Alcohol Abuse Among the Elderly Essay Example for Free

Alcohol Abuse Among the Elderly Essay Alcohol abuse among the elderly is a widespread problem through the United States. It is hard to discover by physicians and medical providers, because many of these people have been abusing alcohol secretly for years. The population is extremely unlikely to admit that they have problems with alcohol, especially during a routine health care visit. As many as 15% of the population over 65 may be heavy drinkers, although this number is hard to pin down. Elderly people usually drink due to depression, loneliness and lack of social support. Most alcohol abuse comes from a lifetime history; whereas others develop alcoholic drinking patterns later in life. Alcoholism accounts for more than 15% of health care costs in the elderly. It is associated with an estimated 100,000 deaths per year in the United States. Alcohol consumption can produce both benefits and risks. In terms of benefits, men who drink two to six alcoholic beverages per week have decreased mortality rates and lower cardiovascular disease when compared with abstainers. On the negative side, two studies of 300,000 men demonstrated increased mortality among those consuming more than 2 to 3 drinks daily. Women, are more affected by less alcohol than men, perhaps because they have a lower blood volume, and so its distribution and decreased activity for gastric alcohol dehydrogenase are increased. The primary care physician plays an important role in making the diagnosis and in helping the older alcoholic receive proper medical and psychological care. As patients grow older, and develop conditions that require prescription and over the counter medications, opportunities for dangerous alcohol/drug interactions increase. Elderly patients should be encouraged to monitor their alcohol intake so that it does not conflict with their medications. When a problem is identified, begin by counseling patients and the family. Increased social support may be all that is needed to stop excessive alcohol consumption by some older patients. Reference Butler, Robert (June, 1998) Alcoholism and the later years. Geriatrics pg. 1-2.

System of Inquiry Essay Example for Free

System of Inquiry Essay The need for an organized manner of operating can never be ignored by any organization that is truly focused on the development and implementation of policies that will see it through trying times and help it achieve its goals (Alpha Kappa Delta, 2004). Operations entails coming up with a code that will act as a guideline for all members in an organization and be a reference for the strategic directions that should be adopted when dealing with problems. The success of the system or organization largely depends on the control mechanism implemented which in turn depends on the code and the structures put in place to ensure its implementation (Alpha Kappa Delta, 2004). Therefore, having a good code of ethics that is clear, well defined and lacking of any ambiguity is very important to the success of an organization in its operations and thus the eventual success of the organization as a whole. The organizations employees are committed to the development of a good system where the customers and the consumers of the companys services can be rest assured of the worth of their money and expectation. The employees are expected to respect and protect not only their rights but those of the customers be it human or civil for it is central to the freedom of the employees in inquiring and expressing their view in the areas of research, planning and in other operations. This ethics code is a set of principles and standards that acts as a basis for strategic planning and operations, management in the organization. The code is aimed at providing a set of standards and guidelines that address some of the situations met by the organizations personnel. The goals of ethics are aimed at protecting the welfare of individuals and teams within and without the organizations operational environment with regards to the operations of the organization. The development of a set of ethics that is dynamic enough to handle the varied nature of the problems faced by organization worker requires the will and commitment of all the workers in the organization. General Ethics i. Principle A The workers strive to ensure that their conduct benefit the organization and are not harmful. All workers should in all their actions ensure that they safeguard the welfare of all the people they interact with in the course of executing their duties as per the organizations needs. In dealing with conflicts, the set of rules attempt to find the solution to the problems or conflict in a manner that ensures that the harm is minimized. The workers should be more aware of the effects of their own abilities on the people they deal with. ii. Principle B The workers should at all time establish a good trust filled relationship with those they work with. They should be aware of their responsibilities to the organization and to the customers. The workers should consult and cooperate with other professionals to the level that will best address the needs of the organization. The workers should be concerned about the professional conduct and ethical compliance of their colleagues. They should be ready to contribute a considerable portion of their time for no considerable advantage or personal gains. iii. Principle C The workers should promote accuracy, honesty and uphold all the social virtues in their activities. They should not engage in the social vices like lying, subterfuge and intentional representation of records or facts. The workers are obliged to put into consideration the needs, consequences and responsibility in all their actions to ensure they do not result in mistrust. The organization recognizes that a fairness and justice principle entitles all workers to access the benefit of their work and to equality in quality of process or procedures. The workers should therefore exercise judgment and take measures to ensure that any form of bias that they are prone to, the limits of their competences and their professional skills and competences do not condone or in any way lead to unjust practices. v. Principle E The workers should at all time endeavors to respect the dignity of all people and show great respect to their rights to privacy and confidentiality. The workers should appreciate the fact that there are individual who due to some disadvantage are placed in situations where their right to autonomous decision making is impaired. The workers should respect the cultural and role differences based on gender, race, culture, socio-economic status and sexual orientation. The workers should try to discard all the effects of their work that lead to bias based on these factors and should not in any way condone activities that are based on prejudice.

