Quality Reliability and Maintenance Research Paper

Quality Reliability and Maintenance - Research Paper Example 2. QUESTION 4: Describe and then critically assess how your company designs, develops and produces a new product or service. Suggest practical ways in which current methods could be improved and explain the likely benefits to be gained from application of your suggestions. Table of Contents 1. Table of Contents 3 1.QUESTION 2 4 1.1 INTRODUCTION 4 1.2 SIX SIGMA DEFINITION AND EXPLANATION OF SIX SIGMA 4 1.3 DEFINITION OF EFQM AND A BRIEF DESCRIPTION 7 1.4 THE MANNER IN WHICH SIX SIGMA ADDRESSES EFQM MODEL 8 1.5 ACTIONS OF EFQM THAT SIX SIGMA DOESN’T COVER 9 1.6 CONCLUSION 10 2.0 Question 4 10 2.1 INTRODUCTION 10 2.1.1 THE DESIGN PHASE 11 2.1.2 THE DEVELOPMENT PHASE 12 2.1.3 THE PRODUCTION PHASE 13 2.2 WHAT DMADV IS IN DESIGN OF SIX SIGMA 13 2.2.1 DEFINE 14 2.2.2 MEASURE 14 2.2.3 ANALYSE 15 2.2.4 DESIGN 16 2.2.5 VERIFY 16 2.3 A DETAILED EXPLANATION OF DMADV APPROACH. 17 2.4 IMPROVING THIS APPROACH. 18 2.5 CONCLUSION 19 BIBILIOGRAPHY/ REFERENCES 20 Graham Cartwright and John Oakla nd (2007) Lean Six Sigma – Making it ‘Business as Usual’. ... AINING DURATION OF BELTS IN SIX SIGMA 18 1.QUESTION 2 1.1 INTRODUCTION Most organisation in the world have concerns over process improvements in order to operate in the competitive market. Many CEO’s have been forced on implementing tools that will help them work smarter. This requires deep understanding of the business processes of the enterprise or the holistic overview of the organisation, as well as the ability to execute change on these processes. Tools focus generally in ensuring the organisation find a way to survive in the competitive All tools are Important but depending on certain situations one tool may be ideal to the other. Managers should be able to know when to use a tool depending on the advantages and disadvantages of the tools. Changing of tools enables the organisation run smoothly in the market gaining advantages that can’t be seen by its competitors, 1.2 SIX SIGMA DEFINITION AND EXPLANATION OF SIX SIGMA It is defined as a management approachwhich ai ms at improving the quality of processes by minimizing and eventually removing the errors and defects. This concept is developed to ensure that the customer’s satisfactions and requirements are meet and put in place.Tomkins (1997) defines that Six Sigma is aprogramme aimed at the near-elimination of defects from every product, process and transaction.Six sigma implies 3 main features statistical management, management strategy and quality culture.In fact, any process which does not lead to customer satisfaction is referred to as a defect and has to be eliminated from the system to ensure superior quality of products and services.The goal of the statistical quality control as a feature within the Six Sigma Methodology is to determine whether something has gone wrong with the manufacturing system. By

