Tuesday, January 28, 2020

Improving Attendance in Statutory Education Essay Example for Free

Improving Attendance in Statutory Education Essay Under the Education Act 1996, the Council has a statutory duty to ensure children and young people receive fulltime, efficient education, which is suitable to the age, and ability and any special needs they may have. This is usually through attendance at school. The Education Welfare Service (EWS) is one agency which takes the lead role for the Council in supporting school attendance. It will do this through working with children and families, supporting schools and linking with other agencies including the legal system. The EWS will look at a whole range of ideas for why the children aren’t attending school and will look at solutions for this whether it be legal action or just working closely with all involved for example parents, teachers and the school. On the whole this is an extremely important agency which aims to get children into education and helps work out why they are not in education, however there are negative aspects to the agency as they may have to work closely with social services if the parents aren’t fulfilling there role and legal action may be taken again the parents aren’t fulfilling the responsibility although this is a negative aspect of the agency it is all in place for the overall well being of the child. Police can work with local schools and EWC, by undertaking local patrols to detect truancy and going to local areas where children may hide out. By having the police involved children and parents will be able to understand the severity of truancy and poor school attendance which is a positive outcome. This can then lead on to the Youth Offending Team (YOT) whose staff identifies school attendance issues and work actively to resolve them. The Council will work with agencies such as housing companies, Police, Connexions, YOT and voluntary organisations to develop protocols to identify children without school places. Overall these agencies are all there to help improve attendance in schools and all have the same aims, by working together with the school, agencies and organisiations the schools will be able to have the correct support in place for the children in and out of schools, parents and the teachers. The agencies are able to work out reasons for poor attendance and make sure issues are resolved. These organizations are here for a positive reason and to help children get the best education possible and cutting down on reasons for poor attendance. Explain the role of key individuals in improving whole school attendance. Educational Welfare officers- Once a child is registered at a school, it is the parents legal duty to make sure that the child attends school regularly. The role of Education Welfare Officers is to work closely with schools, children and their parents, and with agencies to make sure this happens. The educational welfare officers will work closely with these people to find out why children arent attending regularly and figure out soloutions to ensure this changes. If the parents fail to cooperate and the child does not return to regular attendance at school, the Education Welfare Service may issue a Fixed Penalty Notice or take legal action. Educational welfare officers can refer cases to other agencies such as social services, educational psychologists and health professionals. Ultimately their main responsibilities is to provide support to the children, the families and the school in all areas whether it to be advice on legal responsibilities, or building relationships between the school and the parents and making sure school attendance is at a maximum, if school attendance is not consistant then the educational welfare officers will look into reasons and solutions for this. Teaching Support Workers- Support teachers are in classrooms to support teachers in what they are trying to achieve, they are also there to help individuals who are in need of support when learning, Support teachers are able to give the individuals in need of help more time and focus to help them through areas of difficulties. Having Teaching supports workers available will therefore mean children will feel supported in weak areas and therefore more progress will be made by children which will also boost confidence. Children who are falling behind or children who do not understand specific areas of what they are being taught can become embarassed and withdrawn whilst lacking confidence this could lead to poor behaviour meaning suspension,exclusion,detention or missing school to avoid feeling embarrassed around peers. Having teaching support workers available will mean weak areas can be taregeted and help provided much quicker than just having one teacher in a classroom. Teaching support workers will be able to have the relevant training and guidance to help identify children who are struggling. These are people who are their to support children with any behaviour or learning needs. Headteachers- Most of the duties of a headteacher is managerial and to make sure the school is running properly whilst also making sure everything necessary is provided for staff and pupils. Head teachers will need to make sure specific training is given to identify children who are struggling, making sure there are policies and procedures in place and followed by staff to prevent bullying and equal opportunities. By making sure the children have the mose valuable expreience possible at school and working with children, parents and other agenicies to make sure everything is in place to keep attendace high, if children are struggling the support teacher are in place, if bullying is happening then this needs to be resolved quickly before the child becomes withdrawnand lacks confidence leading to poor attendance. The head teacher will be able to use educational welfare officers and other agencies to help find ways of improving the school and making sure all areas of a childrens welfare are covered and the child is offered the support needed to enjoy school and attend school attaining the best qualifications possible. Special Educational Coordinators- The Special Educational Needs Co-ordinator (SENCO), in collaboration with the head teacher and governing body, plays a key role in determining the strategic development of the Special Educational Needs (SEN) policy and provision in the school to raise the achievement of children with special educational needs. The SENCO takes day-to-day responsibility for the operation of the policy and co-ordination of the provision made for individual children with special educational needs, working closely with staff, parents and carers and other agencies. By having the special education needs co-ordinator this will mean that full support will be given to children in school meaning the chilldren can work to the maximum and achieve the most out of school with the full support and help from the teachers. This will also mean that children wont be embarrassed because they cannot keep up or understand the work and should hopefully stop the children turning to negative behaviour like missing school. This will enable the school to give the children the best experience possible with the best possible outcomes and increased attendance therefore increasing grades attained by children. Explain strategies that can be used to improve the attendance of individual children and young people and whole school attendance Have an attendance policy in place make sure the children are fully aware of the steps that will be taken in cases of non attendance. Whilst making sure that parents follow the procedure for days that children are of sick. Keep parents involved and build relationships with the parents using head teachers and teachers so that they are aware of any problems that maybe underlying at school at the present time which my result in non-attendance. It is also vital to make parents aware of any positive achievements that their son or daughter has achieved. Support available, makes sure that any children struggling in specific educational areas are identified as quickly as possible so that all relevant support and help can be put in place to help the child in the specified area. The school can work in partnership with the educational welfare officer and the local authority to help target specific areas of need. Use rewards and incentives to encourage attendance and punctuality such as certificates for high attendance and increased incentive for the higher attendance and punctuality as the year progresses. Once a child has been absent from school make sure they reintegrate into the school positively. Making sure teachers check they are ok, provide any missed work and provide a support group making sure this is available to the children if they need to talk-for example counselors. Use attendance checks to keep on top of and monitor all attendance for children this will help to discover any patterns in non attendance and help the school find a solution to this quicker therefore benefiting the children. Raising the profile of attendance so if a child fails to attend sending a letter out to parents straight away to make sure they are aware of this or asking for a reason why there was no attendance if the attendance falls below a certain level. Schools can use newsletters and parents evenings to bring this to parents and children’s attention.

