Assuming you are a manager leading a change programme within the NHS, identify and discuss at least five (5) types of power that characterise the different stakeholders within the NHS. What are the main strengths and weaknesses in terms of power that you may possess as the manager?
HS1116 There are many stakeholders whose powers influence developments within the NHS. Assuming you are a manager leading a change programme within the NHS, identify and discuss at least five (5) types of power that characterise the different stakeholders within the NHS. What are the main strengths and weaknesses in terms of power that you may possess as the manager? The assignment is about identifying different types of stakeholder powers which influence development within the National Health Services (NHS) and the strength and weaknesses managers have in terms of power. A stakeholder is an organisation/individual who can influence or is affected by the attainment of a corporation’s purpose (Phillips, 2003). HealthKnowledge (2011) claims types of stakeholders as internal stakeholders who partake in the harmonisation, support, resourcing and publication of the stratagem from a native health and wellbeing companionship. External stakeholders who engross in sponsoring own sentimental and experience around discoursing important facility operator’s problems and local community affiliates. Stakeholders are analysed into quadrants depending on how influential and important they are in decision making (HealthKnowledge, 2011). The following are the stakeholders who have an impact on NHS changes (Department of Health, 2011). -The Government -Health professionals
Possible Weaknesses of the Mental Health Act 2007
Kevin Abanilla Social Policy Possible Weaknesses of the Mental Health Act 2007 In July 2007, the government made amendments to the Mental Health Act 1983 and the Mental Capacity Act 2005. The government intended to modernise and improve the old legislation. A large part of the act remains the same; nevertheless, the new act presented very significant changes which include the introduction of the Supervised Community Treatment. This is the new supervision procedure for patients who are discharged from hospital and put back in the community. Another change is the redefining of the professional roles, which simply means that there are more mental health professionals treating and being responsible for one patient. Another change is the independent mental health advocacy. This gives mental health patients an opportunity to acquire a mental health advocate if they qualify. The changes of the new mental health act seem to be very good and beneficial to mental health patients. It appears to be that the government really does care a lot about the nation’s well-being and mental health. However, by critically assessing these changes and looking behind the picture, we may find some weaknesses on how these services are being offered. Let us talk about the Supervised Community Treatment, which appear to be really beneficial. A mental health patient who has been
Intervention and Theoretical Paper. This paper will highlight the interventions that are necessary for individuals with mental retardation and the developmental issues that are faced by these individuals.
Intervention and Theoretical Paper RUNNING HEAD: Intervention and Theoretical Paper Intervention and Theoretical Paper Aundrea Riley PSY 6668 Human Lifespan and Development J. Larry Hornsby, Ed.D July 22, 2012 Introduction There exists a lack of approach in the provision of vocational training and other rehabilitation services, which are important in helping Mentally Retarded (MR) individuals to cope with their situation. Hence, individuals with serious mental problems have not been able to evaluate their inherent potential as they have received limited counseling and training. There is the need to formulate programs where the mentally retarded individuals can effectively make use of their capabilities (Burack, Hodapp, & Zigler, 1998). This paper will highlight the interventions that are necessary for individuals with mental retardation and the developmental issues that are faced by these individuals. Discussion Issues concerning Mentally Retarded (MR) individuals People with mental retardation exhibit high rates of disturbance. Psychiatric problems that these individuals face exacerbate their difficulties and become a major source of impediment for the community placement for these individuals. Through the expansion of research which has led to the emergence of new knowledge on the necessary intervention for individuals with mental retardation,
Care versus Control: make a critical analysis of the debate, locating it in terms of policy and professional practice fo Approved Mental Health Professionals.
