Tuesday, January 28, 2020

PTSD; The Battle Wounds You Can’t See Essay Example for Free

PTSD; The Battle Wounds You Can’t See Essay â€Å"I engaged the enemy in numerous gun battles. I was close to someone that was killed or injured. Fear and death were all around me. The military even had me plan for my own death I was numb inside. When I returned home, did you really expect me to pick up from where I left off?† (Combat PTSD) Post Traumatic Stress Disorder is one of the most overlooked stressed related diseases of all time. PTSD can affect anyone after an event or a series of events that threatens your life or others; causing intense fear, horror, and since of hopelessness. People who suffer from Post Traumatic Stress Disorder can often have a short attention span, making them unable to sit for long periods of time. Victims of PTSD find it hard to stay focused on normal, everyday activities. Almost anything can trigger an anxiety attack. PTSD affects the mind, causing a victim to be on constant edge. People with PTSD often find themselves feeling as if they are re-living a traumatic event, causing them to be unable to focus on the present. PTSD is a whole body tragedy inside humans that causes enormous difficulties in everyday life. My uncle, who is a retired United States Navy Veteran, spent 25 years traveling around the world and in many war situations. He finds himself getting side tracked all the time. There are many times he finds himself in situations he doesn’t remember getting himself into. One second he is working on paying bills, then the next he is staring into space, not thinking at all. He told me that he use to think it was impossible to not think at all. Yet, it is common when you have a mental disease that controls your life. Everyone has their own priorities to worry about, their own problems they need to block out; but with PTSD the exhaustion does it for them. Victims of PTSD find the numbness that comes with being exhausted normal.  They live in chaos that only exists in their head. They try to keep themselves busy so they don’t relapse and have a mental breakdown. Society can replace damage that was caused by war efforts: buildings, houses, and shopping centers. But the soldiers, they never get over it. Memorizing daily routines may not seem like a huge deal to all of us, but victims of PTSD find it almost impossible. The ability to memorize is a gift that humans are given to help make life easier. Freighting situations stimulate the brain to activate the nervous system and the adrenal glands causing the glands to secrete stress related hormones. Everyone’s human mind is made up of all the same pieces and parts. But how and when our brain chooses to project them is how we all differ. Our brains develop this selective nature of what we memorize. Our ability to remember traumatic events can harm us. Memories that trigger an anxiety attack with PTSD victims react when a stress related hormone activates the memory gland in our brain. This causes PTSD victims to only remember traumatic events. My ROTC instructor Sargent First Class Fredrick Lawshe has many experiences with his memory. He said that he once was driving to pick up his daughter from school, and while on the way there he forgot why he was driving and ended up turning around and pulling back into his driveway. His wife walked into their living room and asked him, â€Å"Where is Maggie? I thought you were heading to pick her up?† He said to me that after she brought it up, it all hit him again. He ran back to his truck and flew to her school. After all was said in done he came to the realization that while he was driving the first time he found himself back into a war state of mind. He stated, â€Å"I use to drive around Afghanistan in tanks all alone, with the orders of, â€Å"If you see anything move, shoot it.† I guess when I was driving in the car, I thought I was back in Afghanistan driving a tank.† Every human is born with the ability to memorize (exempt rare disease, and head injuries). People without PTSD memorize things without effort. It just comes natural. People with PTSD have to work at memorizing things making it more of a chore, especially when it may not be permanent. PTSD victims are put into reality without first letting go of the past. Nightmares are likely for people who suffer from PTSD. Nightmares can wake up a person in the middle of the night, making sleep a little less than impossible. Without the needed hours of sleep one can become physically and mentally abusive to ones self. People with PTSD often worry about general problems that can put them into danger. If the thought of always having to protect them at night, they will stay up to do whatever it takes to do so. Matthew Rottman stood a six-hour post every day. Standing post is the military term for standing guard while everyone else is asleep. While on post, Rottman was on constant watch, reacting to every noise that he heard. Still today Rottman stays awake while his wife and two children sleep; to make sure that nothing will harm them during the night. The feeling of always needing to be on the look out makes it difficult to get a good nights rest. Some victims of PTSD turn to alcohol or even drugs to help them cope with their symptoms. But in fact, to much alcohol can change the quality of sleep, making it less refreshing. It is not the victims of PTSD that do not want to sleep; it’s the fact that when they do, they have no control of what the mind thinks. It makes for another sleepless night. Post Traumatic Stress Disorder can cause the brain to go into relapse mode, causing a victim of PTSD to go into a rampage. Sometimes if a victim suffers to a higher degree of PTSD; attempts or murder, or violence will increase towards others has been brought about in some court cases Even though this is rare occurrence, it is possible. The human body can be very sensitive when it comes to how the brain operates. When a victim of PTSD is triggered be something around them, the brain tells the