Mcdonalds Competition Against Burger King

Mcdonalds Competition Against Burger King McDonalds is one of the best global foodservice retailer which has more than 32,000 local restaurants serving more than 60 million people in 117 countries each day. More than 75% of McDonalds restaurants worldwide are owned and operated by independent local public. The Company serves the world some of its favourite foods World Famous Fries, Big Mac, Quarter Pounder, Chicken McNuggets and Egg McMuffin. The history began with our founder, Ray Kroc. The strong foundation that he established continues today with McDonalds vision and the commitment of our talented executives to keep the shine on McDonalds Arches for years to come. . Its head office is located in Oak Brook United States. McDonalds Corporation is the worlds largest chain of fast food restaurants, working worldwide in 117 countries with 400000 workers. It has 60 Million customers with 32000 restaurants worldwide. A franchisee, an affiliate, or the corporation itself operates every McDonalds restaurant. The corporations reve nues come from the rent, royalties and fees paid by the franchisees, as well as sales in company-operated restaurants. Its net operating income for the year ended 2010 is $7.673 Billion. The type of the company is public. Time Line: 1940: Dick and Mac McDonalds open MacDonalds Bar-B-Que restaurant on Fourteenth and E streets in San Bernardino, California 1948: Dick and Mac McDonalds opened the 1st drive thru restaurant in San Bernardino, California. 1949: French Fries replace potato chips on MacDonalds menu 1954: Ray Kroc becomes the first agent of franchise for the McDonalds brothers. 1955: Ray Kroc opens 1st McDonalds in Illinois. 1957: McDonalds started knowing for the motto QSC. 1959: McDonalds started billboard advertising. 1961: Ray Kroc acquires McDonald brothers for $2.7Million. 1963: Ronald McDonald made his debut in a way to attract more children and families. 1965: Television network advertising begins. 1969: The new design for the restaurants roof introduced to replace the red and white design. 1984: Training started providing for every level of McDonalds management worldwide for quality assurance. 1995: The new advertising theme have you had your break today? debuts. 2004: ISO 14000. 2005: 50th Anniversary. 2008: introduces the most broad global packaging design in the brands industry Burger King: Burger King is the 2nd largest fast-food chain, behind only McDonalds. The company franchises more than 10,400 restaurants and owns about 1,000 for a chain wide total exceeding 11,455, with locations in all 50 states and 56 countries. The company serves 15.7 million customers each day and over 2.4 billion Burger King hamburgers are sold each year across the world. In the late 1990s and into the new millennium, Burger King was plagued by falling sales and deteriorating franchisee relationships. Burger Kings parent, Diageo Plc, sold the company to a group of investors led by Texas Pacific Group in 2002. Miami entrepreneurs James McLamore and David Edgerton founded Burger King Corporation in 1954. Five years later, they were ready to get bigger their five Florida Burger Kings into a all over the country chain. By the time they sold their company to Pillsbury in 1967, Burger King had become the third largest fast-food chain in the country and was on its way to second place, after industry leader McDonalds. Time Line: 1954: James McLamore and David Edgerton establish Burger King Corporation. 1957: The Whopper is launched. 1959: The company begins to expand through franchising. 1963: First Burger King outside the U.S. in Puerto Rico 1967: Burger King is sold to Pillsbury. 1975: Burger King introduces the drive-through window 1977: Donald Smith is hired to restructure the firms franchise system. 1978: BKC introduces new line-up of sandwiches (fish, steak, chicken and ham) 1979: BKC introduce breakfast menu 1982: Burger King claims its grilled burgers are better than competitors McDonalds and Wendys fried burgers. 1983: BKC introduce The CroissanWich 1988: BKC launches We do it like youd do it add campaign 1989: Grand Metropolitan plc acquires Pillsbury. 1997: The firm launches a $70 million French fry advertising campaign; Grand Metropolitan merges with Guinness to form Diageo plc. 2002: A group of investors led by Texas Pacific Group acquire Burger King 2004:Subservient Chicken is launched 2005: BK Chicken Fries are introduced 2006: BK goes public limited company 2007: 50th anniversary of the WHOPPER SANDWICH Main Topic This report consists of different operations, research development of products, innovation, changes, and competitiveness of McDonalds and Burger King according to the requirement of this course work. How they do research and developing new products, how they manage their product and service quality, how they taking competitive priority on each others, and which systems and approaches they following to make their businesses successful in this competitive environment and satisfy their customers where expectations of the