Health Care Framework Essay Example | Topics and Well Written Essays - 750 words

Health Care Framework - Essay Example As a result, the healthcare system needs to deal with issues such as developing an advance care plan and coming up with ways to manage the comorbid conditions associated with chronic illnesses. At present, most inpatients with complications of chronic illness still lack access to proper care that emphasizes effective management of their condition. This leads to poor disease control and complicates matters for patients compared to an environment where there is emphasis on appropriate care or effective management. In the United States, most patients suffering from complications of chronic illness tend to receive treatment from primary care clinicians (Wensing et al., 2014). In an effort to improve the care of patients with complications of chronic illness, health care providers need to consider the fact that most patients seek treatment from primary care providers, this trend is also likely to continue in the foreseeable future. Most patients tend to place value on a physician or a group of health care providers who have knowledge of the patient’s condition. However, since such care involves an integrative function, most patients report diminishing satisfaction or value over time. In addition, patients who require comprehensive treatment can benefit from a specialized care rather than primary care (Trehearne, Fishman, & Lin, 2014). Other than seeking specialized care for complex conditions, general training and experience among the primary caregivers is also crucial in managing the complications of chronic illness. The caregivers also need to understand behavioural change and self-management support to realize success in the care of patients with complications of chronic illness. Conversely, while seeking specialty care is seen to be more adaptable to new development with regard to the effective management of chronic illness, a shift from primary care elicits concerns

Fire Protection system Essay Example for Free

Fire Protection system Essay Aqueous and non- aqueous agents employed in fire service means the use of such substance in the fire service work which helps in fast control and quick remedial measures against the broken out. Substantially non- aqueous, plastic, high magnesium oxide are used so that materials remain fluid over longtime providing for easy workability and require no addition of water prior to use. In the same manner aqueous substance in form of concentrated ammonium salt containing binder and viscosity agent are used by fire service provider to prevent wildfires. For decreasing the toxicity of the chemicals used in fire service organization, non- aqueous and aqueous fluid is used to provide easy control over heavy fire. Non–aqueous compositions are used containing an amount of volatile silicon which helps to maintain waterproof composition than previous conventional non- aqueous substance used by fire service provider. In recent time various aqueous mixtures containing tricalcium phosphate are used as it is experienced that when the mixture is used fire os frequently extinguished and even the fire did not catch up readily. Aqueous substances are treated as fire control agent as it has great adhesive power when applied to extinguish fire. Aqueous film foaming foam is a special type of foam stabilizer which is diluted with water and exclude air from mixing the water and thereby suppressing the fire. Various factors are to be considered while selection of an agent by fire service provider as it directly and indirectly affects the decision. The fire agencies need to take help and identified the problem of reduction in fuel, cost sharing efforts and wild land fire problems. Fire agencies should take necessary action to meet the fire expenditure cost and to respond to fire areas at fast speed. Fire service providers have to base their decision on the chances of fire broke out, fuels available in form of various chemicals, devices or material needed, air tanker having with the company , their capacity , any agency, state or government organization participating, location or fire station and flame resistant synthetic fabric used in fire fighting. These fire service’s should comply while selecting or appointing any agent and it can be done after adopting the following procedures such as record keeping system, providing instructions at regular interval, risk assessment, inspection or regular review of guidelines to make it more meaningful, cleaning and decontamination procedure, preparing policy for repair and in the same way for store. With the adoption of above mentioned methodology the agent selected should be more beneficial for specific fire and thus more efficient development of fire service agent. REFERENCE Referred to sites: 1. http://scofmp. org/glossary. html Glossary of Wild land Fire Terms 2. http://www. tcfp. state. tx. us/standards/SOP_template. asp Standards and Certification Compliance Template for Newly Required SOPs 3. http://www. patentstorm. us/patents/6345632-description. html Method of cleaning and passivating a fire protection system Dated 23rd August 2007

