true. Summarizing your history and skills in one page is tough, especially when your future career prospects hang in the balance. No pressure or anything, though. Fortunately, it’s a skill you can develop. This post is geared toward the following folks: College students and recent graduates looking for internships and entry-level jobs. Experienced marketers applying for their next opportunity. Marketing managers and HR professionals researching what to look for when hiring various marketing roles. Get ready to learn more about resuming writing than you might have thought you need to know. How to Write a Marketing Resume That Will Help Land Your Dream Job by @Ben_via Table of Contents: A Story Free Marketing Resume Template Are Resumes Still Important? What Makes Getting Yours Noticed So Difficult? What Does An Effective Resume Look Like? Planning Your Resume Formatting Your Resume Writing Your Resume Writing a Content Strategy Resume Writing a Social Media Marketing Resume Writing a Marketing Manager Resume Writing a Copywriting Resume Writing a Product Marketing Resume Writing a Public Relations Specialist Resume Writing an SEO Specialist Resume Writing a Marketing Project Manager Resume Writing a Paid Search/Social Resume Consider Creative Resume FormatsBut First, A Story †¦ When I was in college, I was worried I wouldn’t find an internship, nor a full-time job following that. The economy was down and prospects were slim, so getting a foot in the door didn’t look particularly easy. I had also never written a resume before, and given the circumstances, I knew mine needed to be good. Fortunately, I did have some relevant experience built up from working at the student newspaper, tutoring, and various freelance gigs. After doing extensive research online, I did my best to put one together would convince a hiring manager I deserved an opportunity. In order to make sure my efforts were up to par, I made an appointment at the university career center for a resume review. I thought they’d tear it apart, tell me everything that needed fixing, and send me on my way, ready to spend more time polishing it up. Instead, something else happened. After reading through my cover letter and resume, the student advisor looked up and said, â€Å"This looks really good. In fact, we’re going to use this as an example for other students to follow. Nice work!† That wasn’t the response I expected, but I was glad to take it. This is a 100% true story, and I’m not sharing it to boast, either. Instead, Im sharing this experience to show that  getting the job you want in this industry is an attainable goal. And it all starts with your resume. Steal My Marketing Resume Template Since then, I’ve used roughly the same template for every job I’ve applied for. It’s gotten me several internships, and all three of my full-time jobs in the industry (in ecommerce, at a mid-sized agency, and now at ). There’s nothing fancy about it, but it’s clean, clear, and it works. I’ve also adjusted it slightly to better fit different needs and experience levels. Here’s everything the bundle includes (each one is included in both Microsoft Word and iWork Pages formats): Marketing Internship Resume Template Entry-Level Marketing Resume Template (Less Than 2 Years Experience) General Marketing Resume Template (2+ Years Experience) Marketing Manager Resume Template (8+ Years Experience) Download the whole bundle now. Itll help you save time on formatting, so all you need to do is fill it in. Job hunting for your next marketing opportunity? Snag these free #marketing resume templates: Are Resumes Still Important? In a word, yes. While LinkedIn is a vital tool for demonstrating your skills and expertise, hiring managers still typically want to see a resume. It’s a big part of making a good first impression, so it’s important to get yours right. What Makes Getting Your Resume Noticed So Difficult? Hiring managers often have too many to look at. Most of the time, it really is that simple. According to Time, that’s why the average resume only gets looked at for six seconds. In order to stand out, you have to make yours look exceptional. Avoiding Resume Mistakes There is nothing worse than sinking hours into the perfect job application, only to have your efforts undone by unforced errors, like typos (this is especially important for marketers and writing-based roles). From not catching spelling errors to failing to tailor your resume to the role you’re applying for, Thomas Frank  does an excellent job of summarizing what not to do in this video: What Does an Effective Resume Look Like? It’s easier to replicate success when you have an example to follow. This template is closely based on one I created myself in college, and have used for the past decade. It’s clean and simple, but it has worked well in my experience: Here's how to write and format an effective #marketing resumeLater, toward the end of this post, you’ll also see examples from around the web, tailored toward specific marketing disciplines. Depending on the type of role you’re applying for, the format might need to change slightly, or highlight different types of skills. Planning Your Resume Before you start writing, it’s a good idea to prepare all the information you’ll need. You’ll need to round up previous work-related experience, contact references, summarize your strengths, and