adrenal glands to release epinephrine. Epinephrine is the body’s way to show excitement and to pump adrenaline throughout the body. Meaning that if to much is produced parts of the brain can shut down making the victim go into a â€Å"crazy† state of mind; placing them back into the event that caused PTSD. The victim no longer can control what the brain does, leaving them in no control of their own body. Sometimes victims get so wrapped up into what is around them the  PTSD takes over, and the violence starts. In a blog chartroom an adult explains his experience with violence involving PTSD. â€Å"After being diagnosed with PTSD from abuse as a child. I do lash out when triggered, especially if someone touches me and I dont see them coming and super especially if anyone goes near my head. I lash out with words (very loud usually) and have swung my fists instinctively. I dont plan it, intend it or mean it it just happens. It feels like a defense, even if its a total overreaction.† We have all read these newspaper headlines: â€Å"PTSD made him a Murderer!† â€Å"Psychologist: Killer has PTSD!† â€Å"War damaged vet kills girlfriend; PTSD to blame?† â€Å"Officer uses PTSD defense for strangling, battering his wife.†(Andy O’Hara, Sergeant) It is the headlines like theses that are making society fear veterans. Society has a view towards them because of the social media. If civilians understood the mental characteristics of PTSD, that would not be so quick to judge. PTSD is not what is wrong with you; it is what happened to you. Almost every victim of PTSD will engage in some degree of depression from high dosages to very slim. Depression is when you loss interest in activities that use to give joy, significant change in weight, and feelings of guilt and uselessness. PTSD and depression go together because PTSD constantly brings back flashbacks of events that can cause depression. Some victims with PTSD go through depression stages where they feel their life is not worth living, and attempt it end it. Depression can cause anxiety attacks that end up with most people in therapy. Treatments can include antidepressants, counseling, and sometimes group therapy is recommended so others with PTSD can all express their feelings so they are able to see how others with PTSD are copping with it. PTSD and depression therapy are not one hundred percent accurate for cure, but it is a start to a long life of recovery. Judy, a wife and a mother or 5 children; was abused as a child and as her life continues she feels as if she can longer love her husband, and no longer live her life to the fullest. â€Å"†¦I couldn’t remember most of my childhood, why even the word â€Å"childhood† felt like a heavy blanket over me. The memories were so real that I often experienced physical reactions to them, such as spontaneous bleeding. I was diagnosed with PTSD, as well as depression, and things finally started to make sense†¦Ã¢â‚¬  Even though depression is a whole mental disability itself PTSD can often led to it, causing recovery almost impossible. Being put into the war scene isn’t like what you see in movies or play in video games. Maybe the guns and the technology are the same but unlike video games where you have unlimited lives, in real combat you only have one. When many veterans finally get home it is not what they expected. Some come from war with no stable income or even a family. Throwing a solider into the real world after a 4-year tour over seas is like throwing a wild bear into a dog show; he’s going to have no idea what he’s doing there. (Meadows) Most veterans who commit suicide are veterans who didn’t receive treatment for their PTSD. Suicide rates will al ways be high but studies have shown that risk is higher in people diagnosed with PTSD. After a 7 year tour in combat Sargent Erik Willie came home to his beautiful wife, and 2 loving children. The four of them were the picture perfect family; when he returned home he refused to talk to anyone about what he encounter. His wife started to notice him tossing and turning in the middle of the night. When she would question him, he would laugh it off; but onetime he did not find it as funny. When she confronted him to stop tapping his fork on the kitchen table, he then stood up grabbed her by the arms and pinned her against the wall. She screamed at him to let her go. He then dropped her to the grown, slowly backed off. As he went to help her up she pushed him away. She ran into the bathroom. Willie then noticed that his PTSD was serious, but still refused to seek medical help. As the days went on, Willie was cautious of every move he took. His wife blew off the whole incident as if nothing happened. Willie found himself in places and situations he didn’t remember putting himself into. After many more violent episodes, his eight-year-old son found him sitting on the end u p of the bed with the barrel of the gun in his mouth. Willie stood up, kissed his son on the forehead and shut the door. Around and hour later he walked in on his dad; but this time he was sitting in the bed; he was lying on the floor with a pool of blood around him. Depression affects everyone different, but unfortunately for Willie, it took his life. Military Veterans make up 7 percent of the American population, but they account for 20 percent of its  suicides. In 2012 more United States soldiers died by their own hands than in battle; suicide was the number one cause of death among US troops that year (CBSnews). People without PTSD face typical daily tasks such as driving a car, socializing with others, and sleeping. But to ones with PTSD see these simple tasks as obstacles. Because PTSD affects parts of the brain that interact with social inability a victim with PTSD finds it almost impossible to do â€Å"normal† everyday activities. Everyone has their times of frustration when they cannot do a simple task; but with PTSD victims live with the fear of the unknown. They fear the judgment of others when they are unable to do a task. They also fear the