customers are very high and changing their needs rapidly. Compare and Contrast of Operations How They Cook The main difference can be seen in the kitchen of these two restaurants. How they prepare their burgers for customer like McDonalds cooks their burger by a batch process where as Burger king make their burger by a machine paced assembly process. McDonalds Batch Process McDonalds fries their burgers on a big platen in batches of up to twelve. Two ore more than two batches can be on platen at same time in different stages of cooking. When a worker in the back says Quarter Pounders Up a complete batch is ready at the same time Burger King Broiler Process Burger king cook their burger on continuous chain broiler. Semi prepared burgers are put on one end 80 second later they bring out the other end its cooked. This sort of machine paced assembly process is very common in industrial manufacturing processes. Teamwork VS Assembly Line As both of these companies following two different strategies of operations like Mcdonalds batch process and King Burger assembly line. As in McDonald 12 hamburger are prepared in same time. They are hand seared after 20 seconds on the grill, turned at sixty seconds and pulled at hundred seconds. When they come off workers over there must fastly add condiments wrap and shelve them. If there are two batches going there in different stages of cooking then its mean that speed is more essential part to keep production on going. So its mean the staff must be motivated or the process gums up. Staff must be cooperative and willing to help in another area in case of help required. Burger King Here in Burger King there is no matter at what speed burger are prepared once they are cooked the rate limiting step is the cooking itself. One burger in a time comes off the chain broiler at the rate of 8 per minute, maximum. The machine makes the process fast. As long as you can do your job of assembly process in seven and half seconds per burger that all which is required. Fast and Quick Service(Just In Time) How McDonald can stay on top? The answer id that when it is running good, the batch process allows for much greater throughput and faster speed of services. Speed plays an important role in the popularity of food store. The batch process of McDonald can prepared 300 burger in one hour where as 200 for the continuous chain broiler of Burger king. There are standard given by each restaurant for speed like McDonalds is faster than Burger king because prepared burger for 3 minutes where as McDonalds delivered only in 90 seconds. Capacity Planning McDonald McDonalds has a very strict standard for food preparation and its their goal to facilitate their customer as fast as they can. To meet this goal they set a plan of inventory of food production to meet surges in demand. There are strict limits how long the food can remain in inventory limits the amount of inventory can be made this food limit allow to McDonald create a level between its production and the workforce required. This sort of strategy is called level production. Burger King Burger king is using another sort of strategy. They once promoted their burger using a have it your way philosophy because Burger assemble burger when they receive an order, because product is made when the demand appears. So Burger King has variation in labour need and this is the reason for customer to have wait. They nevertheless provide a product geared according to the requirement of customer. This sort of strategy is known as chase demand. Quality Control Burger King: uses the customer and market oriented surveys to manage the quality of service on regular basis. HSSP (Hazard Analysis Critical Control Point) program is the execution of strict operation and sanitation procedures. Our food safety program employs a broiler design and meat cooking procedures that fully cook products, killing any potentially harmful bacteria. McDonalds: Q.S.C. V. Provide good quality, services to customer. Uses a cleanliness environment when customer enjoys their meal. The value of food product makes every customer is smiling. Price: Burger King uses affordable prices for quality food strategy so that its prices are less than its competitors. McDonalds came up with very high prices. The Company has certain value pricing and bundling strategies such as happy meal, combo meal family meal etc to increase overall sales volumes. Product: McDonalds doesnt offer just burgers their well-diversified menu is also one of the key success factors. Burger King: Burger King is offered flame-grilled burgers and offering a variety of food and other products those fulfilling the demands of all segments of society. Layout of Restaurants: McDonalds: Restaurants have included a playground for children and advertising geared toward children. The new strategy of re-designing of layout of the braches create natural style with a particular emphasis on comfort introducing lounge areas and fireplaces and eliminating hard plastic chairs and tables. These facilities give comfort to customers and create