Delegation Essay Example | Topics and Well Written Essays - 1000 words

Delegation - Essay Example As the paper declares assignments that supposed to be delegated are those that will interest staff and make them content to be working on the assignment. Why do people like work? The respond is that the work one takes pleasure in involves learning new skills, is to some extent imperative and conceivably will obtain for staff members some credit and add to their status and future employability. This essay declares that to achieve those purposes, the human resources ought to be evaluated. Finding the right individual who will be thrilled about the assignment and advantage from it is crucial. A delegated assignment should intrinsically be a learning course for the individual accountable for it. On the other hand, the staff member chosen should have suitable acquaintance and skills to comprehend the nature and scope of the project. If the Elementary School Principal can sense an eagerness about the prospect, which is a hint that the correct staff member has been chosen for delegation of the assignment. As Fairfax County Public Schools uses delegation for development, evaluating and harmonizing the assignments to all human resources transforms increasingly significant. Giving development opportunities to only a few staff members will shortcut the Fairfax County Public Schools' capability to extend human resources with manifold skills and talents. Leaving some staff members out of the probability for development will also lead to turnover of otherwise excellent and productive human resources.

Midterm Essay Example | Topics and Well Written Essays - 750 words

Midterm - Essay Example It also presents that people tend to believe in things that they do not really understand. In the movie, Chance seems to give out gardening metaphors relating to economic situation and forecasts. Gardening and television is the only world that Chance knows and so he makes remarks referring to the garden but what he means is really about the garden not economics but the people interpreted it in a different way finding him queer. The movie presents American politics as devious and devoid of credibility to lead the country. This clearly shows how Ashby believes that American politics and the government, at that, is not real but something that is created by the rich and famous people manipulating and dominating our society. 2. In William Golding’s novel "The Lord of the Flies", is the Problem of Evil due primarily to a flaw in human nature or to cultural forces that have shaped the boys’ attitudes and behavior? Support your opinion with specific details from the book. Golding presents evil as an intrinsic nature of human beings that even innocent boys living in an uninhibited island are stained by it. Cruelty is shown as an indication of this evil and this is presented in the scene wherein the boys started hunting pigs. The desire of man for power is overpowering that it even the children, seen in the event of Jack’s jealousy with Ralph’s leadership. Golding also presents evil as something alive in each human being seeking to come out and be recognized and utilized. This can be seen in the urge that the children in the story feel to inflict pain. This can be particularly seen during the time that Roger threw rocks at the kids reasoning out that he is not really aiming at them. This can also be seen when the biguns were bullying the lilluns, kicking their sandcastle. And after the pain comes the rush of joy. Like at the time when they were hunting and killing the pig, the choirboys were overjoyed that they even had a ritual dance.

Revolutions in the West Assignment Example | Topics and Well Written Essays - 1250 words

Revolutions in the West - Assignment Example With reference to Singer’s views, this paper aims to critically analyze and give views as to what can be termed ethical and justified with regard to such questions. In the process of establishing whether we should give aid or not to the poor, some people feel that giving aid helps only in increasing the number of people in the world. The end result is that more people end up in poverty (Dower, 1991). This argument seems a selfish one as the proponents view it as an increase in the global ecological catastrophes. When looked at empirically, then it would emerge that once basic developments are achieved in an individual’s life, population growth slows down (Dower, 1991). As well, being that global ecological dangers are connected to underdevelopment issues, affluence remains the only thing to be addressed (Dower, 1991). Whether this view would hold water with respect to giving aid to poorer countries and people, an analysis of Singer’s views would be critical. The question of whether wealthy people in affluent countries have a moral duty or not to help poor people in developing countries is a debate that Singer responds to by saying that we have an obligation to assist (Singer 172, 239). Considering the example he gives concerning a baby trapped in a pond, his premise and conclusion stand out both controversial and uncontroversial. A better analysis of whether this conclusion holds water or not shows starts by first examining the point of view that Singer gives (Singer 172, 239). Singer argues that if it is in our power to prevent something bad from happening, we should go ahead and do so by sacrificing anything of comparable moral significance. This is one view that would win the opinion of consequentialists and on the other hand repel those of nonconsequatentialists (Singer 172, 240). In his view, the conclusion he has can in a large way