Monday, January 20, 2020

Peyronies Disease :: essays research papers

Peyronie's disease What is Peyronie's disease? Peyronie's disease is a disorder affecting the penis that can cause:  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  a lump within the shaft of the penis  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  pain in the shaft of the penis  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  abnormal angulation of the erect penis ('bent' penis). Not all of these features are necessarily present, but, typically, a man would first notice a tender lump in the penis, which might later be followed by bending of the penis when erect, sometimes at very odd angles. The flaccid penis is not usually deformed. It is important to remember that a degree of upward (towards the head) angulation of the erect penis is quite normal and not a feature of Peyronie's disease. Good advice Noticing a lump in the penis can be a frightening experience. Men are often concerned that they have developed a cancer. Cancer within the penile shaft is very rare indeed, while Peyronie's disease is by far the most common cause of such lumps. If you find a lump, it is important to seek prompt medical advice, but you should not be too fearful that a serious cause will be found What causes Peyronie's disease? The penis consists of basically three cylinders, covered by several sheaths of tissue and, finally, by skin. A pair of corpora cavernosa form the erectile tissue that becomes engorged with blood during erection, acting like the inner tube of a tyre. They are surrounded by the tunica albuginea, a tough, inelastic, fibrous sheath, which might be compared with the tyre itself. When the penis becomes erect, the inner tubes (corpora cavernosa) inflate, filling the space within the tyre (tunica albugenia), making it more rigid. In Peyronie's disease, tough, fibrous plaques spontaneously appear within the tunica albugenia, and are felt as tender lumps. When the penis becomes erect, it inflates unevenly and tends to bend around the plaque, causing the characteristic deformed appearance of Peyronie's disease. Experts are not certain why some men get Peyronie's disease and others do not. Several factors might be involved, including:  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  genetics: occasionally the disease has a tendency to run in certain families (inherited or genetic predisposition), but this is not common.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  injury: Peyronie's disease is more common after injury to the penis, such as penile fracture or forceful bending of the erect penis. It also occurs more frequently in men that give injections into the penis for the treatment of erectile dysfunction (impotence).  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  circulatory disorders: more men with Peyronie's disease seem to be affected by high blood pressure and hardening of the arteries (atherosclerosis), so these conditions might possibly be involved in its development.

