Working in the Health Sector Essay Example

Working in the Health Sector Essay Example Working in the Health Sector Essay Working in the Health Sector Essay Essay Topic: Health The job role of a midwife is to provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They help women make their own decisions about the care and services they access. Their responsibilities are wide ranging and include; caring for new-born children, providing health education and parenting support immediately after delivery, until care is transferred to a health visitor. Midwives are personally responsible for the health of both mother and baby and only refer to obstetricians if there are medical complications. They work in multidisciplinary teams in both hospital, and increasingly, in community health care settings. Midwives do a multitude of duties, all the while adhering to hospital policy and maintaining an awareness of issues such as health and safety, examples of these duties are; diagnosing, monitoring and examining women during pregnancy, developing, assessing and evaluating individual programmes of care, providing full antenatal care, including screening tests in hospital, in the community and at home. Midwives identify high risk pregnancies and make referrals to doctors and other medical specialists, they arrange and provide counselling and advice before and after screening and tests. They offer support and advice following events such as miscarriage, termination, stillbirth and neonatal death. They supervise and assist mothers in labour, monitoring the condition of the foetus and use knowledge of drugs and pain management, they give support and advice on the daily care of the baby including breastfeeding, bathing and making up feeds. Midwives liaise with agencies and other health and social care professionals to ensure continuity of care. Throughout their careers they engage in professional development to meet PREP requirements, and they participate in the training and supervision of junior colleagues. To become a midwife, you need to have a minimum of five GCSEs at grade C or above, typically including English Language/Literature and a science subject and either two or three A Levels or equivalent. Some trusts run cadet schemes which can lead to entry onto a pre-registration programme in midwifery. These are increasingly being replaced by apprenticeships. You need to do an approved degree in midwifery at University to become a midwife. You need certain personal qualities to be a midwife and these include; Having an understanding and caring nature. Having the ability to get on well with people from a wide range of backgrounds. Having emotional and mental strength. Having good observational skills. Having the ability to act on your own initiative. Having patience and tact. Being mature. Having a willingness to take responsibility. Having the ability to cope with distressing situations and to remain calm in stressful situations. Being able to counsel and having listening and general communication skills which are essential. Having excellent people skills. Having the ability to inspire trust and confidence. Having respect for the needs of families from a variety of different cultures. Having strong teamwork skills and the initiative to work alone. Having physical and mental stamina. Most newly-qualified midwives move quickly to permanent posts within health and social care with potential to progress within their career to clinical specialists, consultant midwives, practice and development roles, quality assurance or management roles. On the career framework midwives are a level 5, this is the level most registered practitioners in their first and second post-registration/professional qualifications jobs. Midwives usually work 37. 5 hours per week, including evening, weekend and night shifts and they can work in various places including hospital maternity units, GP surgeries, Midwife led Units and Birth Centres. In some hospitals/NHS Trusts you would split your time between working in the community and working in hospitals, or rotate between antenatal, delivery and postnatal tasks every 6 months. The job role of a nurse is to plan and provide medical and nursing care to patients in hospital, at home or in other settings who are suffering who are suffering from both chronic and acute physical or mental ill health. The responsibilities of a nurse include; assessing and planning nursing care requirements, providing pre and post operation care, monitoring and administering medication and IV infusions, taking patient samples, pulses, temperatures and blood pressure. Nurses write records, supervise junior staff, organizing workloads, provide emotional support to patients and relatives and tutor student nurses. Currently these are no national minimum academic entry requirements into nursing courses so every Higher Education Institute sets its own criteria. You will need a minimum of five GCSEs at grade C or above, plus two or three A Levels or equivalent to get onto a degree course. To become a nurse, you need to have completed a degree in nursing. Aswell as these academic requirements to be a nurse you must possess these personal qualities; Excellent people skills Good verbal and written communication skills Good observation skills. Ability to answer questions and give advice. Be happy to work as part of a team. Be able to deal with emotionally charged situations Have care, compassion, competence, communication, courage and commitment. Good health and fitness. Resilience Stamina Nurses usually work a standard 37. 