Meditation for chronic pain backed by nursing research Paper

Meditation for chronic pain backed by nursing - Research Paper Example In this regard, the current discourse aims to determine what nursing research says about using meditation to manage chronic pain; and, according to the role of nursing, one seeks to determine if this modality is effective in treating chronic pain. Nursing Research on Meditation to Manage Chronic Pain The research article written by Chiesa and Serretti (2011) and entitled â€Å"Mindfulness-Based Interventions for Chronic Pain: A Systematic Review of the Evidence† proffered pertinent issues relative to using mindfulness-based interventions (MBIs) and mindfulness-based stress reduction (MBSR) techniques to alleviate chronic pain. As disclosed, â€Å"MBSR is a standardized group-based meditation program conceived in the late 1970s from the effort to integrate Buddhist mindfulness meditation with contemporary Western clinical and psychological practice† (Chiesa & Serretti, 2011, p. 83). The authors initially described techniques commonly applied in MBSR that focuses on body scan, sitting meditation, and yoga (Chiesa & Serretti, 2011). The findings revealed inconclusive evidence regarding the effectiveness of using MBIs as an intervention for chronic pain and to allegedly reduce related depression that ensues from the pain experience. In another study written by Morone, Lynch, Greco, Tindle, and Weiner (2008), the authors sought the participation of 27 older adults reportedly complaining of low back chronic pain. Through the use of mindfulness-based stress reduction (MBSR), in conjunction with diverse methods that aim to reduce pain, such as â€Å"distraction, increased body awareness leading to behavior change, better pain coping, and direct pain reduction through meditation† (Morone, Lynch, Greco, Tindle, & Weiner, 2008, p. 841), participants have noted in their respective diaries, significant improvement in managing pain, in well-being, in sleeping, and in attention-related activities. Finally, in the study conducted by Tul, Unruh, and Dick (2 011), the authors specifically aimed to determine how yoga, a form of meditation, serves as a means to address chronic pain. As specifically revealed, â€Å"the yoga program offered its participants a new way of engaging with their body resulting in heightened re?ection and self-awareness that enabled most participants to feel more control over their pain† (Tul, Unruh, & Dick, 2011, p. 440). As such, the meditative strategy accorded through yoga enabled the participants to refocus on more positive methods for relaxation that allowed them to channel their energies to meditation techniques rather than be fixated in the chronic pain. The research article written by Chiesa and Serretti (2011) actually included, through a tabular representation, the summary of previous studies conducted on the subject of using meditation as a means to alleviate chronic pain. The summary disclosed that 10 conclusive studies had focused on MBIs but generated different results, as above noted. As cle arly founded, â€Å"there is not yet suf?cient evidence to determine whether MBIs could be more ef?cacious than nonspeci?c interventions such as support and educational control groups for the reduction of pain and depressive symptoms in patients with chronic pain† (Chiesa & Serretti, 2011, p. 91). Meditation as Modality to Treat Chronic Pain As Seen through the Role of Nursing From the diverse results that were disclosed and which

Industry Analysis Essay Example | Topics and Well Written Essays - 750 words

Industry Analysis - Essay Example Other significant competitors in this segment include Polaris, BMW, and Triumph. Honda is the world’s biggest motorcycle producer, followed by Yamaha, and Suzuki. In the U.S., Harley has the biggest market share. Heavyweight Motorcycle Producer Approximate Worldwide Market share Ranking Honda 1st Yamaha 2nd Suzuki 3rd Harley-Davidson 4th Kawasaki 5th BMW 6th Polaris 7th Triumph 8th # 3 Strengths One of the prominent strengths of Harley-Davidson is the power of its brand. Harley-Davidson attracts a strong following from its loyal customers worldwide due to its commitment to the delivery of a unique experience. The ability of Harley-Davidson to deliver unforgettable experiences is the biggest attraction to Harley-Davidson customers worldwide. The engagement offers a platform to other stakeholders to experience Harley-Davidson lifestyle, environment, people, and products. In addition, Harley-Davidson strength also emanates from its strong after sales service, which is exhibited b y its â€Å"family† concept exhibited by Harley Owners Group (HOG). Harley-Davidson’s marketing efforts such as dealer promotions, customer events, and advertising have consolidated the company’s brand. ... Harley-Davidson derives a lot of strength for its customized products that appeal to the customer’s specifications. In offering a range of customized bikes, the company is assured of aligning its products with the prevailing consumer needs and expectations. The continuity of a unique culture of letting customers share their adventure and experience of the company’s products has made Harley-Davidson an American icon. Harley-Davidson initiatives such as building of a museum in Milwaukee in 2008 have pursued to build a unique experience that reinforces bonds between the company and the company. Weaknesses Harley-Davidson faces challenges in keeping in touch with an ever growing advancement in the design of motorcycles. Although Harley-Davidson motorcycles embody an innovative design and high performance, keeping up with an ever growing innovation by the competitors are challenging as the company has constantly invested in research and development (David, 2011). In addition , some of the prominent competitors of Harley-Davidson strategic alliance between Suzuki and Kawasaki in the fields of product development, design, engineering, and manufacturing may have heightened competition. Another weakness that befalls Harley-Davidson is competition from established heavyweight motorcycle dealers such as Honda, Suzuki, Kawasaki, and Yamaha. The heavyweight motorcycle market is highly competitive, especially from competitors based outside the United States. Most of Harley-Davidson competitors are diversified in the automotive market and other fields. The diversification reinforces the competitors’ operations while Harley-Davidson remains exposed to aspects such as economic