satisfaction. Burger King: The lay out of the restaurants are very wide and people could comfortably spend time with their food. Branding: McDonalds: Has partnership globally with Coca Cola to sell their drink with their menu Burger King: Has also co branding contracts with Coca Cola worldwide. Innovation: Innovation is the lifeblood of any successful business. In modern times, demand and expectations of customers are high and looking for change. The companies have to act accordingly to beat the competition and their survival. McDonalds has continuously introduced new products. The introduction is time such that the new product does not cannibalize the product already in the maturity or growth stage. A perfect example of renewing a product in decline phase French Fries have been an important part of the McDonalds menu worldwide. In an attempt to revive the Fries, Macdonalds amend and re-launch it with new name and style Shake Fries. This is being served with spicy spice mix, which has resulted in increase in the sales of French Fries and has elevated it from to the decline stage. The company is also focusing on nutrition and healthy food options for their customers. Burger King innovations in nutrition, quality, value and taste are all important attributes that can help our guests and their children make choices that promote healthy living. In July 2007, BKC identified two cooking oils with zero trans-fat that passed our rigorous operational, supply and consumer criteria; allowing us to start providing all of our restaurants in the U.S. and Canada with zero trans-fat oils. In 2008, we initiated a limit of 600 milligrams or less of sodium in all of our Kids Meals advertised to children under 12 years old. In May 2009, we introduced lower sodium CHICKEN TENDERSÂ ®, reducing sodium by 36 percent. BKC has joined the American Heart Associations (AHA) Industry Nutrition Advisory Panel (INAP), a partnership between the AHA Nutrition Committee and food industry leaders. INAP brings together representatives from the food industry and science to share information and plan cooperative programs in the areas of diet and nutrition and cardiovascular disease. Maintain Quality, Value and Taste: Nutritionally balanced products should still taste good. If our foods are nutritious and taste great, parents will order, it and kids will eat it. The Burger King always searching new ways to develop new product not only for variety in term of quality of food and nutrition for health of their customers. The are some latest innovations from Burger King BK BURGER SHOTSÂ ®, with BKTM Fresh Apple Fries, MINUTE MAIDÂ ® apple juice, CHICKEN TENDERSÂ ® with BKTM Fresh Apple Fries, Hamburger with BKTM Fresh Apple Fries, Philosophy of McDonalds: McDonalds consider People its philosophy. They provide the best employment experience for our employees to achieve their goals of providing our valued customers with the worlds best quick-service restaurant experience. They strive to recruit the best, hire the best, and provide the best place to work. People: The Company is the well aware of value of both its employees and customers. It knows the reality that a happy employee can work well with conclude as a happy customer. Human resources continuously working on finding new ways to motivate their customers (employees). The company focuses on critical hiring, best training and motivating employees through best pay structure and benefits. Philosophy of Burger King: Philosophy of Burger King to give option to customer to choose the food and we innovate. Burger Kings goals seemed quite clear. They want to individualize each customers order and provide the fastest service possible. Burger King gives the customer many choices and to accurately and quickly provide whatever the customer chooses. This policy is reflected in their slogan, your way, right away. Operating under this policy makes it very easy to achieve their goals. To facilitate fast service Burger King takes customer orders on a continual basis. One employee takes the customers order, the customer then moves down the line where another employee is preparing the order. Customers also get their own drinks while they are waiting for their meal. Burger King providing the innovative and healthy food options to their customers. Problems: Burger King Corporation is the second largest fast food restaurant chain in the world and growing their franchise network through globally. The company needs to do a lot to sustain the performance in this competitive environment. Burger King has good operational systems designed to provide customers with efficient and responsive services. The success of the operational system of Burger King is directly related to the degree of co-operation and co-ordination among these three subsystems. Any attempt to improve the efficiency, quality and responsiveness of the operational system must focus on these subsystems and their interactions. On the other hand increasing customers demand and expectations are challenges. Burger King is facing the following some problems in