agony that could be forced upon them. PTSD victims are scared to even make one wrong move that could trigger an emotional breakdown. Bipolar disease is one of the common diseases that are associated with PTSD. One second someone with PTSD could be with there loved one, having the time of his or her life, then in a few seconds they are back in a combat zone fighting for their life. Up to 30 percent of PTSD patients will also be diagnosed with bipolar disease at some point. Bipolar mental disability is the act of having mood swings based on the environment around you. Bipolar, patients are more likely to have high suicide number attempts. Because depression, anxiety, and PTSD can make recovering from bipolar worse, therapy is recommended to every patient. Survivors of a traumatic event sometimes lack interest in social or sexual activities. They start to feel detached and worried in their relationships. They start believing that everyone is an enemy. They also may feel as if they need to protect their loved ones. This makes them come across as tense or demanding. For example, if someone was sexual abused as a child by a family member they sometimes will have issues with others touching them, or even trusting them. Amy Douglas; a 30 year old woman that claims that still after 25 years she can not forget her stepdads hands on her body. At night she wakes up screaming because of the nightmares that happen over and over again. She can’t keep a job because they thought of trusting a man with hire authority frightens her. She cannot keep a steady boyfriend because her fears of a man taking advantage of her. â€Å"I also believed that the older I got, the more I would forget about it all†¦ I never was the one to show my emotions, in high school I had a lot of friends, but I never got into boys.† Amy states that, â€Å"†¦but now I am older, the flashbacks are more intense, I can hear myself  telling him no, and that I wouldn’t tell mommy. I’ve tried to love but nobody wants to be with a girl who has monsters in her head that never sleep†. Post Traumatic Stress disorder is a state of mind that no human could live a normal life with. It is where you are afraid to ask for help because you believe it will destroy whomever you tell, so you cope by keeping it deep inside yourself; where it will only destroy you. With PTSD your head is a horrible place to be; everyone is a threat, you start to see that quiet people have the loudest minds. Where space is craved to help others breathe; where being around others is exhausting. It’s where you wake up useless, terrified, and unskilled in your own habits. It is where the old you disappears and a new shell is formed around you. PTSD is where caring for yourself is an act of survival not just a life quality. Works Cited David. Brain Affected in Ptsd. CNSforum. N.p., n.d. Web. 08 Apr. 2013. . O’Hara, Andy. NATIONAL CENTER for PTSD Home. NATIONAL CENTER for PTSD Home. Department of Veterans Affairs, n.d. Web. 15 Apr. 2013. . Schirald, Glenn. The Post-Traumatic Stress Disorder Sourcebook: A Guide to Healing, Recovery, and Growth [Paperback]. The Post-Traumatic Stress Disorder Sourcebook: A Guide to Healing, Recovery, and Growth: Glenn Schiraldi: 9780071614948: Amazon.com: Books. N.p., n.d. Web. 15 Apr. 2013. . Print Wood, David. â€Å"Combat Veterans With PTSD, Anger Issues More Likely To Commit Crimes: New Report, â€Å"The Huffington Post. TheHuffingtonPost.com, 09 Oct. 2012. Web. 28. 2013

Monday, January 20, 2020

Janie Crawford’s Quest in Their Eyes Were Watching God :: Their Eyes Were Watching God Essays

Janie Crawford’s Quest in Their Eyes Were Watching God Janie Crawford, the main character of Zora Neale Hurston's Their Eyes Were Watching God, strives to find her own voice throughout the novel and, in my opinion, she succeeds even though it takes her over thirty years to do it. Each one of her husbands has a different effect on her ability to find that voice. Janie discovers her will to find her voice when she is living with Logan. Since she did not marry him for love, tensions arise as time moves on and Logan begins to order her around. But Janie is young and her will has not yet been broken. She has enough strength to say "No" and to leave him by running away with Joe. At this point, Janie has found a part of her voice, which is her not willing to be like a slave in her husband's hands. After Janie marries Joe, I think that she discovers that he is not the person she thought he was. He tells her what to do the same way Logan did, just a little bit more delicately by saying that it is not a woman's job to do whatever he does not want her to do. Throughout her twenty years of life with Joe, Janie loses her self-consciousness because she becomes like a little kid being told what to do by an adult, Joe. She does it without even questioning herself, which is why I think that she loses the part of her voice that she has discovered by running away from Logan. At times, she has enough courage to say no to Joe, but he always has something to say back that discourages Janie from continuing her argument. But, in my opinion, Janie does not lose her will to find herself and it might have even become stronger because the reader can see that Janie is not happy with the way things are now and that she will probably want to change them in the future. When Joe dies and Janie marries Tea Cake, she feels free because even though Tea Cake asks for her opinion when he does something and cares about her. Since this is Janie's first marriage where she actually loves her husband, she feels free and discovers many new things in life that she has not noticed before. She becomes more sociable, wants to go places with Tea Cake, enjoys working with other people, and likes shooting game. Although she never shot a rifle before, she becomes a better shooter that Tea Cake, and he respects her for that,

Sunday, January 12, 2020

Unit 4222- 264 the Principles of Infection Prevention and Control