Resume Cover Letter Essay Example for Free

Resume Cover Letter Essay This letter is to express my interest in bringing my expertise as a Human Resource Director to your organization.   I possess excellent interpersonal skills and am effective in management employment and payroll-related issues to achieve company goals and objectives. As you can gather from my attached resume, I have expertise in working effectively with executive management and employees in resolving human resource and payroll issues.   I am a detail-oriented individual with a proven track record for ensuring accurate compliance with state human resource rules and regulations.    In the past 12 years, I have gained invaluable experience as an Employment and Payroll Manager with management and training responsibilities for as many as 3000 employees. In addition to the skills noted on my attached resume, I can also offer your organization: A goal-oriented Professional with a commitment to personal and professional growth and development. Excellent verbal and oral written communication skills. Technical proficiencies in human resource and payroll computerized systems. It is my hope that my education and professional experience will convey to you that I have the qualifications to make a valuable contribution as a Human Resource Director with your organization.   Should you have any questions, I can be reached at the number listed above.

Grade World History Essay Example for Free

Grade World History Essay Before King Leopold the II of Belgium colonized the Congo, it was known for its independence. It was the ideal place to be for the Europeans. It was geographically diverse, it had mineral enriched soils, deposits of gold, diamonds copper and manganese, and it had a large animal population, lots of plants. King Leopold saw potential in the Congo and made it his. He had an American man, Henry Stanley; secure treaties with all the local chiefs. With those he had complete power of the land. Imperialism on the Belgian Congo had a negative affect in many ways, including geographically, politically and psychologically. One of the major impacts is psychological. Psychological impacts are ones that mess with people’s emotions. King Leopold was a man who did not care about other peoples emotions or their state of being; he cared about himself and how much money he was going to make with the Congo. To quote a Congolese states on the amount of psychological torture he put some of the Congolese people in: â€Å"I ran away with two old people, but they were caught and killed, and the soldiers made me carry the baskets holding their cut-off hands. They killed my little sister, threw her in a house and set it on fire.† (8) The person that is talking sounds like a child. If a child was going through this, which many did, witnessing something this horrifying can be very emotionally scarring. Another impact would be economical. An economic impact is one that affects the business part of things, such as labor systems. â€Å"Tell them [the rubber agents] that we cannot and therefore will not find rubber; we are willing to spend our strength at any work possible, but the rubber is finished. If we must either be massacred or bring rubber, well, let them kill us; then we suppose they will be satisfied.†(20) This quote is from a village headman to Reverend Harris, a British missionary. This is from a workers point of view. It shows economic impact because it has to do with the rubber industry, which was very important in the Congo. A third impact on the Congo is political. Political impact has to do with government or people in government. One quote that gives an example of political impact is one by Reverend Whitehead, â€Å"Their chiefs are being weakened in their prestige and physique through imprisonment which is often cruel, and thus weakened in their authority over their own people they are put into chains for the shortage of manioc bread.† This means that Leopold and his people are forcing the native Congolese to back down in their government so Leopold has more power. Britain was also very involved in the Congo Free State. They were interested in the trading system it had. This effects Britain because it brought in new products to be sold, and potentially could make them money. It is important to study issues like this today so nobody makes the same mistake twice. In conclusion, imperialism in the Congo had an overall negative affect on it. Imperialism affected, not only psychologically, but also politically and economically. King Leopold II never had good intentions for the Congolese people, he just had his own self in mind.