Sunday, January 12, 2020

Collaborative Practice in Health Care Essay

Collaborative practice in health care occurs when a member of the health care team consults with another member to provide patient care. Collaboration most often occurs between doctors and nurses. â€Å"Collaboration is defined as a relationship of interdependence; the ability to work together involves trust and respect not only of each other but of the work and perspectives each contributes to the care of the patient† (Phipps and Schaag, 1995, p. 19). Effective collaborative practice amongst all health care team members leads to continuity of care, professional interdependence, quality care and patient satisfaction and decreased costs. Ongoing collaboration between health care members results in mutual respect, trust and an appreciation of what each individual brings to the overall goal in rendering care to the client. The following vignette will provide the foundation for the discussion of collaborative care, differentiating between nursing diagnosis and collaborative proble ms, and potential barriers to successful collaboration. JG is a 74 year old married Hispanic male diagnosed with colon cancer. He had a history of prosthesis placement of his left lower leg; he is ambulatory. He is a diabetic on oral medications. He worked as a farm laborer. He lives with his wife she does not speak English she is a homemaker. He has a son who lives nearby and a nephew who periodically visits him. JG can understand some English. He does have some difficulty expressing his health concerns to the staff because of his limited vocabulary. His son or nephew brings JG to his clinic appointments. He receives weekly chemotherapy at the outpatient oncology clinic. The day I cared for JG he arrived at the clinic accompanied by his nephew. This was week seven of his treatment. His clothing was dirty, he smelled of stool, his fingernails were dirty, hair uncombed, he appeared to be dehydrated. He reported bowel movements of eight stools per day with complaints of occasional abdominal cramping. He denied nausea or loss of appetite. He stated that he was very tired and was not able to do much at home. His main concern was the frequency of his bowel movements. He reports having to go to the bathroom two to three times during the night and has episodes of soiling the bed. He reports that sometimes he does not feel the  urge to go. JG was wearing adult diapers. He expressed concern that it was getting expensive for him to purchase. The nephew confirmed that JG toileting has created a problem in the home. His nephew verbalized that JG had medication for diarrhea but ran out of it and he did not have the money to purchase the medication. When questioned why he was using a wheelchair he stated that his foot hurt to walk the distance from the lobby to the treatment room. He mentioned that it was probably due to an ingrown toe nail. He also asked how he could obtain a wheel chair for his personal use at home. Physical assessment revealed that he had a necrotic area on the ball of his left foot with surrounding redness, lost 12 pounds in six weeks, poor skin turgor, hyperactive bowel sou nds, and his blood pressure was slightly lower than baseline. In the ambulatory chemotherapy setting, the clients do not always see their physician every time they receive treatment. The nurse must ascertain when to collaborate with the physician on issues regarding the patients status, response to treatment, or toxicities that may be life threatening. It is essential that the nurse is capable to communicate effectively her-(Be careful with gender bias, nurses come in both genders.) observations to the physician. Collaborative problems are detected from the nurse’s assessment of the patient. The nurse’s monitoring of the patient status is to evaluate physiological complications that may threaten the patient’s integrity. Management of collaborative problems will include implementing physician prescribed and nurse prescribed actions to curtail escalation of the problem and preventing patient harm. From the nurse’s assessment, she also formulates a nursing diagnosis. The nursing diagnoses are stated in the form of the problem, the etiology and the symptoms that the nurse observes. Nursing diagnosis can include a current or potential problem, an at risk problem, or a wellness diagnosis. Nursing diagnosis provides the framework from which the nurse begins to devise a plan of care and nursing interventions. In the case of JG, there were two collaborative problems identified. Two  problems I collaborated with physician, these were: 1. JG is experiencing toxicity from the chemotherapy. There is potential for electrolyte imbalance, circulatory collapse. 