| UNIT 4222- 264 THE PRINCIPLES OF INFECTION PREVENTION AND CONTROL | | | | | | | | | |We as health care assistants, such senior health carer , we all have different kinds of roles and | | | | |responsibilities that we have to follow.We have to always be aware of and report changes in the health |264 |1 |1 | |conditions of the individuals that we support. We also have a responsibility to assist with keeping work areas, and| | | | |equipment clean, tidy and free from infection hazards. Related article: Outline Procedures For Infection Control In Own Work Setting in a NurseryWe are also encouraged to maintain good personal hygiene for | | | | |ourselves as well as our service users. For example, helping service users bath, use the toilet and change remove and| | | | |dispose of any soiled clothing. Another responsibility we hold is preparing and maintaining environment before and | | | | |after episodes of patient care. | | | |Following â€Å"Health and Safety Legislation† our employer like other employers must: | | | | |- write and communicate a health and safety policy, including an infection control policy | | | | |- carry out risk assessments to assess infection hazards and risks and ensure that, where possible, infection risks | | | | |are eliminated | | | | |- provide equipment which is safe and properly maintained | | | | |- make sure there are safe systems of work and adequate supervision |264 |1 |2 | |- make sure safety procedures are followed | | | | |- provide a safe working environment | | | |- provide employees with adequate information, training and supervision necessary to ensure their health and safety | | | | |at work | | | | |- provide and maintain any necessary Personal Protective Clothing (PPE), equipment and safety devices free of charge | | | | |-provide adequate welfare facilities to allow employees to maintain good levels of personal hygiene (i. e. proper | | | | |toilet and washing facilities). | | | | | | | | | |Current legislation and regulatory body standards which are relevant to the prevention and infection control are: | | | | |- The Health and Safety at Work Act 1974 | | | | |-The Public Health (Control of Diseases) Act 1984.Provides information on the legal requirements for the reporting | | | | |of contagious or infectious diseases | | | | |- Food Safety Act 1990. The requirements of this act apply to any area where food is prepared, stored or eaten. | | | | |Control is required to ensure that the risks of any infection, as a result of bad handling of food, are minimised. | | | | |- Food Hygiene Regulations 1995. These regulations also require that employees who handle food as part of their | | | | |normal duties should also undertake specific food hygiene training. | | | |- Reporting Injuries Diseases and Dangerous Occurrence Regulations (RIDDOR) 1995. The employer or manager in control |264 |2 |1 | |of work premises has a responsibility under RIDDOR to report any work related accidents or disease which result in | | | | |serious injury or an employee being â€Å"off sick† due to injury for more than three working days. | | | | |- The Public Health (Infectious Diseases) Regulations 1998. | | | | |Describe the reporting systems and the types of disease which must be reported. | | | |- Management of Health and Safety at Work Regulations 1999. Requires all staff to be provided with adequate and | | | | |appropriate training and a set of working instructions demonstrating â₠¬Ëœsafe working practices' for work related | | | | |activities. | | | | |- Controls Assurance Standards – HSC 2000/02. This standard provides a framework to control and manage infection. | | | | |In our care home are required to ensure effective protection and to minimise the risk of healthcare associated | | | | |infections.Effective prevention and control must be applied consistently by everyone and all staff must demonstrate | | | | |good infection control and hygiene practice. Roles and responsibilities of members of staff in the organisations are:| | | | |personal hygiene requirements, when and how to use personal protective equipment’s, decontaminating equipment, safe | | | | |handling and disposal of clinical waste, managing blood and bodily fluids products and spills, maintaining a clean | | | | |environment, cleaning routines and requirements, how to record and report accidents and incidents. | | | | | | | | |Procedures and systems relevant to the prevention and infection control are: | | | | |-cleaning is a process that removes foreign material from an object. Cleaning is normally accomplished by the use of | | | | |water, mechanical action and detergents. It may be manual or mechanical, using ultrasonic cleaners or | | | | |washer/disinfectors that may facilitate cleaning and decontamination of some items and reduce the need for handling. | | | | |-disinfection is a process that reduces the number of pathogenic icroorganisms from objects or skin, to a level | | | | |which is not harmful to health. Disinfection can be carried out by either thermal or chemical processes. Thermal | | | | |disinfection is preferred whenever possible. It is generally more reliable than chemical processes, leaves no | | | | |residues, is more easily controlled and is non-toxic. | | | | |-decontamination of equipment and the environment is a process which removes or destroys microorganisms to render an | | | | |object safe for use.It includes cleaning, disin fection and sterilisation. |264 |2 |2 | |-sterilisation is a process that destroys all microorganisms including bacterial spores. Sterilisation is | | | | |accomplished principally by steam under pressure (autoclaving), dry heat, by ethylene oxide gas or low temperature | | | | |steam and formaldehyde. | | | | |The outbreak of an infection within a care home can have serious consequences for people who come into contact with | | | | |contaminated person and also for the entire organization.An individual who acquire an infection will require medical| | | | |treatment or antibiotic therapy, if the individual does not take medical treatment it may be