5 hours per week, this is worked in a variety of ways depending on the role and location, it is usually morning, noon or nights shift rotations, and depending on the availability of registered nurses overtime might be required. Both nurses and midwives must be registered with the Nursing and Midwifery Council, this is a prerequisite of employment and practice, and must maintain their registration by meeting the NMC’s post-registration education and practice (PREP) standards. Not meeting these requirements will cause registration to lapse and you will not be able to work as a registered practitioner. There are two separate PREP standards that affect registration, these are the PREP continuing of professional development (CPD) standard and the PREP (practice) standard. . M1: Assess how a health worker can contribute to providing a positive experience for users of health services. Midwives having excellent people skills contributes to providing a positive experience for service users because having babies happens to all sorts of people, so being a midwife you would be providing professional support and reassurance to a huge diversity of women, during some of the most emotionally-intense periods of their lives. Being able to communicate and get along with people from all walks of life is essential. For example; a mother from a different country doesn’t speak English very well, if the midwife just didn’t make as much effort at conversation with this lady, the lady might feel left out, slightly isolated. Whereas, regardless of the language barrier the midwife still made an effort to converse with the lady, the lady would have a more positive experience. Nurses and midwifes require similar education up until their university courses, their training and knowledge contribute to providing a positive experience by learning about equality, diversity and individual’s rights within a health and social care setting. Their knowledge of how diversity benefits society in general and the NHS in particular means that they respect everyone as individuals. Nurses and midwives understanding laws surrounding human rights, the Equality Act Etc. hanges their methods of providing care in a way that is focused on providing a positive experience for all service users. Nurses and midwives have to register with the NMC, this contributes to providing a positive care experience for service users because they know the people they have looking after them have to keep up to date on their personal and professional development in order to carry on practicing, that they have a council they are accountable to and that first of all being registered means that the NMC have approved them as a registered nurse or midwife. A midwife’s competency in her field contributes to providing a positive experience for service users because a midwife is the most frequent point of contact for parents-to-be and so must be able to answer their questions, share their knowledge and skills with patients, their families and friends and make sure their needs are recognized by the rest of the care team, this means efficiently sharing information with other professions within the multidisciplinary team, ensuring continuity of care. Care base values contribute towards providing a positive experience. These are values such as; having the right to choice, this could be something as simple as having a choice between different food options, clothes to wear, pain relief†¦etc. A pregnant lady has the choice to make a birth plan, where she can choose where to have the baby, in a pool, hospital or at home, she can say which pain relief she would prefer or none at all. This makes her time as a service user a positive experience because she’s had the choice and control. risk assessments, these are important and necessary under law and they help healthcare workers to identify and problems that could occur and take steps to minimise the risks. This contributes towards a positive care experience for both the professional and the service user, ensuring their protection and safety. Staff being trained regularly contributes to providing a positive experience for service users because all the knowledge needed is kept fresh in the professional’s mind, keeping them up to date on new legislation, policies and procedures, keeping them competent. Consultations with patients to discuss what to do going forward, to inform and give professional advice contributes to providing a positive experience because the service users feel informed, they can have their questions and queries answered and it’s a time for them to gain reassurance where available. Patient confidentiality helps to provide a positive experience because service users can be assured that their information is being kept secure and only those who need to know can access their records. Promoting equality, diversity and individual’s rights means that everybody is treated with dignity and respect, they have equal access to medical care wherever needed helping to eliminate discrimination. This provides a positive experience for service users because regardless of age, gender, sexuality, race, culture, religion they are being treated with the same respect and dignity as anybody else. Personal hygiene contributes to providing a positive experience for service users because being hygienic is a professional requirement as a healthcare worker and being or seeming unclean, untidy would not inspire trust and confidence in a service user. Pulling the curtains around the cubicle helps to protect the service user’s privacy, which makes them feel like they are being treated with dignity and respect and sensitivity, contributing towards a positive experience. 1. D1: Evaluate the requirements of healthcare workers in relation to the provision of a competent workforce for the health sector. A personal attribute necessary for healthcare workers is empathy. Tania Singer, an expert from the Max Planck Institute for Human Cognitive and Brain Sciences wrote â€Å"in order for there to be empathy a person would have to see that another was in pain, and share in that pain, while knowing that it’s not their own emotion. However, empathy isn’t intrinsically good and pro-social†¦ Empathy is a precursor to compassion, but too much of it can lead to antisocial behavior. † This means that it is possible to be too empathetic and when this happens within the health sector it means that too much empathy can make the workforce not competent. However, empathy can change you, it can grant you perspective, wisdom and equip you for future challenges. A healthcare worker would need to have the right balance in order to work competently and contribute to a competent workforce. Another personal attribute essential for healthcare workers is reliability. In order to have a competent workforce, the workforce needs to be a team and so reliability is really