Communication Skills in Health Assessment

Communication Skills in Health Assessment An Evaluation of the communication skills demonstrated in the assessment of a service user This essay will evaluate an admission assessment observed a specific assessment observed which was done by mentor. Communication skills that she used will be analysed. Furthermore appropriate literature will be used to understand if the communication skills that were used were the most effective as well as that of both verbal and non-verbal communication skills. All names have been changed for patient confidentiality in accordance with the NMC guidelines (NMC, 2008).The patient will be referred to as Mrs. Smith. Mrs. Smith is an 80yrs old lady widower living alone in a bungalow. She was admitted to the ward from AE. She depends on his son who lives a few miles away and visits him twice weekly. Mrs. Smith was diagnosed of COPD 10 years ago and Ischaemic heart disease 4 years ago. He smokes 40 cigarettes a day. Currently, he is on Salbutamol 200mcg/dose dry powder inhaler 1 puff as required, Spiriva 18mcg inhalation powder capsules once a day, Nicorandil 20mg tablets one twice a day, Simvastatin 40mg tablets once daily and Glyceryl Trinitrate 400mcg/dose pump sublingual spray as required. Over the past few years, he has been admitted to hospital three times owing to exacerbation of COPD and has had a bad chest infection yearly for the past few years. Mrs. Smith has not been well for two days and has been coughing and wheezing with increased Phlegm and a temperature. She lost quite remarkable weight in the past few months because she has not been eating and drinking well. Mrs. Smith could hardly finish a sentence without gasping for breath and appeared anxious when the General Practitioner referred him to hospital. The assessment was done by mentor included the EWS’s. Assessment is the first stage in the nursing process. Kozier, et al (2012) stated that assessment is a systematic collection of data with a view to identifying the patient’s actual and potential health problems. A complete and holistic assessment should take into consideration the individual’s psychological, social, spiritual and cultural needs (Matthews, 2010). Collected data can be subjective or objective (Hoffman, Aitken and Duffield, 2009). Full assessment should be systematic, patient oriented, evidence based and holistic; and nurses should seek informed consent from a patient before initiating assessment, any treatment or care (NMC, 2008). Consent was sought from Mrs. Smith to conduct an assessment on her. There are three types of assessments namely; mini, comprehensive and targeted. Targeted assessment was used in assessing Mrs. Smith. Vital signs were recorded to establish the baseline observations which help in early recognition of patient deterioration allowing early intervention before the patient’s condition worsens (Adam, Odell and Welch, 2010). Mrs. Smith’s respiratory rate was recorded as 21 breaths/minute, implying dysponea whereas normal respiratory rate ranges between 12 and 18 bpm (Dougherty and Lister, 2011). His pulse was 102 beats/minute confirming tachycardia against a normal pulse range of 60 to 100 beats/minute (Hastings, 2009). Nurses should count the pulse and respiratory rates for a full minute each, giving ample time to observe any abnormalities in pulse rate, rhythm and volume (Smith, et al, 2008). With normal blood pressure ranging from 110/60 and 140/90mmHg (Bishop, 2009), Mr Smith’s blood pressure, measured using both an electronic device and a manual cuff was recorded as mild hypertension at 160/90mmHg. Temperature was checked using an electric tympanic thermometer and Mrs. Smith had moderate pyrexia with a core temperature of 38.9 degrees Celsius indicating possible pathogen invasion (Smith and Field, 2011). A normal core body temperature ranges between 36 to 37.5 degrees Celsius (Smith and Robert, 2011). Arterial blood gases (ABG) test analysis was conducted and pulse oximetry was used to record oxygen saturation which read 87% suggesting hypoxemia. Both Felton (2012) indicated that ABGs analysis produces more accurate oxygen saturation than pulse oximetry. My mentor failed to introduce herself first before she touched the patient, which is important when conducting with patients during the time she did the observations. (Henderson ,2004) stated that nurses have to show impression by recognizing yourself as well as your role delivers patients with the sensitivity that you are honest and that they are being appreciated. Mrs. Smith was given a verbal informative account of giving him oxygen therapy and the reason for doing this by my mentor. Verbal language is one of the vital ways in which we communicate and is more helpful way in both gathering and updating patients of their disorder (Berry, 2007). Communication can be verbal and non- verbal.Peate (2005) states that non- verbal communication reinforces a verbally communicated message. Non-judgemental interactions are focused on therapeutic communication, helps settle emotional conflicts and supports heart to heart talks allowing a patient to feel safe and free to share their true feelings, fears, values, hopes and ideas. There are two ways to send a message and it has to be understood and the feedback to be given (Apker, 2001).A patients has to describe the level of his pain (Steveson, 2004). Nurse must make sure that the patients understands what has been said to them and that it is important (Grover, 2005).Close and open questions normally have the ability to determine a huge amount of accurate information. Mentor who administered oxygen therapy to Mrs. Smith did verbally tell Mrs. Smith what she was going to do since