operations which affecting the quality services as compare with competitors: Staff motivation Inventory systems Equipment upgrade Customer accessibility Recommendations: Based on the analysis we can conclude that The Company should start by solving their internal issues so that they could perform batter and could achieve their objectives: Staff Motivation: The turnover rate is high employee are not staying long due to lack of motivation. The company should focus on retaining their staff. The company should plan an internal marketing so that they could address these issues. For this the company should give their employees tailored made training to serve the customers and coordination between them. The structure of the pay should be revised as per market based and give them incentives and benefits on their best performance. They should organize the team building activities to create team bonding within the teams. Inventory Management Systems: The company is using inventory and supply chain systems those are not latest and affecting the efficiency of the company, due to this company is facing the inventory wastage and storage expenses. If the company do focus on improving, inventory systems that could reduce the cost of materials handling and waste. Equipment: The company is the second largest company and need to update about the technology and equipment those are using within the operations. The company is spending huge amount of money on marketing, innovation and employee but if the food processing equipments not giving desired out could lead to loss of revenue, service and resources. The company should up-grade the systems that will help the company to perform better. Customer Accessibility: Burger King is facing very fierce competition. The company has less accessible to their customers as compare with the competitors like MacDonalds that why company is losing the business. Although it could, addresses in long term but very necessary because if you spend on product development, sourcing material and advertisement globally then you need to reach the customers accordingly. In this contest, you are not getting the right business due to fewer stores geographically. Conclusion Burger King: This age is competition and innovation with better management of the resources. It is a very strong chain of fast food restaurants all over the world. Being in maturity stage it has high opportunities of introducing its new products and growth. In future, it will be expanding its chain by introducing more outlets in more countries. Although in McDonalds there may be more problems than Burger King but the fact is there cannot be a perfect one in the world. Every organization has its internal problems but Burger King is what it should not be. Because people rely on it hugely. Burger King should serve people with true spirit of the company vision. Personal Reflection: Personal Description and Expectation I would like to describe myself as a very pleasant, diverse, energetic and committed person. I think one of my most distinguishing characteristic is my professional experiences and the business degree I am carrying under my belt. Along with my business education, my experience with the contact centre industry, peoples management that provides me sufficient exposure to manage a team, focuses on the performance and peoples management and delivering quality services. The visionaries place the customer at the core of their organizations business systems. In fact, it takes a visionary to see the mass market, assemble the financial and human resources and be the winner at the market place. My previous experience of management and leadership push me to learn advance techniques of business from the best business school in London. I have known about the practical processes of the business but not have idea about the philosophies of the business and culture of the multinational organization around the world.. Learning Outcomes: When I have started this module in the college and start reading books and other readings found this a real practical course. The theory of quality services and operational strategies I have read were those we were practising in the office in routine. Then I start associating these theories and knowledge with my previous experience that helped me to learn and understand the practices in real world. Learning and Development: With the help of previous practical management experience and latest operational techniques up to date practices I feel very clear changes in my perception about operations. In the past, I was following the pattern, which was designed by the top management to implement the policies. I never challenged those policies and practices due to lack of knowledge and expertise. After completing these multinational corporations operational management approaches I feel very comfortable and confident to take new challenges and responsibilities in future. It gives me in-depth knowledge and practical exposure about the subjects, which help me to start analytical and critical thinking about the projects.