essential. Nurses need to feel confident that they can rely on the nurse she/he is handing over to, this confidence comes from reliability. For example, a lot of healthcare workers on shift rotation and poor punctuality not only effects the patients but the other healthcare workers in your team. Being reliably punctual not only refers to turning up on time for shifts and handovers but completing your tasks on time. For example; taking patients samples efficiently and competently in reasonable time so that the patients aren’t waiting longer than necessary while not making them feel rushed or an inconvenience. Colleagues need to be able to rely on you to make the whole process run as smoothly as possible, contributing towards a competent workforce. In conjunction to being reliable as part of a team, a lot of healthcare workers if not all work in multi-disciplinary teams. Being able to work alongside people from different sectors and specialties effectively, contributes towards a competent workforce. When you can communicate with all members of your team to ensure continuity of care for patients or service users you are not only contributing to the overall competency and efficiency of your team but contributing towards a positive care experience for all. However, when working with people from different specialties and sectors it is not uncommon to find those who think greater of themselves, this brings about problems and conflict and can disrupt the competency of the workforce when there are people who are most productive when they can work well together but instead the relationship is forced and tense. Training and education for healthcare workers is constantly updated and adjusted and monitored to ensure that all healthcare workers are getting the most relevant and important education to their job role. No matter what path that is chosen or healthcare role that is taken, all workers in the health sector have had the same basic training on care values, equality, diversity and individual’s rights. Everybody is trained and educated on how discrimination has no place in the NHS or elsewhere and the effects discrimination has on service users, ways of promoting equality, diversity and individual’s rights in a health and social care setting. This training that every healthcare worker takes means that the entire workforce is built upon the same foundational principles of providing high quality care and positive care experiences. This contributes towards a competent workforce because everybody shares the same values and can help to ensure everybody upholds them. Although everybody is trained and educated on these topics some people cannot put their prejudices aside, it is a weakness of this blanket education that it can’t target and change the mindsets of those who may have grown up with discrimination and prejudice being accepted, who then may carry that on throughout their work life. A colleague being accepting of discriminatory practice would be detrimental on the competency of the workforce as it is a colleague’s duty to report this. Continuing professional development or CPD is a requirement for nurses and midwives to stay on the register to practice. CPD means that throughout their working lives healthcare workers continuously expand on their knowledge and assess ways they could do their job better. This is important to contributing towards a competent workforce because all employees are keeping up to date with relevant education and qualifications, constantly ensuring they are doing their jobs to the best of their abilities, it increases their knowledge, experience and understanding and helps towards improving their job performance. However, although CPD is a requirement that is monitored for some branches of healthcare workers, it is not always followed up or monitored for some. It is also costly and not all employers can afford the latest training and educational courses for all of their employees. Knowledge of record keeping procedures help contribute to a competent workforce because efficiently and properly written patient records are accessed by other, future healthcare workers that are involved with the patient or service user. If the records are not legible, don’t have enough detail, are not relevant or appropriate it is going to have an effect on how the healthcare worker works with their patient. If all records are written and kept following the same policy and procedure for writing patient records all future healthcare workers who work with that patient benefit from the same necessary standard of record. This creates a competent workforce because with knowledge of these policies and procedures, the workforce all work to the same standard and patients benefit from this. A weakness of the policies and procedures of record keeping, all be it to ensure efficiency, is that a guideline is to not be excessive, however sometimes being what others might deem slightly excessive could be one healthcare worker noting something of what seems like small significance at the time, but then another healthcare worker who accesses the records when providing services to that patient in the future could recognise it as a signpost. Possibly the beginning of depression or another mental illness, where then it wasn’t significant enough to be diagnosable, now this healthcare worker can see it has progressed and take necessary action. Overall I think there is a balance to everything, too much empathy can be detrimental to the individual and therefore to the workforce and its competency, strict guidelines and policies can ensure standards are being met, but do they also allow for some things to go unnoticed, personal development is beneficial and necessary with a sector that is constantly evolving but when new qualifications and medical procedures come about does everybody have access to gaining this knowledge in regards to cost and time. There are so many personal attributes and other factors that help to make a competent workforce but also a workforce is made up of diverse individuals from all walks of life who won’t all have the exact same personal attributes or educations and yet everybody will in some way contribute towards providing a competent workforce.