2. The necrotic area on his foot was a new development in his condition. There is potential complication for infection The collaborative problems discussed with JG physician and nurse quickly resolved. JG did not receive his chemotherapy. He was given an injection of sandostatin LR to help minimize his diarrhea; a stat basic metabolic panel was obtained; and he was given intravenous hydration with potassium. The doctor made a referral to JG podiatrist for the next day to assess the integrity of his left foot. Listed are four, but not all, possible nursing diagnosis obtained from my assessment. 1. Diarrhea related to chemotherapy manifested by hyperactive bowel sounds and eight loose stools. 2. Bowel incontinence related to loss of rectal sphincter control and chemotherapy manifested by fecal odor, fecal staining of clothing, urgency. 3. Altered Nutrition related to colon cancer manifested by diarrhea, abdominal cramping. 4.Ineffective management of therapeutic regimen related to JG lack of knowledge of his disease manifested by his inability and unwillingness to manage his symptoms. Considering JG comments regarding his finances, his overall physical appearance and the comments from his nephew, I decided to consult with the social worker. I felt that a home visit or a thorough investigation of JG home situation was warranted. The social worker was able to arrange for in home support, and helping the patient with insurance issues so he could obtain the needed supplies. I did not think to enlist the participation of the dietician. In retrospect, the dietician would have been a valuable resource to assess JG caloric intake and recommendations for optimal nutrition. I felt that the above incident demonstrated collaboration amongst health care providers. The physician in this case was receptive to the nurse’s observations with respect to her capabilities of accurate assessment of the patient’s condition and potential complications. This is not always the case, barriers to collaboration are also inherent in the health care industry. Barriers occur in patient situations where the physician is not sympathetic or does not trust the nurse’s evaluation of patient condition. The nurse may have feelings of inferiority, lack of confidence and does not appropriately collaborate with the physician correct information. Conflicts in the goals desired for the patient is often cited as a barrier to collaboration. I recall an incident of a male patient diagnosed with metastatic breast cancer. His appearance was that of an individual who had been in a Nazi concentration camp. The nurse wondered why the physician was treating this man aggressively. In her mind, this patient was not an appropriate candidate to receive the particular treatment that was ordered. She feared the patient would not tolerate such an aggressive schedule and that it was pointless to put this poor man through treatment. The patient was diagnosed two years ago. He is still receiving treatments, he has gained weight and in October of last year he hiked to the summit of Mt. Whitney. Role conflict is another major barrier to collaboration. To deliver cost effective care, many institutions utilize nurse practitioners and physician assistants. Role conflict arises when practitioners have opposing views or expectations (Blais, Hayes, Kozier, & Erb, 2002). Role conflict and can lead to litigation. According to Resnick, physicians hesitate to collaborate informally with Nurse Practitioners for fear of being held liable for the actions of the Nurse Practitioner (Resnick, 2004). Clear definition of roles  for practitioners is essential to prevent misunderstanding. In conclusion, collaborative practice is the gold standard that health care practioners should strive towards. The nurse is central in determining the patient issues that warrant collaboration and she must be able to effectively communicate her observations. Collaborative practice minimizes complications that could lead to tragic outcomes. The ultimate goal of collaborative practice is to provide the quality service that each patient under our care deserves. References Blais, K.K., Hayes, J. S., Kozier, B. & Erb, G. (2002). Professional nursing practice: Concepts and perspectives (4th ed.). New Jersey: Prentice Hall. Phillps, W.J., & Schaag, H.A. (1995). Persepctives for health and illness. In Phipps, W.J, Cassmeyer, V.L., Sands, J. E., Lehman, M.K(Eds.), Medical surgical nursing concepts and clinical practice, p. 19. St. Luis, MO: Mosby. Resnick, B. (2004). Limiting litigation risk through collaborative practice. Geriatric Times, 5(4), 33. Retrieved March 21, 2004 from EBSCOhost database.