Concept of Voice over Internet Protocol (VoIP) Essay -- essays researc

Concept of Voice over Internet Protocol (VoIP) Voice over Internet Protocol, commonly known as VoIP, is a technology used for the transmission of voice information using the Internet Protocol (IP). VoIP allows the sending of voice information in a digital form using packets as opposed to the traditional circuit-committed protocols of the Public Switched Telephone network (PSTN). Traditionally when one wishes to make a phone call, a call is placed using a telephone that is connected to a circuit-switched network. In a circuit switched network, network resources are static; the network resources are allocated from the sender to the receiver before the start of the voice transmission. Two points are connected in both directions thus creating a â€Å"circuit†. The resources remain dedicated to the circuit during the entire transfer and the entire voice transmission follows the same path, this is the foundation of the PSTN. Up until circa 1960, every call had a dedicated wiring stretching from one end of the call to the other for the duration of the call. An example of this essential physical connection is a call from New York to Los Angeles required all the switches to connect pieces of copper wire between the two points for the entire duration of the call. Naturally this was expensive due to the resources in use. Telephone conversations today are somewhat more efficient and cost a lot less. The voice transmission is digitized, and along with thousands of other phone calls can ...

Accounting Essay -- Business Management Studies

Accounting Accounting is the practice of â€Å"†¦maintaining, auditing and processing financial information†¦Ã¢â‚¬  (http://en.wikipedia.org/wiki/Accounting) for the purpose of a company, persons or organisation. There are some fundamental parts of accounting which are; â€Å"Identifying, measuring and communicating† (Black, 2000). You need to identify the important financial sections of a company, person or organisation which will include the companies assets, liabilities, capital, income and of course expenditure. You will also need to measure â€Å"†¦ monetary values of the key financial components in a way which represents a true and fair view of the organisation† (Black, 2000). Finally there is the communication side of accounting, it is vital that a company, person or organisation can communicate all of the financial information gathered so in turn users, whether they are internal or external, will be able to receive the correct financial information and be able follow it. There are two forms of accounting they are Financial Accounting and Management Accounting. Financial Accounting is concerned with the preparation of financial accounts for the benefit of people outside a company or organisation. Management Accounting is financial information used by managers within a company or organisation to make financial decisions based on the information that the accounts provide. There are many people who would be interested in company’s accounts, they are divided up into two groups; External Users and Internal Users. Within the External Users group are; Investors, lenders, Suppliers, Customers, prospective buyers, other businesses and the Government. Included in the Internal Users group are the Owners, Shareholders, the Board of Directors and Employ... ...ounts Payable which are debts owed BY a company, person or organisations which, at present have not been paid, Capital, Income and finally Revenue and as before if there was a increase in any of the above it would be a Debit entry. For example if a company, person or organisation was to purchase a fixed asset such as a building or piece of machinery this would be an increase in that company, person or organisations assets and would therefore be a Debit entry, the other side of the entry would be a Credit entry as there would be a decrease in the bank account of the company, person or organisation. The Double Entry Bookkeeping is essential in order for a company, person or organisation to keep track of all financial transaction as Double Entry is a very detailed financial account and everything that comes in or out of the business is written in a Double Entry Account.

Filtering in Libraries and Schools Essay -- Education Technology Paper

Filtering in Libraries and Schools We read about blocking some kinds of internet sites in public libraries and schools by using filtering software. There are problems on how to define an obscene piece of material, the list of filtered sites is not available to user , restricting access of adults, not just children, and affecting the lives of poor people who cannot afford PCs by filtering many sites. I think everyone agrees that we should protect children from harmful sites. However, it is difficult to make a restriction which is acceptable by all users. How should filtering systems changed ? There is an expression in the textbook that is concerning the right to see porn in libraries(Basse, Sara p205). It seems silly because I think a library is not a place for pleasure but for study. However, filtering all sites with inappropriate materials for children is not a good idea because some people want to do research on breast cancer, sex, Nazism...etc. What can libraries do about this problem? In my opinion, rooms for adults...