this process has not been done earlier to ensure that Mrs. Smith had understood the process which was going to be done. My mentor was aware of Mrs. Smith’s disorder but she failed to make sure that she agreed the procedure. Unfortunately if one does not practice listening skills correctly and related skills without the patient fully considerate can disturb the beneficial connection and often form an obstacle to message (Andrews Smith, 2001). Environmental obstructions such as a busy ward or a strained nurse can every so often decrease the level of kindness and impact real message (Endacott Cooper, 2009). On the other hand nurses must remain sympathetic all the times towards service user’s regardless of pressure altitudes and amount of work (Von Dietze Orb, 2000).My mentor’s procedure did not act in accordance with the NMC guidelines in respects to gaining consent as she failed to notify the patient of the procedure then Mrs. Smith would not recognised what she was agreeing too. Agreement is complex and it can carries a grade of risk for both service user and healthcare staff. In this state Mrs. Smith was incapable to give consent and the oxygen that acquired was in his best interest. Though, regardless of the service user’s understanding the agreement of consent must still be tried (Green, 1999). Timby, (2005) recommends that a service user’s right to self-government must be supported and ap preciated regardless of gender, race, religion, culture and disability. On the other hand well experienced communication procedures are incompetent if the significant idea of the interactive links goes misunderstood (Arnold Boggs, 2007). Charlton etal (2008) debate that there are two unlike statement styles, biomedical and biopsychosocial. The biomedical style focusses on specific evidence relating to the service user’s disorders that is evidence focused. The biopsychosocial style is a patient centred approach which is directed by determining patients’ requires to offer the most existing message method. My mentor if possible should have designed an action plan to regulate the lively method of collaborating with Mrs. Smith in order to carry out the oxygen procedure. For example every patient is not the same their requirements must be measured prior to carrying out any invasive methods. A patient centred method is said to have a more confident impression on patient results. On the other hand there is slightly study that debates personal skills in compared to a massive amount of rich study that argues simple communication skills regardless of proof suggesting that patient focused on care is the most actual manner (Jones, 2007) Patients with breathing problems have difficulties in speaking especially when they are out of breath. The will have problems in communicating sometimes have barriers when trying to speak or trying to explain themselves. This indicate to a failure in communication and sometimes it can cause their health requirements not be met (Turnbull Chapman, 2010). Kacperek, (1997) describes non-verbal communication as the word used to use to describe all methods of communication not organised by language. Argyle, (1988) advocates that the non-verbal element of communication is five times more prominent than the spoken aspect. When Mrs. Smith was given oxygen, my mentor did not the use of non-verbal communication. Research have time and again revealed that language has no real incidence when interactive with patients (Foley, 2010). Non-verbal achievement such facial expressions,posture,touch eye contact and body language, display many feelings need to have verbalise (Foley, 2010). The Solar acronym is also an aid to recognise and think of the performances that should be applied in order to accomplish real communication (Burnard, 1992). This tool includes of position of seat, leaning near the patient, eye contact and relaxation. If the method of non-verbal communication been there Mrs. Smith might have not been nervous and she should had felt more comfortable (Mason, 2010). Dougherty Lister, (2008) is in contract with this model as he argued that remaining eye contact, take down position to the patient’s level and gently touching the service user hand whilst talking to them it helps them not to be scared. However touch is seen to be a real system of nonverbal communication which be able to put a service user at relax if they are worried or frustrated. It is insignificant to note that this method is not suitable for all patients as not all patients will feel relaxed with understanding can give this as attacking of individual’s space (Heidt, 1981). Communicating with people with COPD appears to problems for health care givers (Thornton, 1999). However, the NMC, (2015) competency standard in still that all nurses are to provide best excellence sympathetic care near moral and cultural issues as well as ill health. Jormfeldt, (2010) has presented that a great level of nursing teachings in both academically and practical settings can definitely impact attitudes of nurse’s views near patients. On the other hand, reflection is appreciated as an important factor of managing in these situations as it gives a method where undergraduate nurses can challenge, relate and analysis their assessment systems and hold the method of alteration to a helpful approach concerning patients with illnesses. Dodd Brunker, (1999) debate that by creating combined partnerships with both carers and authorities who are involved in the patients care can support you to evaluate the patient’s communication skills and their chosen ways of communication. Additionally, in agreement with the NMC (2015) rules it is important that all nurses must treat all patients with respect and self-esteem