Saturday, January 4, 2020

Kinds of Retributive Justice - Free Essay Example

Sample details Pages: 3 Words: 775 Downloads: 2 Date added: 2017/09/11 Category Advertising Essay Did you like this example? There are two distinct kinds of retributive justice. The classical definition embraces the idea that the amount of punishment must be proportional to the amount of harm caused by the offense. A more recent version, supported by Michael Davis, discharges this idea and replaces it with the idea that the amount of punishment must be proportional to the amount of unfair advantage gained by the wrongdoer. Don’t waste time! Our writers will create an original "Kinds of Retributive Justice" essay for you Create order Davis introduced this version of retributive justice in the early 1980s, at a time when retributive justice was making a recovery within the philosophy of law community, maybe due to the multiple failures of reform theory in the previous years. In the early period of all systems of law the redress of wrongs takes precedence over the enforcement of contract rights, and a rough sense of justice demands the infliction of proportionate loss and pain on the aggressor as he has inflicted on his victim. Incapacitation in the context of sentencing philosophy refers to the effect of a sentence in terms of positively preventing (rather than merely deterring) future offending. Imprisonment incapacitates the prisoner by removing them from the society against which they are deemed to have offended. Cutting off a hand of a thief is also an example; this acts to prevents further thefts in a drastic manner, in addition to its having a deterrent effect on others. Like deterrence, incapacitation can be specific to an individual and/or specific to a particular crime, or can be general in either respect. Deterrence is one of the primary objects of the Criminal Law. Its primary goal is to discourage members of society from committing criminal acts out of fear of punishment. The most powerful deterrent would be a criminal justice system that guaranteed with certainty that all persons who broke the law would be apprehended, convicted, and punished, and would receive no personal benefit from their misconduct. United States policy of deterrence during the Cold War underwent significant variations. The early stages of the Cold War were generally characterized by ideology of Containment, an aggressive stance on behalf of the United States especially regarding developing nations under their sphere of influence. Rehabilitation means to restore to useful life, as through therapy and education or To restore to good condition, operation, or capacity. The assumption of rehabilitation is that people are not natively criminal and that it is possible to restore a criminal to a useful life, to a life in which they contribute to themselves and to society. Rather than punishing the harm out of a criminal, rehabilitation would seek, by means of education or therapy, to bring a criminal into a more normal state of mind, or into an attitude which would be helpful to society, rather than be harmful to society. Although the importance of inflicting punishment on those persons who breach the law, so as to maintain social order, is retained, the importance of rehabilitation is also given priority. Humanitarians have, over the years, supported rehabilitation as an alternative, even for capital punishment. Restoration is to return what has been unjustly taken; to place the owner of a thing in the state in which he formerly was. By restitution is understood not only the return of the thing itself, but all its accessories. It is to return the thing and its fruits. Retributive justice began to replace this system following the Norman invasion of Britain. William the Conquerors son, Henry I, issued laws detailing offenses against the â€Å"king’s peace. † In the 20th century, restorative justice started becoming more popular. In my personal opinion I just think we need to let them all ROT in prison depending on the crime of course. If I had to choose from all of the choices I think that rehab is one of the better choices because it is trying to make the person a constructive part of society and gives them another chance but I think that their should be a limit to how many times someone can try to be rehabilitated, like two. I think two is a good number because the first time is on them and pretty much everyone deserves a second chance, and then if they mess up a again after their first chance try again cause everyone makes mistakes and everyone has those days, if they mess up again they apparently won’t learn their lesson. [pic]A Law Dictionary, Adapted to the Constitution and Laws of the United States. By John Bouvier. Published 1856. Martin, Jacqueline (2005). The English Legal System (4th ed. ), p. 176. London: Hodder Arnold. ISBN 0-340-89991-3. Cavadino, M Dignan, J. (1997). The Penal System: An Introduction (2nd ed. ), p. 39. London: Sage.