Sustainable Practices in FM Assignment Example | Topics and Well Written Essays - 3750 words

Sustainable Practices in FM - Assignment Example The Kyoto Protocol to the United Nations Framework Convention on Climate Change 1997 encourages countries to make an effort to reduce carbon emissions. Corporate social responsibility requirements for all businesses has now expanded to include a duty to reduce and control carbon emissions (Lee, 2008). In other words, as a business organization, this organization is bound by legal and corporate social responsibility requriements to reduce and control carbon emissions. This report will identify the ways in which a business’s carbon footprint is made up, why there is a need for this organization to manage and control its carbon footprint, options for appropriate renewable energy solutions, recommendations in light of the building’s condition, type and location. ... 5840). Teir 2 businesses are those that create emissions from the use of electricity and gas. Teir 3 businesses include the entire supply chain and could include both tier 1 and tier 2 businesses for which the tier 3 business is indirectly responsible for (Matthews, et al., 2008). In other words, a business can be both directly and indirectly responsible for carbon emissions. This business is a retail organization and although it does not directly consume carbon at the production gate, it does contribute indirectly by purchsing goods for retail from production gates that do. In the meantime, this business also directly emits carbon in the use of energy such as electricity from fossil fuels. All goods and services including food and household products as well as transport, business products such as ink, paper, computers and so on are produced with the emission of carbon (Hertwich & Peters, 2009). This organization provides household products and this is significant because a study con ducted by Hertwich and Peters (2009) found that worldwide, household consumption accounts for 72% of all carbon emissions. Therefore as a provider of household goods, this business indirectly contributes to the largest source of carbon emissions. In addition, this business as a retail business, retailers contribute to a carbon emission in a number of ways. There is the direct emision of carboms from using fuels to indirectly contributing through employee travel or via the supply chain (Minahan & Sands, 2012). The Need for Reducing the Business’ Carbon Footprint There are two significant changes occurring in the market. First, there are countries such as the EU and the US that have

To what extent do governments shape the global oil economy In your Essay

To what extent do governments shape the global oil economy In your analysis, consider the role of nature, industrial structure and war - Essay Example Constant discovery of new oil fields is necessary to avoid depletion of current reserves; however this is challenging from both economic and business perspectives. For instance, in Canada the oil reserves are difficult to correctly measure because of technological difficulties leading to high cost involvement. On the other hand, oil reserves in Alberta which are now considered second largest oil reservoir were considered as non-economical to develop in past decades (Inkpen, 2012, p.2). One of the most important aspects of oil industry is that rich and poor nations alike are consumers of oil. However, since oil is location-specific therefore only a specific number of nations are major oil producers of the world. Over the last decades, the developed nations have become leading importers of oil which has resulted in severe geographical and political issues. Oil industry is one sector which has experienced large scale government interventions and regulations ranging from taxation to cont rol over production. OPEC â€Å"represents government intervention on a global scale† (Inkpen, 2012, p.4). For five years Saudi Arabia which is OPEC’s largest producer country controlled price by reducing production during phases of excessive supply and increased production during phases of low supply. It could afford because of low population and excessive production. Thus Saudi Arabia along with other OPEC members strived to maximize their oil revenues in the short run (Spero & Hart, 2009, pp.346-347). OPEC’s goal is to sustain the bargaining power on oil producing countries by controlling price. The idea is to ensure smooth distribution of oil to consumers, producers getting their regular profits and investors earning fair returns. However, OPEC’s capacity to fulfill its mission is controversial since increasing oil prices in the 1980s resulted in storing up of oil by producing countries and new exploration