more. Know Who Will Be Reading Your Resume Every resume you send should be tailored toward the job you’re applying for. Generally, it’s a good idea to create one generic resume that you can adjust depending on the company or role you’re targeting. This doesn’t have to be rocket science. Start with these tips: Read the company’s website. This will give you an idea what they’re like. Research the company. What can you find out about them from news articles, blogs, or other third-party sources? Give their front desk a call or send an email. When it comes time to write a cover letter, it helps to address it to the right person. Find out who that is by making a quick inquiry (if that information isn’t easily available on a job listing). Recommended Reading: How to Find Your Target Audience and Create Content That Connects Assess Your Strengths Know what sets you apart as a candidate. Everyone is unique and possesses individual talents. Understanding them can help guide your career by emphasizing what you’re best at. If you haven’t before, it’s worth taking the StrengthsFinder self-assessment test. It’s a book that comes with a code you can use to login to a web-based survey that will help you better understand your strong points. This short video summarizes how it works: The marketing teams at recently took this test. Here’s what I learned: Having strengths in things like learning, ideation, and strategy are extremely useful for creating educational marketing content. Makes sense, right? I just wish I would have taken it sooner. Recommended Reading: How to Structure Modern Marketing Departments for Success Round Up References and Employment History If you’re new in your career, this may be a challenge if you don’t have much experience to lean on. When you submit a resume, include references on a separate sheet. Include the following information for each person: Name Company Job Title Phone Number Email Address Make sure you have permission to list each person on your application, so they aren’t surprised to get a phone call about you. Using people as references without permission is a major faux pas. Location. Location. Location. This step matters most if you’re applying for a job in another state or city, and will need to relocate. There are varying schools of thought on this, but this post will argue it’s best to be honest. Consider the following: If the job is within a commutable distance, use your own address. If you’d need to travel a longer distance for an interview, state that in your cover letter. If you can, consider using a friend or relative’s address in the city. Formatting Your Resume So, what should this thing look like? It’s an important question, and there are a handful of minor tweaks you can implement to improve formatting. Step 1. Pay Attention to Font Choices There are two types of fonts to pay attention to here: serif  and sans-serif. The graphic below illustrates the differences between the two: Source: Source: https://www.quora.com/What-is-the-difference-between-serif-and-sans-serif-typefaces There are key differences between serif and sans-serif fonts, and how they affect readability: According to Harshita Arora, sans-serif fonts offer a slight boost in readability. That’s why I used a sans-serif font on mine. Too many fonts is considered a negative for readability. Again, mine only uses one font (just in different formatting and sizing here and there). Using serif fonts isn’t going to ruin your resume if you’d really like to use them. You’ll probably still get hired. But, for ease of reading and skimming, limit yourself to two fonts, and lean toward sans-serif. Recommended Reading: How to Work With Designers With Authentic Advice From 's Designer Step 2: Consider Narrower Margins for Wider Sentence Length Resumes need to include a lot of information in very little space (ideally, within one page). One way to squeeze in more detail about yourself while retaining a clean look is to use narrow margins. This helps you fit more text per line. If you’re using Microsoft Word, you can easily set wider margins by clicking on the Layout tab: Next, click Margins. Then, select Narrow: This is how the template included in this post sets its margins. Step 4: Use Bold Text Selectively Bolded text can help important elements of your resume stand out. Consider bolding items such as: Your college and major/minor. Previous companies and job titles. That’s about it. Too much bolding can easily look obnoxious. Writing Your Resume You’re finally ready to start doing some actual writing. Here’s how to make sure you nail it. Step 1: Put Your Contact Information at the Top A hiring manager will need to know the best way to contact you, and where to find more information about yourself and qualifications. Make their job easier by including each of these items: Name: Include your full name. Street Address: See the previous tip on location. Email Address: Use something that sounds professional. yourname@gmail.com  looks better than party_guy_2000@yahoo.com  or something else embarrassing. Twitter Bio: This is considered essential for a good number of marketing jobs. Only share it here if you tweet about topics relevant to marketing, or the company’s industry where you’re applying. Portfolio: If you have an online portfolio, add a link here. You can also replace this with a blog or