risk of spread of the | | | | |infection in that entire care home. Some infections may require the patient to be isolated from others to help | | | | |prevent and control the spread of infections, for example infection chest. | | | | | | | | | |In my opinion risk is the probability that an event will occur.We can say that: a person may be at risk when there | | | | |is the chance to be injured, to cause harm, to become infected of a desease or something that can put your life in |264 |3 |1 | |danger. A hazard can cause harm or adverse effects to individuals as health effects or to organizations as property | | | | |or equipment losses. | | | | | | | | | |Me like care worker, I can be exposed to various potential infection within the workplace. These include the most | | | | |common infections like: colds, flu, diarrhoea, vomiting.We, carers assistants often come into contact with clients | | | | |blood and body fluids, which can cause greater infections risks and may include also the risk of acquiring hepatitis | | | | |or HIV, scabies ,this last one can be spread by touch. | | | | |We are also exposed to infections spread through the air, such as tuberculosis and swine flu, ,this are quite rare. | | | | |Other airborne infections such as streptococcal infections are more common and can lead to sore throats and raise d | | | | |temperature. | | | | |A a care worker, I can be a source o infection to the people I provide care for, because these people are at an | | | | |increased risk of acquiring an infection.In this cause I must to take precautions to minimize the risk of cross | | | | |infection. | | | | |Even if I only have a common cold, I must to check my care home ‘s sickness policy and to inform my manager if I am | | | | |sick . | | | | |The process of carrying out a risk assessment content 5 steps: | | | | |Step 1 Identify the hazards | | | | |Step 2 Decide who might be harmed and how | | | |Step 3 Evaluate the risks and decide on precautions | | | | |Step 4 Record findings and implement them | | | | |Step 5 Review assessment and update if necessary |264 |3 |2 | |A risk assessment is one of the most important assessments. The measures put in place to reduce the potential harm | | | | |from these risks, for example ensuring adequate PPE is available for staff to use. | | | |Under th e â€Å" Health and Safety at Work Act 1974†, all employers have a legal responsibility to protect the health and | | | | |safety of their employees and anyone else using the work place, in care homes this would include clients, friends and| | | | |family. The risk assessment is one of the most important assessment an employer can undertake to protect these people| | | | |as well as their organisation’s reputation. The assessment identifies the risks in the workplace and the measures | | | | |put in place to reduce the potential harm from these risks, ex. ensuring adequate PPE is available for staff to use. | | | |Failure to undertake a risk assessment is illegal because put at risk the health and safety of all people who is |264 |4 |1 | |inside of care home, especially the most vulnerable, the residents who are living there and about we are providing | | | | |care for. | | | | | | | | | |Personal protective equipment (PPE) is used by us, health care assistants to prot ect us and also the people who | | | | |receive care from harm, to protect our skin and mucous membranes of the eyes, nose, and mouth from exposure to blood | | | | |or other potentially infectious body fluids or materials and to avoid contact. All PPE should be removed when |264 |4 |2 | |leaving the resident care area. | | | |The different types of PPE used in care health are: | | | | |- Uniform – is important to wear the uniform only at work place to reduce the risk of infections. The uniform should | | | | |be clean every day and should be changed if become soiled. | | | | |-Gloves – prevent gross contamination of the hands when touching body fluids; reduce the likelihood that | | | | |microorganisms present on the hands of personnel will be transmitted to an individual during invasive or other | | | | |individual care procedures.Gloves may have small, unapparent defects or may be torn during use, and hands can become| | | | |contaminated during removal of gloves ha nd hygiene is essential before donning another pair of gloves. | | | | |- Aprons – protect the uniform from becoming soiled during wound care or toileting the resident. Should be placed | | | | |over the uniform before activities involving body fluids. Blue aprons when feeding a resident, white aprons for | | | | |toileting, bath and wound care. | | | | |- Masks – should be used when microorganisms might be present in the air.Visors can be attached to provide full face| | | | |protection; | | | | |-Goggles – protect eyes; | | | | |-Hats |264 |4 |3 | |-Visors | | | | |-Face shields – protect face, mouth, nose and eyes; | | | |- Shoes – every employer require a type and colour of shoes. The shoes must be comfortable and do not have high heels| | | | |or opened toe. | | | | |Any PPE equipment used must be handled correctly to be efficient. Before to use any PPE equipment we need to wash | | | | |properly our hands. | | | | |Important key points about PPE:-done before contact with the client,-use carefully , don’t spread the | | | | |infection,-remove and discard carefully, and immediately wash your hands properly. | | | |Gloves -we must used them from â€Å"clean to dirty† |264 |4 |4 | |-limit opportunities for† touch contamination†, protect us, others and | | | | |the environment | | | | |-don’t touch our faces or adjust PPE with contaminated gloves | | | | |-don’t touch environment surfaces except as necessary during client | | | | |care | | | | |-change gloves during use if torn and heavily soiled, even during use on | | | | |the same client; | | | | |-discard in appropriate receptacle, never wash or reuse disposable | | | | |gloves. | | | | |Under Health and Safety at Work Act 1974, it is made clear that if items of PPE are