Unknown Ionic Compound Preliminary Lab

Unknown Ionic Compound Preliminary Lab Discussion of Results and Scientific Explanation The main goal was to identify the unknown compound, which was MgCl2, better known as Magnesium Chloride. Before knowing what the unknown was, we had several test that needed to be done in order to determine the unknown compound. To find the identity of the compound we did various experiments for example, we observed the physical properties, tested the qualitative and quantitative solubility, did a cation and anion test and tested the conductivity of the compound. First we observed the unknown from its physical properties. It was white and had a rough and grainy feel to it. It was also observed as a solid and did not have a smell. All of these properties suggest that the compound was ionic because ionic compounds do not have a distinct odor and are solid at room temperature because of their high melting points. The unknown compound was then tested for solubility in water, toluene and acetone. The compound was soluble in water, indicating the compound was either a polar or an ionic compound, and not as soluble in toluene or acetone which points to the compound being more ionic. Once finished observing the unknown, we tested for pH. To do this, we the unknown with water and used litmus paper to determine whether it was an acid, base, or neutral. The litmus paper showed us that the unknown had a pH of 7, so it is a neutral compound. We then tested the conductivity. To do this we test the solution with a voltmeter in order to determine whether or not the compound can withstand water when it is dissolved. If the compound was to be conductive in water, it would dissolve and then produce an electric current. Once the compound was dissolved, it was then tested with a voltmeter that produced a voltage of -0.20 volts. This is important information because it shows that the compound was ionic since only ionic compound dissolve in water and produce and electric current. During the quantitative testing, 20.521 grams of unknown was mixed with 17 mL of water and that was then put into an Erlenmeyer Flask and stirred. It was left for one week to see if it would dissolve or have any change at all. Once checked, there was no precipitate, so we performed the test again. This time we used 19.085 grams of unknown and mixed that with 10 mL of water and we are currently in the process of waiting for the results. Checking the mixture before leaving, it seemed to be showing some type of precipitate, so we are hoping that this test works better than the first. Next to determine one of the elements within the compound we tested for anions and cations. First we tested for cations and in order to do this we performed a flame test and an ammonium test. To start the flame test, the nichrome wire had to be cleaned by heating it over a flame to ensure our results are not contaminated. A solution of water and the element was used to place the nichrome wire in, and then the nichrome wire is placed into the flame. If the flame produces a color it is indicative of a certain metalloid ion or metal. A color is produced in the flame when the heat of the flame changes the metal ions into atoms, which then become excited and produce light that can be seen with the naked eye. Once we tested the unknown in the flame to, it was determined that there was no color change, which lead us to believe that our unknown has to be a compound with Magnesium. 1 mL of the unknown solution was placed into a test tube and 1 mL of NaOH (6 M) was added. A pH paper was placed on a watch glass using water to help it stick. The watch glass was placed on the top of the test tube. If ammonium is present, the water will dissolve resulting in a higher pH. Going into next lab, we will finish up the quantitative testing. To do this, we will use a process called vacuum filtration. This is done by pouring the mixture of the unknown and water through filter paper and letting the water drain into a funnel and hoping that a precipitate is presents and is collected on the filter paper. Conclusion: Although this process takes time and can be confusing at time, it is very simple to do. Figuring out how to determine the unknown with the test preformed here was difficult at one point, but in the end, the test(s) showed that Magnesium Chloride was the unknown solution.

Isolation and Emptiness Illustrated in Shakespeares Macbeth and Berria

Nowadays, many well-known stories have touched the theme of isolation as it becomes the most prevalent problem that can not be easily resolved in people’s lives. As a matter of fact, both â€Å"Macbeth† by Shakespeare and â€Å"The Stone Boy† by Gina Berriault deal to some degree with the theme of isolation and emptiness. In â€Å"Macbeth† and â€Å"The Stone Boy†, Lady Macbeth and Arnold feel isolated because of the situation that does not give them the closeness they want, and they end up being not involved in the relationship they would like with their families even when reaches the very end of the story. In fact, isolation forms many kinds of modalities of people, which means it forms different states of the feelings of Arnold and Lady Macbeth. Being isolated, Lady Macbeth feels empty and lost and has no sense of direction while Arnold feels no emotions and numb. Although both stories touch the theme of isolation, â€Å"Macbeth† does a stronger job with the theme in comparing with â€Å"The Stone Boy† by Gina Berriault. â€Å"The Stone Boy†, in which Arnold accidentally kills his older brother, is all about the disjunction between understanding and compassion. When the accident takes place, Arnold is being isolated by his whole family, which in turn makes him feel numb and becomes stone cold. In fact, the two characters react completely different when facing the isolation. Arnold feels he is pretty innocent at first, and he tries to explain what he thinks about his brother after Eugie’s death. Just as Gina Berriault wrote, â€Å"He had expected her to realize that he wanted to go down on his knees by her bed and tell her that Eugie was dead. She did not know it yet, nobody knew it, and yet she was sitting up in bed, waiting to be t... ...hile Lady Macbeth tends to be over emotional. Their endings are pretty diverse from each other as well as Lady Macbeth chooses to finish her life cowardly while Arnold chooses to live on sturdily. People have different reactions when being isolated by someone that are once so closed to them. The reactions of Lady Macbeth and Arnold are quite different but extremely typical toward the isolation. It is surprised to see that Arnold’s impassibility is directly opposite to Lady Macbeth’s exaggerated emotions. Undoubtedly, Lady Macbeth’s reaction is more attractive to me than Arnold’s emotionless. Thus, â€Å"Macbeth† by Shakespeare is the story that does a stronger job with the theme of isolation and emptiness. Works Cited http://library.thinkquest.org/2888/ http://www.theatrehistory.com/british/macbeth001.html http://litsum.com/stone-boy/