Methods of intervention Essay Example for Free

Methods of intervention Essay Any form of restraint, for example leg or wrist restraints, should only be introduced after a multidisciplinary assessment, which includes consultation with service users their families and advocates. If used, they should be selected carefully to impose the least restriction of movement required to prevent harm while attempts should continue to be made to achieve the desired outcomes with less restrictive interventions. Carers who have received specific training in their usage should only use such devices. The rational for using any devices and the circumstances in which they may be used must be clearly recorded within an individuals care plan/ Positive Handling Plan. The Scottish Social Services Council have their own codes of practice for social service workers and employees. A quote from their handbook states; Social Service workers must: Respect the rights of service users, whilst seeking to ensure that their behaviour does not harm themselves or others This is following a pattern from the previous values and standards mentioned, which stated clients can only really go so far, before a method of intervention has to be used. In the mid nineties, a form of intervention was introduced in Scotland, which is now widely practiced in the care industry. C.A.L.M (Crisis and Aggression Limitation Management) Various systems use a prone position in which to restrain. This can be face up, or face down. In this country, the face down position is usually used. In the case of CALM the prone restraint is only one of a hierarchy of responses. There has been growing anxiety about the use of prone restraint. It has been associated with deaths due to positional asphyxia, although other positions also have this risk associated with them. In the US, some states have banned face down prone restraint; others have banned face up prone restraint. It is a method, which can compromise the dignity of both young person and staff. However, there is anxiety in some quarters that the removal of prone restraint may make methods  less effective. CALM Training Services are considering removing the prone restraint from their system. Certain methods of physical restraint include techniques, which include the deliberate use of pain to ensure compliance CALM does not. CALM is a training package which covers the management of difficult behaviour, and which contains, as one of its components, strategies for physical intervention, including physical restraint. In addition, when staff have been trained by CALM Training Services, they are then assessed as to how competently they can carry out the physical elements, and thereafter, if they reach an acceptable standard, they receive accreditation, which has to be updated annually. CALM is now the method of choice of a significant number of employers in Scotland and beyond, and is used in child care services, learning disability services, and mental health services.  ·Physical restraint devicessuch as safety vests and jackets, lap and wheelchair belts, and fabric body holdersmay be beneficial to patients and their caregivers when used properly in settings ranging from nursing homes and hospitals to private homes.  ·Used properly, restraints have many benefits for patients and caregivers in both institutions and homes. Restraints may help protect the elderly from falls, which could result in injury or even death. If absolutely necessary, restraints also can help make medical treatment easier if a patient is temporarily uncooperative or highly agitated. If a patient is dangerous, restraints can protect other patients and staff from possible harm. Some patients feel safer and more secure, and need not worry about falling, if they use physical restraints. The method of restraining can be beneficial for many clients, depending on state of mind/health and situation at present time. A warning though; putting a restraint on certain patients may actually worsen their condition. For example, a chronically agitated patient may become more agitated with a restraint.

Subjective Reports of MDMA Use :: Ecstasy Illegal Drugs Hallucinogens Essays

Subjective Reports of MDMA Use In reading several reports of individuals who have experimented with MDMA several common experiences can be found, but no experiences can be thought of as universal. One of the most commonly reported experiences is a feeling of peace. Some users categorize this experience as a feeling of intense calm. They simply cannot imagine hostile or aggressive feelings towards any other person. This feeling objectively can be observed in the relative sedation of those experiencing a 'high'. In one person's experience, once the MDMA had begun to affect their body in earnest, they felt no desire to move or do anything other then remain sitting where they were. They didn't report so much an inability to move as much as an inability to imagine a situation better then their current situation. As evidenced by the number of dance clubs in which MDMA is used frequently, MDMA clearly does not block physical activity. Some experienced users report that they have a brief window of opportunity after ingesting MDMA to engage in an active behavior (such as dance). After this window is over, they become too entranced in their experience to change anything. I! f they manage to become active during this time, they feel very energized and report the calm as being a more external feeling. This externally manifested calm can be described be such terms as love, oneness, peace, happiness, trust and other such broad positive terms. MDMA users who have experience MDMA use at clubs or dances often comment on groups of users who group together. Reports from users involved in these groups express a synergistic effect of being around others who are using MDMA. Many users who came to social situations alone reported their attempts in finding other users with which to socialize. One user described the "cuddle puddles" in which several users would sit together. These areas would have pillows and water available for the users. The user reported that they would sit, talk and describe their sensations to each other. One of the primary sensations shared was their tactile sensations. A very commonly described effect of MDMA is an increased enjoyment of sensation. All sensations are described as being more interesting, or intense. One common sight described at several raves (underground dance parties) is the surgical mask smeared with mentholated petroleum. Often, users will crush MDMA and dust the inside of the mask with it, or will take MDMA

Effective Human Resources Leadership for Nursing Home and Assisted Living Facilities Essay