‘Care versus Control’: make a critical analysis of the debate, locating it in terms of policy and professional practice. This essay is going to reflect upon the tensions of care versus control and related dilemmas of rights versus risks that mental health social workers, particularly those who are Approved Mental Health Professionals (AMHP), face in practice. These issues shall be considered predominantly in relation to “applications for compulsory admission to hospital for assessment or for treatment under Part 2 of the [Mental Health Act 1983] (s13)” (Brown, 2009, p. 63). First the role of AMHP, the MHA and policy guidance will be outlined. Due to limited words, issues associated with questions over capacity and the Mental Capacity Act 2005 (MCA) will not be discussed, nor will Community Treatment Orders despite their great relevance to this discussion. The term ‘patient’ will be used for consistency with the language of the legislation. Approved Mental Health Professional, Mental Health Act and Code of Practice Rapaport and Manthorpe (2008) explain that social work recognised the potential for oppression and discrimination in mental health services and that the role of Approved Social Worker (ASW) came about to safeguard against the power of medical professionals, bringing an alternative perspective. The Mental Health Act 1983 (MHA) was revised by
Pulmonary tuberculosis. My objectives was to learn more about mycobacterium tuberculosis, and overview on pulmonary tuberculosis
Amira saidin – manchestersem3 Introduction (TB thesis sem 3) Tuberculosis is an infectious disease caused by the microorganism Mycobacterium tuberculosis. It can affect several organs of the human body, including the brain, the kidneys and the bones; but most commonly it affects the lungs (Pulmonary Tuberculosis). The first stage of the infection usually lasts for several months. During this period, the body's natural defenses (immune system) resist the disease, and most or all of the bacteria are walled in by a fibrous capsule that develops around the area. Before the initial attack is over, a few bacteria may escape into the bloodstream and be carried elsewhere in the body, where they are again walled in. In many cases, the disease never develops beyond this stage - and is referred to as TB infection. If the immune system fails to stop the infection and it is left untreated, the disease progresses to the second stage, active disease. There, the germ multiplies rapidly and destroys the tissues of the lungs (or the other affected organ). In some cases, the disease, although stoped at first, flares up after a latent period. Sometimes, the latent period is many years, and the bacteria become active when the opportunity presents itself, especially when immunity is low. The second stage of the disease is manifested by destruction or "consumption" of the tissues
Literature review on the psychological impact of stoma formation
A literature review on The Psychosocial Impact of Stoma formation on Adults By Jennifer Ezeabasili Faculty of Health and Life sciences De Montfort University Abstract The aim of this literature review is to evaluate the research and studies that have been carried out in terms of the psychosocial impact of stoma formation on adults. Drawing from the conclusions, it has been hypothesised that formation of stoma causes negative effects in terms of body image, quality of life and sexual activity however in order for patient to understand the problems they face, the stoma care nurses have a role to achieve in ensuring that the patient get the right treatment such as safe appliance and good advice and support to improve their health and lifestyle. Contents . Introduction 2. Methods 3. The impact of stoma formation on body image 4. The impact of stoma formation on quality of life 5. The impact of stoma formation on sexual activity 6. Conclusions 7. References . INTRODUCTION Stoma formation can occur for various reasons which could be improving the lives of people with gastrointestinal diseases such as colostomy, ileostomy or Urostomy, Gastrostomy and jejunostomy. Around 102 000 people in the UK are currently living with a stoma, with approximately 21 000 people undergoing stoma forming surgery annually (Boyles 2010). Research has shown that approximately 20%
Music Therapy and Its Effects
Music Therapy and its effects.[1] A powerful force that is commonly taken for granted, music can be consciously used to serve many purposes. Such purposes include motivation or reward, a means of reducing boredom and even manage time, by setting a desired pace for the listener (Ortiz, 1999, p. Introduction xv). Considering the breadth of such a subject, it is essential to contain the contents of this essay into a focused discussion. Namely, music, its use in therapy and the effects it generates. This essay will also discuss the different arguments for the support of various therapeutic effects of music, along with its detractors. In recent decades, an enormous amount of research has been conducted on specific ways in which sound, rhythm and music, in general, can improve human lives. Arguably, one of the most interesting of them all is the “Mozart Effect”.[2] Supporters of this ‘phenomenon’ claim that listening to Mozart’s music can affect you positively in a number of ways. Mainly, it improves one’s spatial-temporal reasoning skills and that early childhood exposure is beneficial for mental development. Let us take a closer look. Spatial-temporal reasoning skills refer to the ability to visualize spatial patterns and mentally manipulate them over a time-ordered sequence of spatial transformations. This ability, often referred to as "thinking in pictures", is