personal website URL, if it’s relevant to marketing. Some of this information is obvious. Other things like Twitter bios and portfolios, though, can be small enhancements that help you stick out as a candidate (as long as your social media presence is relevant and your portfolio is up to par). #Marketing #resume tip: include your contact information (along with your Twitter handle and...Step 2: Next, Include Your Education History In most cases, this will mean your college or university. Only list your high school if you didn’t attend college (no judgment hereI know people who have done well in digital marketing without attending or going into post-secondary education). Include the following: The type of degree you received: This means a Bachelor of Arts (BA) or Bachelor of Science (BS), Master of Arts (MA) or Master of Science (MS, or an Associates (AA). Your major and minor: This may be formatted differently depending on the details of your degree programs. For example, my degree was in Mass Communications, with an Emphasis in Print Journalism and Public Relations. Next, list your college:  Also include the month and year you graduated (or plan to graduate). A word about grade-point averages: in my experience, most marketing hiring managers don’t prioritize them. While high academic achievement reflects well on your work ethic, it’s your skills that are going to get you hired. So, should you bother listing your GPA? If your GPA is particularly strong, or you earned academic honors, then include them. Plus, if you’re in college and applying for a highly competitive internship, an employer may set a GPA threshold for applicants. If your grades weren’t great, you’re not doomed, as long as your portfolio demonstrates talent. Recommended Reading: How to Create an Awesome Online Course By Repurposing Old Content Step 3: List Professional Awards If you’re active in your community, or have a little bit of work-related experience, you may have been recognized for your efforts. Some examples might include: Academic honors for high-performing marketing students. Awards from professional or student organizations. Business and civic associations. Even if its not directly related to marketing, any sort of educational, business, or professional development awards you’ve earned are great ways to help you stand out. Step 4: Include Previous Speaking Engagements If you get the opportunity to speak at an industry event, take advantage of it. It’s a great way to share your knowledge, and you often learn more about your topic by trying to explain it to others. They also show a willingness to volunteer your time to help others, and indicate a high level of competency in the field. Don’t have anything to put here? No worries. Just consider this tip something to think about. Have you spoken at an industry event? Include details on your resume.Step 5: Lay Out Your Most Relevant Technical Skills Once the general â€Å"about yourself† content is completed, it’s time to get down to your capabilities. If you’ve gone through college, have some work experience, or have a relevant side hustle, then you have some skills. However, it’s important to prioritize the ones that are most relevant to the job you’re applying for, and the ones where you’re most proficient. Here are some examples of skills you might need: Writing. Research. Proficiency with Word, Excel, and PowerPoint. SEO. Data analysis. Branding. Campaign strategy. HTML/CSS. Adobe CC (Photoshop, Illustrator, etc.) This is a general list, but you get the idea. The specific skills you might need to develop or highlight will depend on the specific type of role you’re applying for as well, which this post will cover later on. Now, what if you’re making a career change and don’t have what you think is relevant experience? In that case, it’s time to get creative, and determine how your existing skill set might transfer. Here are some examples: Are you a skilled researcher? Has your past work experience required a heavy amount of writing or design? Do you know how to analyze data and extract meaningful insights from it? Is project management and organized teams an area of strength for you? Recommended Reading: The 48 Most Essential Marketing Skills You Need to Be Successful in 2018 Step 6: List Your Professional Experience Here, start with your most recent relevant job position. Then, work your way backward chronologically. If you have too many to list, or if you’re applying for a senior role where you have lots of experience (say, maybe 10 years or more), then consider adding a second page to your resume. Otherwise, choose other areas to trim down, or include just your top three or four jobs. Be sure to include: Company. Job Title. Employment Dates. Once you have the basic information out of the way, add your responsibilities and accomplishments. While a hiring manager will want to know what you had on your plate at a past job, they’ll be more impressed with what you actually achieved. So, make your experience stand out by doing this: Make it clear how your work positively impacted the business. Use statistics. â€Å"Increased traffic by 75% and conversions by 8%† sounds better than â€Å"Increased traffic and conversions.† Illustrate times where you’ve shown initiative. Maybe there was a problem you solved, or a major win you scored for the company without being asked.