Reasons for Revolution essays

Reasons for Revolution essays During the years leading to the American Revolution in 1776 there were many influential causes which prompted the Americans to rebel, but some factors were more significant than others. Parliamentary Taxation was undoubtedly the most significant reason for the colonist to rebel, the British placed heavy taxes on imported goods while denying the colonists representation in parliament. Secondly, was the restriction of civil liberties, in reaction to the colonists protest on the taxations, in 1774 Britain passed a series of intolerable acts as direct punishment for the strong protesting. Thirdly, the unnecessary military measures in the colonies, Britain used its powerful military to regulate the colonial trade and control any rebellious colonists. Lastly, was the immense difference in the British and colonial religious and political ideas concerning freedom of religion and forming a constitutional government. Parliamentary taxation was the most significant factor prompting the Americans to rebel in 1776. The British Empire had just claimed victory over the French in the Seven Years War, but was in a great economic debt. Since Parliament needed another economic source they were keen on the idea that the colonies were to help for the war. In order to receive revenue from the colonies, Parliament passed a series of acts putting heavy duties on goods imported into the colonies. The colonists were angered by parliaments decision to tax especially since mercantilism and the Navigation Laws prohibited the colonies from trading with other sources. The first taxation act passed was the sugar act, and shortly followed were the Stamp Act along with the Townshend Tea Tax. The angered colonist protested in massive mobs screaming regarding to being heavily taxed without representation. Although the heavy taxes didnt pay nearly enough for annual costs of military in the colonies, it brought th e colonists closer to ...