Discuss the Relationship between Stress, Anxiety, Habits and Phobias and Describe How You Would Treat these Issues with Hypnotherapy
________________ Discuss the Relationship between Stress, Anxiety, Habits and Phobias and Describe How You Would Treat these Issues with Hypnotherapy In this essay I shall seek to define stress, anxiety, habits and phobias. I shall explore their individual attributes and symptoms and how they may be related. I will also explain methods of treatment for such neurotic conditions, as I have seen fit and the ethical issues that I believe would need to be considered. Stress and anxiety are often coined together, almost into one phrase; where there is one, you will find the other. However there is a distinction between the two and as a therapist it is crucial that one is aware of this. Stress is a response to an external stimulant, resulting in feelings of frustration, anger and/or indeed, anxiety. Stress is in fact a biological reaction to outside pressures. These pressures can vary from work, family, or social changes, to simple changes in one’s environment, to major life changes. All these situations stimulate the age old “fight or flight” response, thereby pumping the body with adrenaline and heightening the senses in preparation to respond. Of course this is not such a negative reaction, indeed in evolutionary terms it would have been this very reaction that has allowed the human race to continue to exist and flourish, however, there is a point at which this
D240 TMA-02 compare and contrast cbt and mindfulness in understanding and working with fear and sadness
PI: xxxxx D240 Counselling: Exploring fear and sadness. TMA02 Total word count: 2000 words. Total pages: 12 PI number: xxxxxx Name: xxxxxxxx Depression and anxiety, being the largest single cause of disability in our society are serious and the most common debilitating mental illnesses associated with significant human and economic costs (Mind, 2009). NICE guidelines states people diagnosed with these conditions should be offered evidence based therapies as an effective treatment (DH, 2011) and has approved Cognitive-behavioural therapy (CBT) and mindfulness to be available in the NHS (NHS, 2011). CBT considers thought, emotion, and behaviour to be interrelated seeking to help clients monitor their cognition and actions so as to help improve their emotional health and life satisfaction (APA, 2011). While mindfulness is intentionally being present in this moment in a non-judgemental way helping us break free from a downward spiral of negative thought and action enabling us to make positive choices while neutralizing fear and sadness (MHF,2012). The purpose of this assignment is to describe various components of CBT and mindfulness, compare and contrast them in understanding and working with fear and sadness, their limitations and advantages and explain the reasons for my inclinations towards CBT before conclusion. CBT is a goal-orientated, practical and structured
Patient care pathways for patients with malignant disease - Hodgkin's lymphoma
00297301 Hodgkins Lymphoma is a malignancy of the lymph nodes and the lymphatic system. It is a primary neoplastic disease of the lymphoid B cells which are named Reed-Sternberg cells (Stevens, Lowe & Scott, 2009). The histological presence is characterised by giant multinucleated cells (Map of Medicine, 2013). Hodgkin’s Lymphoma causes the cells situated in the lymphatic system to abnormally reproduce (lpch.org, 2013) . The change of a normal cell to a malignant one will involve a process that will cause the genes that are involved in normal homeostatic mechanisms to suffer mutational damage. This will result in the activation of genes stimulating proliferation or protection against cell death, the oncogenes, and the inactivation of genes which would normally inhibit proliferation, the tumor suppressor genes (Bertram, 2000). ?????? A B cell is a type of lymphocyte that produces antibodies to fight infection. These are the most commonly used lymphocytes in the bloodstream and they are a crucial element in a strong immune system (Lymphomainfo, 2013). These are categorised in to two groups based on their clinical and pathological findings. Classic Reed- Sternberg cells are binucleate, which are seen in mixed-cellularity and in nodular sclerosis grade 1 Hodgkin’s Lymphoma. Reed-Sternberg cells which are monoclear may be seen in any type of Hodgkin’s Lymphoma but