and not differentiate in any way regardless of their age, gender, race and or disability. To develop the circumstances the nurse who administered the oxygen to Mrs. Smith might have communicated with the patient’s family. Since she came to hospital accompanied by her son, this might have given my mentor a good image concerning Mrs. Smith’s about what she enjoys mostly and what she does not like. This might have given her with the greatest means of method of how to carry out all the process. Family members could have been asked to be there with my mentor which might have allow Mrs. Smith to relax. Nurses should every time put patient’s individual requirements first and recognise what is good for the patient morally rather than that of a qualified staff views only (Mencap, 2007). In conclusion, this essay has revealed the communication skills that were observed throughout the oxygen therapies procedure. It is clear that communication is important in nursing care and that assessments of patients are vital in providing the patient centred care. Though, communication is certainly a value powerful for the real caring. Performance and communication of caring and capability at this time have a main effect on the ability of patients and relations to adjust the update, reflect choices, and adjust to anything deceptions forward. Absence of responsiveness in regards to the best method of communicating with patients can position a great risk to patients as several individuals employed within the healthcare area may not have a perfect understanding of ill patients except they are specialised. Extra preparation may be required to make sure that all wellbeing care workers are capable to offer kindly care to patients with disorders. Patients with illnesses have the right to be cured the similar methods as others, regardless of the severity of their illness as all service user would be allowed to a trained staff and genuine service throughout their understanding surrounded by the healthcare atmosphere. REFERENCES Andrews, C., Smith, J. (2001). Medical nursing. London, United Kingdom: Harcourt publishers. Angermeyer, M.H. (2005). Labeling, Stereotyping Discrimination. Psychiatric Epidemiology, 40(5), 391-395. Apker, J. (2001). Role development in the managed care era: A case of hospital-based nursing. Journal of Applied Communication Research, 29(2), 117-136. Argyle, M. (1988). Bodily Communication. London, United Kingdom: Methuen. Arnold, E., Boggs, K. U. (2007). Interpersonal Relationships: Professional communication skills for nurses. Philadelphia, PA: WB Saunders. Berry, D. (2007). Basic forms of communication. Health communication theory and practice. England, United Kingdom: Open University Press. Burnard, P. (1992). A communication skills guide for hospital care workers. London, United Kingdom: Elsevier. Charlton, C. R., Dearing, K. S., Berry, J. A., Johnson, M. J. (2008). Nurse practitioners 10 communication styles and their impact on patient outcomes: an integrated literature review. Journal of the American Academy of Nurse Practitioners, 20, 382–8. Dougherty, L., Lister, S. (2008). The royal marsden hospital manual of clinical nursing procedures. Italy: Wiley Blackwell.  27, 10–15. Endacott, R., Cooper, S. (2009). Nursing skills core and advanced. Oxford, United Kingdom: Oxford University Press. Foley, G.N. (2010). Non-verbal communication in psychotherapy. Edgemont. 7(6), 38-44 Forchuk, C., Westwell, J., Martin, M., Bamber- Azzapardi, W., Kosterewa-Tolman, D., Hux, M. (2000). The developing nurse-client relationship: Nurses’ perspectives, 6(1), 3-10. Green, C. (1999). Nurses and the law of consent. Nursing Times, 95(5), 44–45. Grover, S.M. (2005). Shaping effective communication skills and therapeutic relationships at work. Aaohan Journal. 53(4), 177-182. Heidt, P. (1981). Effect of therapeutic touch on anxiety level of hospitalised patients. Nursing Research, 30(1), 32-37. Henderson, A. (2004). Emotional labour and nursing. An under appreciated aspect of nursing care. Nursing Inquiry, 8(2), 130-138. Hupcey, J.E., Penrod, J., Morse, J.M., Mitcham, C. (2001). An exploration and advancement of the concept of trust. Journal of Advanced Nursing. 36(2), 282-293. Ian Peate, (2005). Nursing Care and Activities of Living. 2nd ed. John Wiley Son:. Jones, A. (2007). Putting practice into teaching: an exploratory study of nursing undergraduates’ interpersonal skills and the effects of using empirical data as a teaching and learning resource. Journal of Clinical Nursing, 16, 2297–307. Kacperek, L. (1997). Non-verbal communication: the importance of listening. British Journal of Nursing, 6, 275–9. Mason, M.C. (2010). Effective Interaction. Nursing Standard. 24,(31), 25 Mencap. (2007). Death by indifference: following up the Treat me right report. Mencap: London, United Kingdom. Michael, J. (2008). Healthcare for All: A report of the Independent Inquiry into access to healthcare for people with learning disabilities. HMSO: London, United Kingdom. NHS England. (2014). Retrieved from: http://www.england.nhs.uk/ourwork/forward-view/sop/. Nursing Midwifery Council. (2008). The Code: Standards of conduct, performance and ethics for nurses and midwives: NMC. London, United Kingdom. Stevenson, C. (2004). Patient and person. Empowering interpersonal relationships in nursing. Elsevier Limited: London, United Kingdom. Timby, B.K. (2005). Fundamental nursing skills and concepts. Philadelphia, PA: Lippincott Publishing. Turnbull, J., Chapman, S. (2010). Supporting choice in health care for people with learning disabilities. Nursing Standard. 24(22), 50-55. Von Dietze, E., Orb, A. (2000). Compassionate care: a moral dimension of nursing. Nursing Inquiry, 7(3), 166-174.

