Coursework Example | Topics and Well Written Essays - 500 words - 4

Coursework Example My t-shirt can only be obtained from a Wal-Mart store since it is a crew t-shirt that forms a part of their brand. It cannot be found in any other store (Walmart.com). 2. Tortured and raped by Israel, Persecuted and jailed by the U.S is an article from truth-out.org written by Dahr Jamail. It circles around a Palestinian woman; Rasmea Odeh aged 67 years who was imprisoned after the court found her guilty of immigration fraud. It depicts the west as superior to the Middle East because Odeh was charged in the States due to activities that she is alleged to have committed in Israel back in 1967. Superiority of the west is noted in the ability of the United States’ judicial system that claims to have acquired enough evidence to tie her to those allegations. Association between Israel and the United States in continuing their oppression of Palestine is shown in this article. It is where orientalism comes in, Palestine is considered dangerous and a threat to Israel who is allies with the United States. United States is acting to safeguard Israel’s dark secrets; this is shown by the court’s failure to take into account all that happe ned to Odeh while she was held in Israel (Jamail). 3. Spain, one of the most populous nations in Europe borders France to the northeast and Portugal to the northwest. People crossing the border at both ends are required to produce an identity card or a passport; this applies to the EEA, EU and Swiss citizens. Spain’s borders between these two countries are sparsely populated, but there are towns that exist for example; Ayamonte and Badajoz, which is at the Spain-Portugal border and Portbou at the Spain-France border. Spain’s border with France has one of the most effective natural boundaries with the highest terrain. On the other hand, Spain’s border with Portugal has relatively low terrain

Health leadership and management Essay Example | Topics and Well Written Essays - 3250 words

Health leadership and management - Essay Example The management concepts of leadership and identification and establishment of a risk management process are to be applied for the ultimate design of a health care process. Such processes are more required at the Intensive Care Unit (ICU)/facilities of any hospital as ICU is one of the most critical services of any hospital and the quality of patients' response is important in determining the success of the entire hospital itself. In the following paragraphs we examine the application of the leadership concepts and risk management processes to the ICU facilities so as to lead to identification and reporting of incidents that are potentially harmful to patients. Nearly half all ICU patients suffer from potentially life-threatening adverse event, including infection.Nosocomial infections in ICU are 3-5 times higher than non ICU; 50% of all nosocomial epidemics occur among the 10% of ICU patients; more than 30% of US hospital costs are allocated for ICU care alone. Several evidence based practices have been identified in case of ICUs which help prevent infections. Low evidence based practices are cleaning insertion site, use of heparin,tunneling,routine catheter change, routine Ab prophylaxis, hand washing compliance and use of Sucralfate; medium level evidence based practices are peri-operative normothermia, continuous oscillation,suprapubic catheters, barrier Precautions and Ab restrictions; high evidence based practices include supplemental perioperative oxygen, semi-recumbent position ,selective decontam- GI tract and silver alloy-coated catheters, to quote a few. While these best practices are indicative of the desirable course of action s in ICU situations ;they perhaps indicate more to the risk perceptions and associated risk bearing events within the ICU environment.. Thus best practices are to be documented and diligently implemented and perhaps linked to performance evaluation. However there are noticeable gaps in prescription of these best practices and their actual practices which leads to occurrence of adverse events in ICU care. A careful identification and documentation of deviations which have resulted in adverse incidents is the much needed innovation for ICU management. However it must be remembered as Kaplan says," An appreciation of the power, productive and seductive, of stories of best practice, may provide some "heedfulness" to work in the strategy field(Kaplan,2003). In some evidence seeking research studies, nurses with higher patient load were linked to higher 30-day risk-adjusted mortality. Similarly studies observed a 7% increase risk of dying within 30 days for each additional patient added t o nurse load. One study on adverse drug events showed that 78 percent of adverse drug events were due to system failures (Leape et al, 1995).Any design of an ICU health care system would require establishment of a system which would adherence to such practices by ICU staff at all levels with adequate motivation. Some authors have emphasized the need for organizational change in health care, calling it "the key to quality improvement". In discussing how such change can be managed, Davies and Nutley assert that cultural change needs to be