required, then they must be | | | | |provided free by the employer. Under same Act, are specific regulations which specifically address PPE, this are: | | | |-Perso nal Protective Equipment at Work Regulation 2002 | | | | |-Management of Health and Safety at Work Regulations 1999 |264 |5 |3 | |-Control of Substances Hazardous to Health Regulations 2002(COSHH) | | | | |The responsibility regarding the use of PPE is in section 7 of the Health and Safety at Work Act 1974 and impose all| | | | |care workers to take responsible care for their own health and safety and that of others who may be affected by their| | | | |acts or omissions at work, in our case ,our residential clients. | | | |The important responsibilities include: | | | | |-attending training provided by the employer relating to how to use PPE | | | | |-using PPE in accordance with training |264 |5 |2 | |-taking responsible care of all PPE provided by the employer | | | | |-returning PPE to the correct storage accommodation provided for it after use | | | | |- reporting to the employer any loss or obvious defect as soon as possible. | | | | |Under the Health and Safety at Work Act 197 4, employers have the responsibility to ensure, as far as possible the | | | | |health, safety and welfare at work.Employers have a duty of care under the Personal Protective Equipment at Work | | | | |Regulations 2002: | | | | |-properly assessing the need for PPE and assessing PPE before it is used to ensure it is suitable | | | | |-providing free PPE to employees | | | | |-ensuring PPE are maintained and stored properly | | | | |-providing employees with adequate information, instruction and/or training on its use. | | | | |-ensuring employees follow the training provide and that they use the PPE provided. | | | |When removing its recommended to avoid touching as much is possible to reduce the risk of transferring pathogenic | | | | |organisms. Washing should be at a temperature at least 60 degree and separately from other cloths. Gloves should be | | | | |applied on clean, dry hands and ensure there are no holes and tears and is the correct size. When remove gloves grab | | | | |the cuff one glove with the opposite hand, while still holding the removed glove pull of the second by holding the | | | | |cuff and pulling down over hand, dispose gloves and wash hands.Aprons should be applied over uniform and after use | | | | |removed carefully do not touching the front of the apron. The apron will end up securely enclosed in the gloves and | | | | |disposed. Masks should be removed by untying the bottom tie then the top tie and moving it away from face by holding | | | | |the ties, after dispose it. Visors should be removed sliding the visor up and away from face. Should be cleaned and |264 |5 |1 | |decontaminated as appropriate and then dried. Shoes should be cleaned and decontaminated as required. | | | |Masks, hats, gloves and aprons are classed as clinical wastes are regarded as high risk items. They must be disposed | | | | |carefully to reduce the risk of cross infection. When removing PPE avoid touching the contaminated surface, remove | | | | |the item s before moving to the next resident, place the items in the correct waste containers ready for collection, | | | | |decontaminate equipment such as visors and return them to their correct storage accommodation, inform manager if any | | | | |PPE is damaged or stock levels are low. | | | | | | | | | | | | | |As a care assistant I’m a model and need to set a good example because I have a vital role to play in the prevention | | | | |and control of infection and this start with my own personal hygiene, daily body hygiene, baths or showers, washing | | | | |hands when appropriate, keep clean hair and tied up if is long, wear clean cloths, uniform, clean nails and | | | | |well-trimmed free from polish, remove jewellery except small earrings and wedding ring. | | | |Hand-washing is the single most important aspect of prevention and control of infection and nevertheless the most | | | | |neglected practice. A good hand washing reduce the risk of cross infection and also can signif icantly reduce the | | | | |presence of pathogenic organisms on the hands. | | | | |As well, an effective hand washing technique aims to remove dirt, organic material and pathogenic organisms such as | | | | |those found in blood, faeces and respiratory secretions like expectoration. |264 |5 |4 | |After we washed our hands, it’s very important as well to dry them with absorbent disposable paper towels. | | | |The correct sequence for hand washing is: | | | | |I Rub palm to palm | | | | |II Rub palm over back of hand, fingers interlaced | | | | |III Palm to palm fingers interlaced | | | | |IV Fingers interlocked into palm |264 |5 |5 | |V Rotational rubbing of thumb clasped into palm | | | | |VI Rotational rubbing of clasped fingers into palm. | | | |Hand washing should be carried out: | | | | |-before putting on a clean uniform or PPE, | | | | |-before any aseptic procedure, | | | | |-after resident contact, | | | | |-after removing PPE, | | | | |-after using the toilet, | | | | |-before eating, handling food, | | | | |-after finishing work. | | | |The types of products should be used for hand washing: |264 |5 |6 | |- General hand washing soap used for routine hand wash has minimal ability to destroy microorganisms and is useful to| | | | |remove dirt, grease and loosely adhered microorganisms. | | | | |- Disinfectant hand wash is commonly used in clinical areas for clinical purposes. | | | | |-Surgical scrub solutions- used for antiseptic procedures, these solutions can lead to dry skin and irritations. | | | | |- Alcohol gel used where sinks and soap is unavailable immediately after contact with patient. | | | |Correct procedures that relate to skin care are: maintaining healthy skin, maintaining body hygiene, apply | | | | |moisturising cream, do not use a substance unless it is identified, always read the label on a product before use it,| | | | |wear the correct gloves for the task and as instructed, never wear gloves which are torn or share gloves with another| | | | |person, wash hands after removing gloves, report immediately to the manager any: skin irritation or puncture wounds, | | | | |cuts or abrasions which occur at work and obtain first aid if necessary, cover cuts and wounds with a waterproof | | | | |self-adhesive plaster when at work and change it at least daily. | | | | |264 |5 |7 | | | | | | |Sources: | | | | | | | | | |http://www. wales. nhs. uk/sites3/Documents/739/RCN%20infection%20control. doc. pdf | | | | |http://www. markedbyteachers. com/as-and-a-level/healthcare/describe-the-roles-and-responsibilities-of-staff-in-relatio| | | | |n-to-infection-prevention-and-control-in-a-health-or-social-care-workplace. tml | | | | |-â€Å"Health and Social Care Level 2 Diploma† – book | | | | | | | | | | | | | | | | | | | |