How the hippies changed the world :: essays research papers fc

â€Å"People today are still living off the table scraps of the sixties. They are still being passed around- the music and the ideas† - Bob Dylan (1992) From 1964 to 1968, there swelled a gigantic wave of cultural and political change that swept first the city of San Francisco, then the whole United States, and then the world. The efforts of the pioneers in the Haight-Ashbury to create an enlightened community took about two years, from 1964-66, to reach the flashpoint, and during those years the music reached an artistic high point. But the Summer of Love in 1967 lasted only a few months, and by the end, overcrowding and the negative reaction of police and the city's government combined to make life in the Haight miserable for everyone. Still, the taste for enlightenment had left a lasting impression on the minds and hearts of those who participated in the "hippie scene". The term hippie is derived from "hip" or "hipster" used by the beats to describe someone who was part of their scene. It literally means to know, so someone who's "hip" is wise. Hippies never adopted this term for themselves. They preferred to be called the "beautiful people". However the media played up "hippy" as the catch-all phrase to describe the masses of young people growing their hair long, listening to rock music, doing drugs, practising free love, going to various gatherings and concerts, demonstrating and rejecting the popular culture of the early 60's. Hippies were the adults of the baby boom post-World War II. They wanted to test and enjoy the limits of life adopting a motto of - â€Å"Being alive should be Ecstasy†. They were also associated with participation in peace movements, including peace marches such as the USA marches on Washington and civil rights marches, and anti-Vietnam war demonstrations including the 1968 Democratic Convention. A popular slogan of the time was â€Å"Make love not war†. Philosophically, hippie thought drew upon the earlier Beat generation. Hippies started the ecology movement. They combated racism. They liberated sexual stereotypes, encouraged change, individual pride, and self-confidence. They questioned robot materialism. In four years, they managed to stop the Vietnam War. They got marijuana decriminalised in fourteen states during the Carter Administration. Hippie political expression often took the form of dropping out of society to implement the changes they sought. The back to the land movement, cooperative business enterprises, alternative energy, free press movement, and organic farming were all political in nature at their start.