How can you make them Essay

As an employer, various approaches can be employed to improve safety practices among pilots, maintainace people and other employers of Aircraft Company as this is essential in preventing casualty from avoidable risks. The steps towards motivation Talk to your employees Find out how many of those employed rides and what their needs are. In order words the needs assessment.sk about their training needs and the best way they can be supported to be safe riders and managers of aircraft. †¢ Are they new workers or more experienced? †¢ Have they completed any training course before? †¢ What’s their attitude towards a continuous learning and refresher courses? †¢ Appoint an aircraft coordinator The most important and crucial factor for a workplace aircraft champions are interest and zeal in riding. This aircraft coordinator would serve as a middleman between the company management and employees. With help from aircraft shops ,the coordinator organizes seminars inviting speakers that address interesting safety issues to those working in and out of the aircraft He should be able to sacrifice few hours in a week in order to jumpstart and direct the worksite safety agenda. Furthermore, employees can be encouraged to drive safely by establishing club or a group .When peers assist in arranging and shouldering programs and events, this will motivate people to participate .This club can provide access to issues that pertains to safety gears, skills and control and licensing as well as provide information on where to ride and how to obtain quality aircraft maintain ace. Initiate a mentor or ‘Aircraft buddy’ plan This can be done for new pilots experienced plots can be paired with new ones if the expertise is not in the workplace a contact to local dealer or advocate from state aircraft office to find experienced pilots to assist employees to learn riding safely such mentors give novice information about safety measures also encourage and boost their confidence Give a free ‘Starter Kit’ to new   employees This will contain information about safe practices, brochures on licensing and safety tutorials, protective gears and discount tickets on at gear shops Cardigans with company logo and with rider-friendly blueprint and watchword this decision is made by the coordinator to decide the kit contents. Steps to implement Aircraft safety awareness initiatives †¢ Explore all available communication methods and these include internet, hangar signage paycheck inserts bulletin banners posters lobby display company magazines intranet and email blasts. †¢ Make partnership with local aircraft dealership to provide a free or subsidized maintain ace check for aircraft. Such a dealer may accept giving discounts or gear or maintenance †¢ Design safety awareness seminal series displaying local speakers and resource personnel