Saturday, January 4, 2020

Illegal Immigration †Facts That We All Should Know - Free Essay Example

Sample details Pages: 6 Words: 1717 Downloads: 3 Date added: 2019/02/20 Category Sociology Essay Level High school Tags: Illegal Immigration Essay Did you like this example? The country that today we call The United States of America was discovered by Columbus in the 1492. Most of the Americans take pride that they come from different ethnic background and culture. However, since 1882 when President Chester A. Don’t waste time! Our writers will create an original "Illegal Immigration – Facts That We All Should Know" essay for you Create order Arthur singed the law to band most of the Chinese immigrants also all the criminals and the mentally ill people to enter the United States but is also know as the start of the illegal immigration. (Lui, 20 April 2009) Today, there are only a few people that can experience the American dream and the rest are forced to immigrate illegally. The Illegal immigration is costing the country more problems than benefits and the reason I am saying this is because of everything that I read while during the research for this paper. In this paper I want to talk about some of the problems caused like: crimes, terrorism, jobs. The crimes that are done by illegal immigrations have different forms and shapes. From the first time that they cross the border without permission is against the law and is a misdemeanor civil offense and if this person is caught for a second time is a felony. By this we understand that from the first moment that they come to the United States they start the life with a crime. (Illegal Immigration Laws, 20 April 2009) According to some fact given by US Political Action Committee there are around 20 million illegal criminal immigrants presently in the U.S and they constitute over 25% of the federal prison population. Only in Los Angeles 95% of all warrants for homicide target illegal immigrants. Also, based on the fact given by the same source there are approximately 400,000 illegal immigrants who have committed a crime and have been given a deportation order but they are still at large in the U.S and their whereabouts are unknown. (USA, 21 April 2009) As P.F Wagner says in his report there are 12 U.S citizens lives that die in a violent death at the hands of murderous illegal immigrants each day and another 13 Americans are killed each day by uninsured drunk driving illegals. And do not forget to add to this numbers another eight American children who suffer the horror as victims of sex crimes. (Wagner, 21 April 2009) In the reports of the analysis of 1,500 violent crimes done by the researcher Deborah Schurman-Kauflin PhD and based on a figure of 12 million illegal immigrations and the fact that more of this population is male her study breaks down this way: 525,000 or 35 %, were child molestations 358,000 or 24 %, were rapes 617,000 or 41 %, were sexual homicides and serial murders In those instances, the illegal immigrants typically gained access to the victims after having worked as a day laborer at or near the victims homes, she says. Victims ranged in age from 1 year old to 13 years old, with the average age being 6. In her examination of the sex-related homicides, Schurman-Kauflin noted: The murders were the worst of the sex crimes and were especially vicious. The most common method was for an offender to break into a residence and ambush his victims. Not only were victims raped, but some (6%) were mutilated. The crime scenes were very bloody, expressing intense, angry perpetrator personalities. Specifically, most victims were blitzed, rendered incapable of fighting back, and then raped and murdered. The most common method of killing was bludgeoning, followed by stabbing. Caucasians were more likely to become victims of sexual homicide committed by illegal immigrants. Hispanics were second and African Americans were third. (Schurman-Kauflin, 22 April 2009) The lives of many law enforcement officers have been lost by the hands of illegal criminal immigrants while they were trying to protect our country and the American citizens. Ten lives were taken in October 2003 in the Washington Dc area when an illegal immigrant that failed to be deported to his country choose his victims randomly and kill them with a sniper. (Crime Victims of Illegal Aliens) DC Sniper Victims We all remember the 9/11 when many innocent people woke up that morning to start their routine day but they did not know that they were not come back home again. It is worth saying that three out of four people that hijack the planes that day to hit the towers where illegal immigrants. That day 2,751 Americans were killed. 