Management Style for Assisted Living and Nursing Home Facilities Human Resource Management in Healthcare Organizations The type of organization I chose to discuss is an independent the assisted living facility and nursing home. They both provide some of the same functions, although the name of the facility may be slightly different. While these are separate types of organizations now, in the future, they will blend due to the fact that the longer the clientele is a â€Å"resident† of the Assisted Living Facility (ALF), the more likely they will be in need of full-time nursing care. (NursingCenter). I chose this particular type of organization because it is one that I am interested in due to the fact that such a large portion of our population will be served by these organizations in the near future and for some time to come based on our aging population statistics. Forty-two percent of the population that lives until the age of seventy will spend time in a nursing home before they die. (Knickman). Residents, or patients, in those facilities will receive services from a variety of providers like physical and occupational therapists, medication management for mental and physical ailments and perhaps social service support services as they move toward the nursing home in lieu of assistance from family members when they have none to call for assistance. Because the environment is clinical and service oriented over longer periods of time, it is important to examine what kind(s) of management style is successful in order to manage the intensive daily clinical needs and the ongoing relationships that develop among the staff and residents. One report on the study of leadership styles suited for nursing homes and assisted living facilities reported that a consensus leadership style had a strong association with quality of care. (Castle). Models indicate that consensus leadership style is also the best approach in limiting staff turnover, which is essential in how the residents rate their satisfaction of service. (Donoghue). Consensus management style is not a majority vote. After management has  reached a decision, consensus approach seeks to determine if all the team members find it acceptable and if they are in support of the decision. In this management style we would ask what could be changed in order to obtain staff support. All members of the group should feel that their ideas and views were heard and that they heard the others in the group as well. The idea is that the team will support the management because decisions were arrived at fairly. (Mayoclinic). To meet all the demands of infection control, government regulations, service to the residents, clinicians, families and inherent risks associated with the geriatric population, management must not only be task oriented, but people-centered. Management must develop clear and effective strategic plans, but with a humanistic approach of consensus so that all the team members that serve the clientele are happy and effective. It is truly an environment where management must foster employee relations which will decrease risk, and improve patient satisfaction which should in turn also reduce marketing needs as each point of contact that the staff has with a family member is also an ambient sales opportunity. In order to meet the patient needs in such a high demand environment where a majority of the time the patient/customer is in contact with a lower educated, less clinical staff such as a certified nurse assistant making a low wage, that staff must have a voice to understand that they make a huge impact on the organization. When they feel valuable, the organization will run much more smoothly. My first job and customer training out of high school was working the front desk of a four star hotel. We were the lowest paid on the totem pole, but management and human resources through incentive programs and awards recognized our achievements and solicited our input of ideas at all times. WORKS CITED Castle, N., & Decker, F. (2011), Top Management Leadership Style and Quality of Care in Nursing Homes. doi: 10.1093/geront/gnr064. Epub 2011 Jun 30. Donoghue C, & Castle NG, (2009), Leadership Styles of Nursing Home Administrators and Their Association with Staff Turnover, doi: 10.1093/geront/gnp021. Epub 2009 Mar 27. Knickman JR, & Snell EK, (2002), The 2030 problem: Caring for Aging Baby Boomers. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12236388 Kreofsky, B., & Vrtiska T., & Rego S., & Lewis T., & Chihak A., & Spurrier B., & Larusso N., & Farrugia G. (2011), Using Innovative Idea Management Tools in a Large Health Care Organization: Lessons Learned. Retrieved from http://www.mayo.edu/mayo-edu-docs/center-for-innovation-documents/wp-cfi-lessons.pdf Nursing Center. Nursingcenter.com. N.p. n.d. Web. 1 Sept 2013. Olson, Dana. (2007). Effective leadership in long term care: the need and the opportunity. Retrieved from http://www.achca.org/content/pdf /ACHCA_Leadership_Need_and_Opportunity_Paper_Dana-Olson.pdf