“On Dumpster Diving” by Lars Eighner Essay

Introduction â€Å"On Dumpster Diving†-by Lars Eighner, is a story of a man discussing his life being homeless and how he came to acquire his livelihood by scavenging through dumpsters, or in the author’s words; Dumpster Diving. The story begins with Eighner telling us, the readers about how he was always fascinated with the word dumpster before being homeless and also while being homeless; how he forged food, beverages, and other miscellaneous items in public dumpsters. Lars Eighner tells us nothing of how he became homeless, but he tells the life of him and his wife (Lizbeth) as Dumpster Divers. In this passage Eighner discusses the topics of shame, and pride. I will write about both of these themes in two separate paragraphs, while showing both are relevant to us as college students. â€Å"Dumpster Diving† talks about many college students and how wasteful they can be; especially when it is unnecessary. Lars Eighner said, â€Å"Students throw food away around breaks becau se they do not know whether it has spoiled or will spoil before they return†. Eighner also says, â€Å"Some students, and others, approach defrosting a freezer by chucking out the whole lot†. (Page 22) The story of this man’s life is and should be humbling, also simultaneously a life lesson for us all to follow as an example of how to be frugal and appreciate all that we possess. Pride The theme of pride was the first topic Eighner discussed when referring to a dumpster diver. â€Å"At first the new scavenger is filled with disgust and self-loathing. He is ashamed of being seen and may lurk around†. Eighner- (Page 23) The scavenger or dumpster diver is showing that he or she has pride, although in need they are conscious of what society might think of them. Eighner also speaks of pride in a different sense as well. He shows us that by the refuse of others, the items being discarded is also pride in the ones that have more than enough. To the readers Eighner shows us their apathy for what they have and how they take it for granted; as if these things will always be available. Pride is a terrible thing to have at times. Society looks at those who ask for assistance or a helping hand as weak; but it takes a strong individual to set pride to the curve and ask for help.  Just as the dumpster diver scavenging through the trash; although it seems disgusting, when in need one must do what one has to. Shame The next theme which was discussed was shame; but in a more subliminal way. Eighner- â€Å"I live from the refuse of others. I am a scavenger. I think it a sound and honorable niche†. (Page 20) Eighner always made the term dumpster diver seem elegant. This word for many would imply filthiness, and impoverished. Eighner subtly edifies the word to hide the shame that was felt from the memories of being homeless and eating out of the trash; one would naturally do the same as Eighner. Shame is something that is felt by all at different points in our lives just as the â€Å"divers† felt. Eighner tells us that â€Å"While Lizbeth and I lived in a shack we began to eat from the dumpsters†. (Page 20) Eighner felt shame and embarrassment from the things he and Lizbeth were doing. While reading about this particular time in Eighner’s life, there is no way that anyone could not be humbled by his words. This way of living is well below modest; it is almost unreal the way he lived. It is impossible to fathom how this can be; and that is what Eighner wants us to realize. Eighner wants us as the readers to not see the trouble of people’s shame but the struggle from the shame, because we should appreciate where we are now, no matter how difficult life is or may seem; because it could always be worse. Pride and Shame As we take a look at both themes Eighner shows how they both coincide in reference to the dumpster diver. In the life of a dumpster diver Eighner explains how he felt pride and a sense of being in a better state of living as opposed to those more fortunate; and he explains how he felt shame as he was reduced to this decadence. In one particular memory Eighner says, â€Å"Every bit of glass may be a diamond, they think, and all that glisters, gold†. (Page 24)Now in this sense Eighner talks about how particular dumpster divers take everything they see of some value and they go over board; but nonetheless they take pride in the things that others call trash. Eighner himself speaks of how he took pride in his vast findings. â€Å"I am grateful, however, for the number of good books and magazines the students throw out†. (Page 26)Although Eighner talks about pride he shows us the shame that lies  in dumpster diving and how they are closely related. Eighner- â€Å"Dumpster diving is outdoor work, often surprisingly pleasant†. (Page 27) â€Å"I have no better place for her than a dumpster. And after all, it is fitting, since for most of her life her livelihood has come from the dumpster†. (Page 26) Now even though Eighner finds joy in his life, he also finds discomfort and embarrassment. Pride and Shame coincide and simultaneously differ; and the two emotions left Eighner ambivalent about him and Lizbeth’s future. Conclusion After reading â€Å"On Dumpster Diving† I am inclined to agree with Eighner, â€Å"Take what you can use and let the rest go†. (Page 27) In life if we use or take more than we truly need, we never learn the value of things nor do we learn to appreciate them. I believe this because I have been given so much in life and used so little, whether it was food, money or time. I believe that us as Americans waste so much that we have forgotten the value of truly living and remembering others less fortunate; I know I have. While reading this passage it has changed my outlook on life and how much I consume and will consume in the future. I believe I will use less and appreciate what I do have, while encouraging others to do the same. Also while reading I felt remorse and sympathy for those less fortunate like Eighner. In conclusion this story is very touching and uplifting. Eighner shows us that no matter what life may throw our way we can survive and beat the odds, no matter how much they are against us.

How to Make Soap essays

How to Make Soap essays Add lye to the pitcher. Using the same method that you used to weigh the lye, weigh the required amount of water in the empty pitcher. Carefully lift the pitcher with lye in it, and pour the lye into the pitcher containing the water. After you've added all the lye to the water, stir the solution gently with a wooden spoon until you're sure that all the lye has dissolved. Place one of your thermometers in the pitcher. The lye, which will have heated up considerably, is likely to register from 150* to 200*F (66* to 93*C). As you melt the fats and then cool them to 100*F (see steps 9 through 12), you must bring the temperature of the lye to 100*F (38*C), too. Watch the lye temperature closely so that you don't overheat the solution. As you continue to monitor and adjust the temperature of the lye solution, weigh out the required fats for your selected recipe. Once the fats have been measured and placed in the soap pot, set the pot over low to medium heat and stir the contents gently t o help them melt. Use your mixing spoon to mash any small floating pieces. Heat the mixture just to the point at which the fats have melted, then remove the pot from the stove. To cool off the fats quickly, place the soap pot in a cold-water bath in your sink, but make sure that the water isn't frigid, or the fats may begin to solidify again on the inner surfaces of the pot. Stir continuously to help reduce the temperature, and as it approaches 105*F (41*C), remove the pot from the cold-water bath. Continue to juggle the temperatures of the lye solution and the fats so that they both reach 100*F simultaneously. Continue to use the cold and warm baths.While stirring the fats gently and steadily, pour the lye solution into the soap pot in a thin, steady stream, stirring the mixture continuously as you do so. If you see substantial amounts of lye floating on top of the fats, stop adding more until you've stirred in the float ...