Ignacio Allende, Champion of Mexican Independence

Ignacio Allende, Champion of Mexican Independence Ignacio Josà © de Allende y Unzaga (January 21, 1769–June 26, 1811) was a Mexican-born officer in the Spanish army who switched sides and fought for independence. He fought in the early part of the conflict alongside the â€Å"Father of Mexican Independence,† Father Miguel Hidalgo y Costilla. Although Allende and Hidalgo had some initial success against the Spanish colonial forces, both were eventually captured and executed in 1811. Fast Facts: Ignacio Allende Known For: Taking up arms in the cause of Mexican independenceAlso Known As: Ignacio Josà © de Allende y UnzagaBorn: January 21, 1769 in San Miguel el Grande,  Guanajuato,  New Spain (now  San Miguel de Allende, Mexico)Parents: Domingo Narciso de Allende, Marà ­a Ana de UnzagaDied: June 26, 1811 in Chihuahua,  Nueva Vizcaya,  New Spain (now Mexico)Spouse: Maria de la Luz Agustina de las Fuentes  Children: Indalecio Allende,  Josà © Guadalupe Allende,  Juana Marà ­a Allende Early Life Allende was born to a wealthy Creole family in the town of San Miguel el Grande (the name of the town is now San Miguel de Allende in his honor) on January 21, 1769. As a young man, he led a life of privilege and joined the army while in his 20s. He was an able officer, and some of his promotions would come at the hands of his future foe General Fà ©lix Calleja. By 1808 he returned to San Miguel, where he was put in charge of a royal cavalry regiment. Conspiracies Allende apparently became convinced fairly early on of the need for Mexico to become independent from Spain, perhaps as early as 1806. There was evidence that he was part of an underground conspiracy in Valladolid in 1809, but he was not punished, probably because the conspiracy was quashed before it could go anywhere and he was a skilled officer from a good family. In early 1810, he became involved in another conspiracy, this one led by Mayor of Querà ©taro Miguel Domà ­nguez and his wife. Allende was a valued leader because of his training, contacts, and charisma. The revolution was set to begin in December 1810. El Grito de Dolores The conspirators secretly ordered weapons and spoke to influential Creole military officers, bringing many over to their cause. But in September 1810, they got word that their conspiracy had been found out and warrants were issued for their arrests. Allende was in Dolores on September 15 with Father Hidalgo when they heard the bad news. They decided to start the revolution then and there as opposed to hiding. The next morning, Hidalgo rang the church bells and gave his legendary â€Å"Grito de Dolores† or Cry of Dolores, in which he exhorted the poor of Mexico to take up arms against their Spanish oppressors. The Siege of Guanajuato Allende and Hidalgo suddenly found themselves at the head of an angry mob. They marched on San Miguel, where the mob murdered Spaniards and looted their homes: it must have been difficult for Allende to see this happen in his hometown. After passing through the town of Celaya, which wisely surrendered without a shot, the mob marched on the city of Guanajuato where 500 Spaniards and royalists had fortified the large public granary and prepared to fight. The angry mob fought the defenders for five hours before overrunning the granary, massacring all inside. Then they turned their attention to the city, which was sacked. Monte de Las Cruces The insurgent army continued to make its way toward Mexico City, which began to panic when word of the horrors of Guanajuato reached its citizens. Viceroy Francisco Xavier Venegas hastily scraped together all of the infantry and cavalries he could muster and sent them out to meet the rebels. The royalists and insurgents met on October 30, 1810, at the Battle of Monte de las Cruces not far outside of Mexico City. The barely 1,500 royalists fought bravely but could not defeat the horde of 80,000 insurgents. Mexico City appeared to be within the reach of the rebels. Retreat With Mexico City within their grasp, Allende and Hidalgo did the unthinkable: they retreated back toward Guadalajara. Historians are unsure why they did: all agree that it was a mistake. Allende was in favor of pressing on, but Hidalgo, who controlled the masses of peasants and Indians making up the bulk of the army, overrode him. The retreating army was caught in a skirmish near Aculco by a larger force led by General Calleja and split up: Allende went to Guanajuato and Hidalgo to Guadalajara. Schism Although Allende and Hidalgo agreed on independence, they disagreed on much, particularly on how to wage war. Allende, the professional soldier, was aghast at Hidalgo’s encouragement of the looting of towns and the executions of all Spaniards they came across. Hidalgo argued that the violence was necessary and that without the promise of loot, most of their army would desert. Not all of the army was made up of angry peasants: there were some Creole army regiments, and these were almost all loyal to Allende: when the two men split up, most of the professional soldiers went to Guanajuato with Allende. The Battle of Calderon Bridge Allende fortified Guanajuato, but Calleja, turning his attention to Allende first, drove him out. Allende was forced to retreat to Guadalajara and rejoin Hidalgo. There, they decided to make a defensive stand at the strategic Calderon Bridge. On January 17, 1810, Calleja’s well-trained royalist army met the insurgents there. It seemed that the vast insurgent numbers would carry the day, but a lucky Spanish cannonball ignited a rebel munitions dump, and in the ensuing chaos the undisciplined rebels scattered. Hidalgo, Allende and the other insurgent leaders were forced out of Guadalajara, most of their army gone. Death As they made their way north, Allende had finally had enough of Hidalgo. He stripped him of command and arrested him. Their relationship had already deteriorated so badly that Allende had tried to poison Hidalgo while they were both in Guadalajara before the battle of Calderà ³n Bridge. Hidalgo’s removal became a moot point on March 21, 1811, when Ignacio Elizondo, an insurgent commander, betrayed and captured Allende, Hidalgo and the other insurgency leaders as they made their way north. The leaders were sent to the city of Chihuahua, where all were tried and executed. Allende, Juan Aldama, and Mariano Jimenez were killed on June 26, while Hidalgo died on July 30. Their four heads were sent to hang on the corners of the public granary of Guanajuato. Legacy It was unfortunate for the Mexicans involved in the struggle for Independence that Hidalgo and Allende quarreled so bitterly. In spite of their differences, the tactician and soldier and the charismatic priest made a very good team, something they realized at the end when it was too late. Allende is today remembered as one of the great leaders of the early Mexican Independence movement, and his remains rest in Mexico City’s hallowed Independence Column alongside those of Hidalgo, Jimà ©nez, Aldama, and others. His hometown of San Miguel el Grande was renamed in his honor: San Miguel de Allende. Sources Harvey, Robert. Liberators: Latin America’s Struggle for Independence. Woodstock: The Overlook Press, 2000.Lynch, John. The Spanish American Revolutions 1808-1826. New York: W. W. Norton Company, 1986.Scheina, Robert L. Latin America’s Wars, Volume 1: The Age of the Caudillo 1791-1899. Washington, D.C.: Brassey’s Inc., 2003.Villalpando, Josà © Manuel. Miguel Hidalgo. Mexico City: Editorial Planeta, 2002.