Reflective Writing on History Taking Essay

The first lecture on history taking that I had attended was conducted by Dr Yambao. It was an introductory lecture in understanding the basis of taking history from the patients and the effective skills on how to come out with a complete history of patients in order to identify one’s disease. It was an interesting lecture to me but far more interesting when I entered the clinical skill learning session (CSL). In CSL classes, I had acquired the idea and illustrations on how history taking is done with the help of Dr Min Zaw Aung, my facilitator for CSL Module. After few classes on CSL, including history taking on presenting illness, past medical, surgical, family and social history as well as history taking in paediatrics and women, I had better acknowledged myself in the process and techniques. However, it wasn’t that easy as I thought to carry out the history taking myself. Dr Min Zaw Aung had taught me very well in doing the history taking. Me and my CSL group members was given cases and practiced on history taking among ourselves with Dr Min Zaw Aung’s guidance. Then, comes the session where I had to do the real history taking, with the real patient at the Kepala Batas Hospital near the campus. I was excited at the beginning as I would be able to see real patients and talk to them. At the hospital, I was assigned a task on history taking in the women’s ward together with my team-mates. Later that day, I became very nervous as I thought that I wasn’t prepared to do the history taking with them. Dr Min Zaw Aung had divided the group in pairs and each pair had to take the history from one of the patient in the ward. The patient that I got was a Malay woman aged 43 years old with diabetes and a wound on her right toe. She was so friendly and she had given a good cooperation so that I and my friend can conduct the history taking very well. At first, I was worried that I will disturb the patient when she is having her rest but then, I know, I had to do this as this is important in  my process of learning in becoming a good doctor in the future. At first, we had applied the skills that were taught by our facilitator. To begin, we put the patient at ease and comfort. My friend and I did the history taking and noted everything that we have to know about her illness so that, we can better diagnose her. All the questions pertaining to patients’ symptoms and chief complaint were being asked; including history of presenting illness, history of past medical and surgical history as well as medication, dietary history, family history and social history. During the processes, I realized that we had to be careful in phrasing our questions, give good verbal and non-verbal cues, differentiate closed and open ended questions and ask relevant questions systemically. This is to ensure that the patient wouldn’t feel disturbed or angry and more pleased to give information. It turned out that, the patient I had met was actually a type 1 diabetic patient since she was 31 years old and she inherited the disease from both her parent. Her injured right toe was swollen and worsens after her first meeting with the doctor. The wound is healing very slowly and it caused bacterial infections which consequently made her feverish. So, she was diagnosed with infection on right toe associated with fever which worsens by her diabetes. After the history taking was done, we had to present the case to our facilitator, Dr Min Zaw Aung. We did the presentation well but still, there were some mistakes that we had made. Dr Min Zaw Aung had helped us in correcting our mistakes and came out with the right diagnosis. He also gave us information regarding our case and explained further about it so that I and my friend understand it better and learn from our mistakes. So, I had finished the CSL session for this semester. I had learned so many things in the classes and sessions with the lecturer especially on history taking. The experiences that I gained are an exposure to me of the medical world before I am able to be in it. All of it is so important in pursuing my medical years as training in becoming a good doctor to thousands and in fact  millions of patient s that I will attend and help in the future.

Napoleonic Wars Essay

Napoleonic Wars Essay Napoleonic Wars Essay Napoleon Bonaparte On August 15th of 1769 Napoleon Bonaparte was born in Corsica, France. His family was a part of the upper class and he got his education from a military school. In 1796 he was quickly promoted to be made the commander of the French army in Italy. Being known for revolutionizing his military organization and training, sponsored Napoleonic Code. He then at that time forced Austria and their allies to make peace. Napoleon conquered Ottoman ruled Egypt in 1798 with attempt to strike the trade with the British and India. By the British, his fleet was destroyed at the Battle of Neil and he was then stranded. Austria and Russia became allied with Britain and France had now to face all of them. The government was in a huge crisis when Napoleon came retuned to Paris. Napoleon then became the first consul in November 1799. After defeating the Austrians at Marengo in 1800, he then negotiated a European peace that established power on the continent to the French. He was made consul for life in 1802 and just two years later he became emperor. Britain resumed war with France in 1803 which was later joined by Austria and Russia. Britain inflicted a naval defeat on the French at Trafalgar in 1805 and Napoleon then abandoned the plan to invade England and turn on the Austrian and Russian forces. Napoleon defeated them at Austerlitz later the same year. There was so much new territory that he had gained that included annexation of Prussian lands which apparently gave him control of Europe. The Holy Roman Empire was dissolved, over the next five years Holland and Westphalia created, and Napoleon's relatives and loyalists were made as leaders in Sweden, Westphalia, Spain, Naples, Italy and Holland. In 1808 the Peninsular war began. The French become drained from their military resources over the next five years. When Napoleon invaded Russia in 1812 it only resulted in a horrible retreat. The tide was starting to turn in favor of the allies and Paris fell March of 1814. On the Mediterranean island of Elba, Napoleon went into exile. Escaping just a year later he marched back onto the French capital. Ending his brief second reign was The Battle of Waterloo. Imprisoned by the British, he was put on the remote Atlantic island of St. Helena where he died on May 5th 1821 at the age of 51. Democracy was brought to France because of Napoleon and conquered much of Europe in a relatively short amount of time. Before him France never had a single set of laws, and he reformed the legal system and started some of the most important wars for Europe. Napoleon did this because he wanted to see a unified Europe that helps the same principles of equality and freedom. Although he went about this unification through violence, the countries that he conquered where all treated fairly. The same programs where held in these countries as in France. He also created the Napoleonic code, much of what is still in use today in former