Grandparent and Classroom Clinical Experience Essay

My classroom clinical experience overall was very interesting and educational. Educational in more ways than one, I gained a lot of hands on experience as well learned the basic routine of a nursing and rehabilitation facilities. I was introduced to some really great in the field skills as well some not so great methods of doing these skills. Things were not done to terrible bad just a few skills that I know I learned in class the correct way that should have been implied the correct way at the facility a bit better than they were. Now let’s discuss the wonderful residents that blessed my day and actually made me feel like I had done and accomplished something so absolutely wonderful at the end of the day. These individuals were just as precious as they could be some with great dispositions and some with unknowing dispositions if you will. There was one resident that just really stole my heart but I think she was a nuisance to the other staff there, simply because she was a bit needy or always turning on her light even though you were just in her room. I just melted for her; I felt she just wanted someone to talk to or to just be in the room with her. She seemed to be lonely as well a bit weak and just wanting to feel of importance. So I managed to peek my head in her door whenever I walked by just to say Hello to her. There was one other resident that just absolutely didn’t want to have anything with me the first day of clinicals as to where the next day she just talked and talked like I was one of her kind or something. It is amazing how just getting to know someone just a bit even if it is just seeing them or hearing their voice a few times will let a resident open up. There were a few things I really wished I had all the time of the day to express myself to a few of the staff to maybe let them realize that the residents are just as human as they are and that they are someone’s loved one and needed to be treated as equal as the next. As well they need to treat them like they would their great grandmother or great grandfather or even their mother or father, and some important skills need to be practiced more efficiently such as wiping and cleaning after bowel movements, touching the pillows, covers, faucets, and door knobs with dirty gloves. These two things are so important when it comes to cleanliness and the prevention of spreading germs and should be better practiced. Sometimes I wondered if the staff even washed their hands after they used the restroom. On a much lighter note and off my soapbox clinicals were a great experience and very enjoyable. I did get to actually put some of my skills of what was learned in class to use. I got to experience some good and some bad which was enlightening to help me overall with a better understanding of my skills. My classroom clinical experience overall was very interesting and educational. Educational in more ways than one, I gained a lot of hands on experience as well learned the basic routine of a nursing and rehabilitation facilities. I was introduced to some really great in the field skills as well some not so great methods of doing these skills. Things were not done to terrible bad just a few skills that I know I learned in class the correct way that should have been implied the correct way at the facility a bit better than they were. Now let’s discuss the wonderful residents that blessed my day and actually made me feel like I had done and accomplished something so absolutely wonderful at the end of the day. These individuals were just as precious as they could be some with great dispositions and some with unknowing dispositions if you will. There was one resident that just really stole my heart but I think she was a nuisance to the other staff there, simply because she was a bit needy or always turning on her light even though you were just in her room. I just melted for her; I felt she just wanted someone to talk to or to just be in the room with her. She seemed to be lonely as well a bit weak and just wanting to feel of importance. So I managed to peek my head in her door whenever I walked by just to say Hello to her. There was one other resident that just absolutely didn’t want to have anything with me the first day of clinicals as to where the next day she just talked and talked like I was one of her kind or something. It is amazing how just getting to know someone just a bit even if it is just seeing them or hearing their voice a few times will let a resident open up. There were a few things I really wished I had all the time of the day to express myself to a few of the staff to maybe let them realize that the residents are just as human as they are and that they are someone’s loved one and needed to be treated as equal as the next. As well they need to treat them like they would their great grandmother or great grandfather or even their mother or father, and some important skills need to be practiced more efficiently such as wiping and cleaning after bowel movements, touching the pillows, covers, faucets, and door knobs with dirty gloves. These two things are so important when it comes to cleanliness and the prevention of spreading germs and should be better practiced. Sometimes I wondered if the staff even washed their hands after they used the restroom. On a much lighter note and off my soapbox clinicals were a great experience and very enjoyable. I did get to actually put some of my skills of what was learned in class to use. I got to experience some good and some bad which was enlightening to help me overall with a better understanding of my skills.