Legal Brief Assignment Example | Topics and Well Written Essays - 500 words - 2

Legal Brief - Assignment Example In addition, Sullivan accused four black ministers named in the advertisement of erroneously accusing the police actions on protesters in Alabama. The New York Times said the suit was a way of intimidating new publishing houses, and a way of averting them from exposing unlawful actions of workers in relation to the segregation. Sullivan won the case in the trial court. The famous case of New York Times vs. Sullivan was a cry of the black people about the segregation and liberty of speech. The laws state that ‘A municipal official litigating for libel must attest that the statement in question was made with actual malevolence, rather than ordinary sense of malicious intent’ (Justia.com). Assuming that Sullivan was acting on behalf of the Alabama state and the police department of Alabama, the key issue here is, ‘Does the suing of a newspaper and black ministers who are attempting to end segregation qualify for defamation suit? Additionally, a key issue here is, ‘What constitutes actual malice, and what are the standards of speech freedom or defamation? The court ruled in favor of the New York Times as the Alabama court laws were found to be deficient. This is because there was failure to provide confines to speech defamation and freedom (Justia.com). The United States Supreme Court states clearly that the facts provided by Alabama court, even if presented under the preserve of verbal communication, were still inefficient constitutionally in the case of Sullivan (Packard, 241). The law states’ proof of actual malice was necessary in order for compensation to be honored (Justia.com). There were no dissidents as all the judges were for the ruling in favor of New York Times. The consequences of the United States verdict in favor of New York Times led to new organizations writing and reporting freely about civil rights violations, and the