9/11 Attack As Kenneth R Timmerman noted in a June 2006 article, Broken, on a Homeland Security publication, The report reveals that 45,008 aliens from countries on the U.S. list of state-sponsors of terror or from countries that protected terrorist organizations and their members, were released into the general public between 2001 and 2005, even though immigration officers couldnt confirm their identity. Timmberman, 19 April 2009) According to Global Security.org in their report on sleeper cells: As late as February 2004, one report claimed that Al Qaeda sleeper cells were believed to be operating in 40 states, according to the FBI and other federal authorities, awaiting orders and funding for new attacks in the United States. On July 8, 2004 a Senior Intelligence Official stated: There is intelligence that al-Qaeda has individuals dispersed worldwide, and worldwide would include the United States, that are they are using in order to facilitate the operational planning necessary to carry out attacks successfully. (Global Security, 17 April 2009) Things like this may happened again and maybe much worse if we do not make our borders stronger, have a better identification for people in and out of our country. People think that illegal immigrants are doing jobs that Americans wont but according to Gordon Hanson, professor and director of the center on Pacific Economies at UC San Diego in a community survey which said that 68% of construction labors, 73% of dishwashers and 74% of janitors are native American citizens, proving that Americans are willing to do this kind of jobs. (All Americans, 25 April 2009) (Scherer, 26 April 2009) If we take a look to the Wall Street investment firm Bear Stearns they published a report that shows that the illegal immigrant in the U.S is roughly the same with the population of New York State. IRS every year fails to collect $35 billion taxes because of the number of jobs that are off the books. ( Justich, 20 April 2009) As Frosty Wooldridge cited in Our Country Coming Undone: Illegal immigration hurts Americas poor. In a recent account in the New York Times, Black children suffered 50% greater poverty in the past 10 years due to immigration. Illegal immigrants compete for jobs normally done by Americas poor. A study by the Center for Immigrants Studies wrote that Mexican Immigration is overwhelmingly unskilled and it’s hard to find an economic argument for unskilled immigrants because it tends to reduce wages for U.S workers. (Woodldridge, 15 April 2009) † A study of 65 rural communities in Californias San Joaquin Valley between 1980 and 1990, found that the addition of 100 farm jobs resulted in an additional 139 people including immigrants, their families and area residents living in poverty. (The dark Side, 12 April 2009) This statistic is driven by the low wages paid to the farm worker, who intern is then unable to support dependents, creating the social welfare problem. A Rand study looked at the nine million net new jobs created in Ca lifornia from 1960 to 1990. It found that three-fourths of the new jobs were filled by workers with at least some college education, and almost all of the rest were filled by high school graduates. (The dark Side, 12 April 2009) Furthermore, the share filled by workers with some college education has risen over the years, the Rand study found. By the 1980s, some 96% of net new jobs were filled by such workers. According to a survey by the University of California at San Francisco and the Field Institute, Latinos are much less likely to benefit from the states explosion in job growth because they are less likely to finish high school or attend college. (The dark Side, 12 April 2009) According to the survey, 56% of the states Latinos had an education level of high school or lower, compared to 28% of African-americans, 14% of whites, and 11% of Asians. The data show that in Brooklyn, Queens and the Bronx counties with a major increase of immigrants median income fell sharply. In Queens, according to the data, the median household income fell from $44,938 in 1989, to $36,480 in 1998, a drop of nearly 19%, while in Brooklyn it fell by 18%, from $33,762 to $27,556. In Los Angeles County, where there has been a surge of immigrants from Mexico, median income fell in constant dollars from $45,962 in 1989 to $37,655 in 1998, a decline of 18%. (The dark Side, 12 April 2009) The total K-12 school expenditure for illegal immigrants costs the states $7.4 billion annually—enough to buy a computer for every junior high student nationwide. (Greenhouse, 22 April 2009) Illegal alien households are estimated to use $2,700 a year more in services than they pay in taxes, creating a total fiscal burden of nearly $10.4 billion on the federal budget in 2002. Among the largest federal costs: Medicaid ($2.5 billion); treatment for the uninsured ($2.2 billion); food assistance programs ($1.9 billion); the federal prison and court systems ($1.6 billion); and federal aid to schools ($1.4 billion). If illegal aliens were legalized and began to pay taxes and use services like legal immigrants with the same education levels, the estimated annual fiscal deficit at the federal level would increase from $2,700 per household to nearly $7,700, for a total federal deficit of $29 billion. Because many of the costs are due to their U.S.-born children, who are awarded U.S. citizenship at birth, barring illegally themselves from federal programs will not significantly reduce costs. Although they create a net drain on the federal government, the average illegal household pays more than $4,200 a year in federal taxes, for a total of nearly $16 billion. However, they impose annual costs of more than $26.3 billion, or about $6,950 per illegal household. About 43 percent, or $7 billion, of the federal taxes illegals pay go to Social Security and Medicare. (Economics Costs, 28 April 2009) Illegal immigration is a problem and must be stopped so we can avoid any negative on the other countries and the U.S. It is an economic drain on the U.S and is degrading the condition of American society as a whole. . Frank Sharry, of the liberal National Immigration Forum has said, There is virtually a national consensus that illegal immigration is a problem. With this in mind, in a few years, there will be new policies implemented that will virtually wipe out illegal immigration, mainly focused on preventing illegal aliens from acquiring jobs. (Sharry, 30April 2009)