Planning and Controlling Direct Labor Costs Term Paper

Planning and Controlling Direct Labor Costs - Term Paper Example As a result of which the total revenue and total sale of the organization might get increased that may amplify its market share and brand value to a significant extent among others. Apart from this, if the organization became successful in reducing its actual cost, then it might present its product or services at a quite competitive cost as compared to its rival players. However, due to which, a huge range of customers might get attracted towards the brand and the product line that may amplify its demand and profit margin in the market among many other rival players (Hansen, Mowen and Passalacque 29). Thus, it might be stated that in order to enhance the range of profits of the organization by a consistent range, planning is the most essential facet. In order to enhance the sustainability and position in long run, the organization might plan for long term strategies. It might prove effective in increasing the overall costs and revenues thereby reducing the total costs. The importance of the study is to analyze the importance of planning for an organization in this age, in order to amplify its total revenue and reduce the total cost. This might act as the first stage of budgeting that may prove effective for the organization to forecast its future expected sales, earning, expenses etc. Along with this the process of planning and staffing also includes the future forecast of the changes of the business and economic environment that may offer significant impact over the operations and functions of the organization. Along with planning and staffing, forecasting is another important step of budgeting, that helps to determine, the degree to which the long term strategies are useful or feasible for the organization in long run. However, this process of forecasting is a mixture of two important functions such as planning for long period of time entirely based on real goals or objectives of the organization as well as short term planning’s.

CONTRACT COST CONSIDERATIONS Research Paper Example | Topics and Well Written Essays - 1250 words

CONTRACT COST CONSIDERATIONS - Research Paper Example The three are firm-fixed price, cost-plus-fixed fee and cost-plus-incentive fee. Therefore, this paper will look at the advantages and disadvantages of these three contract pricing systems before outlining and discussing them in a specific NAICS case-study. Firms seeking contracts in different spheres of operations as classified by NAICS adopt different contracting or pricing schemes that are in line with their needs and capabilities and also by putting into considerations the needs of clients. In this way, it can be deduced that numerous factors, either in single or in multiple, influence the selection of the appropriate and most efficient pricing mechanisms in contract projects. However, in adopting an appropriate contract mechanism to employ, firms are always advised to take into account the responsibility of certain and specific risks that the projects might have. Three major contract pricing systems are used by contracting firms. The three include fixed price system, cost-plus-fixed-fee, and cost-plus-incentive fee. Therefore, discussion in this research paper will involve looking at the three contract pricing systems in terms of advantages and disadvantages and how they apply to a specific NAICS firm. The first contract pricing mechanism is the firm-fixed-price contract. This type of contract provides a price that in most cases is not subject to any change or adjustment (Stewart, Wyskida and Johannes, 1995). Favor for this type of contract has usually been based on the contractor’s experience in performing the contract. This type of contract provides maximum incentive for the contractor to have control over the costs and also be able to perform effectively. In such arrangement, there is always minimization of administrative burden on both the contracting parties. It has been found firm-fixed-price (FFP) contract is most favored by contractors keen on

Prostate Cancer Research Paper Example | Topics and Well Written Essays - 1750 words

Prostate Cancer - Research Paper Example From a nursing perspective, a more responsible role for nursing professionals in the dissemination of information on the diagnosis of prostate cancer and its implications is a development of the late twentieth century. This increased caring role of the nursing professionals with patients diagnosed with prostate cancer also carries the implication of better knowledge of the disease and the treatment modalities, to be efficient in providing the required care quality (Davison et al, 2009, p.95). Prostate cancer is cancer occurring in the prostate gland. The presence of a cancer tumor in the prostate gland will result in enlargement of the prostate gland, which is responsible for the symptoms associated with the lower urinary tract displayed in those having the disease. In essence, the demonstration of these symptoms from an enlarged prostate results from the impact of the resistance to the flow of urine by the enlarged prostate and the response of the urinary bladder. The symptoms include nocturia, frequent urination in the daytime, hesitancy, and the requirement of strain to push the urine out or maintain the force of urine; intermittency; and the desire to void again shortly after urinating. These symptoms are not definite indicators of the disease, as for instance, it may be the result of benign prostatic hyperplasia (Ellsworth 2009, p.5). In addition, these symptoms are also seen in the general population, and as such are not sensitive or specific enough to be used for a diagnosis of prostate cancer. This lack of specific symptoms has placed the emphasis on the screening methods of digital rectal examination and determining the presence of prostate-specific antigen (PSA) to assist in the diagnosis of prostate cancer (Strief, 2007, p.476). There is no evidence to suggest that prostate cancer occurs from any specific and modifiable life styles of the male population. However, evidence points to three major risk