The Rocking-Horse Winner by D. H. Lawrence Research Paper

The Rocking-Horse Winner by D. H. Lawrence - Research Paper Example The author addresses different social features in the form of themes. Among the most evident themes in the story are poverty, cohesions in the family institution and death among many others. By addressing such, the author provides a relative portrayal of the early English society from his point of view (Barrett, Thomas and Lawrence 121). Art is a cultural product that provides a relative representation of the society. The relativity of art arises from the angles of adoptions preferred by the artists. As an artist, D. H. Lawrence seeks to portray the early English society. He investigates the social structure of the time thus writes a story that typifies specific social features that he believes are of relevance to the people. Poverty for example has remained a major factor in most societies as people strive to obtain a living through their merger earnings. The author thus uses an imaginary family and imaginary characters to depict the effects of poverty on family relations. The story centers on the life of a middle class early English woman who believed she had no luck. Her husband strives to make a living out of arts but his endeavors do not pay off thus compelling the family to live miserably in poverty. Poverty is a state of deprival as people fail to afford a decent living. The same is the case with the family that struggles with the need to sustain the woman’s high profile life since she is an extravagant spender. In an attempt to help his family, her son takes to gambling and realizes that he is lucky as she predicts the winning horse in the local rocking competition. He however practice hard on his rocking horse thus acquires an infection and dies at the end of the story. The mother does not change her lifestyle and even as the boy dies the family makes a hefty eighty thousand pounds that the woman spends extravagantly (Lawrence 31). The author centers the story on fundamental social features and institutions that define the nature of life in soci eties. in doing this, the author understands the need to achieve some relevance with his audience and therefore uses familiar social features which help earn the story the much desired relevance. Such activities as horse rocking were common in the early European culture and therefore relevant to the society. The same is attributable to such features as the family institution, poverty and even death. The relationship among the members of the family is an equally important determinant of the peace and stability in the family. The author analyses the need for peace and love in a family by portraying the nature of the family in the story. The woman, Hester does not love her son Paul who on the other hand loves his mother and therefore strives to support the family. The lack of maternal love compels the boy to hide some secrets from the mother. He takes to gambling secretly and only tells his father much later when he realizes that the family situation is overwhelming the old man. Anothe r important determinant of the relevance of the book among its diverse audience group is the use of language. The language an author uses to develop a story helps define an audience for the story thus earing their acknowledgement of the work. Additionally, the language among other literary features helps portray the authors’ professionalism and ability to communicate to the specific target audience. Lawrence’s story targets a general readership. This implies that the story

Alternative energy sources Essay Example for Free

Alternative energy sources Essay The age old question of how will we power our homes and lives in general moving forward when all the oil runs out, and one day it will. The world needs to move in a direction that will lead to energy independence however businesses and society is slow to move because we cannot see the impacts until it hits home in that all of sacred places, our wallets. Changes need to be made but can we afford it or can we afford not to make the move that will ensure our future for generations to come. Fist let us look at why we chose fossil fuels. The fossil fuels we largely depend on today are coal, oil and natural gas. They are called non-renewable energy sources. That description is actually another way of saying we use them faster than they form. Over 100,000 times faster to be exact! So how did we ever decide this would be the primary energy resource to power human development and progress? It all goes back to human mastery of fire to provide warmth, light and a means of preparing more palatable and easily digestible foods. To the early humans, fire was the equivalent of having a little sun with them wherever they needed or wanted to go. With this energy available at anytime and anyplace, humans could begin to spread about the world and thrive, regardless of the climate or amount of sunlight available. It provided the power for humans to begin their mastery of Earth as a species, less vulnerable to extinction than all other animal species, yet with a greater ability to bring about change — for good or bad. There are many alternative energy sources that we can see and put our hands on but they all have pros and cons. Some are either too expensive or not viable as a long term source of energy in comparison to oil. Our infrastructure is built around coal and oil dating back to the industrial revolution. From our cars to the power that runs the microwave in the kitchen fossil fuels are a part of our lives but they are running out, killing the environment in more ways than one and becoming more and more expensive to produce due either war or scarcity. Then when we complain about the price or the consequences of drilling or burning fossil fuels the best our governments can give us is talk with little action because those in  power are more about money which comes from the companies and people who spend money on their campaigns to get re-elected. When one thinks of alternative energies the first thing that springs to mind is solar energy and why not, we the sun is not going anywhere any tim e soon(at least we hope not) and there are very few places that don’t get sun for most of the 24 hours in a day. So why do we not all have a solar panel on our roofs and cars? One reason is because it is not cost effective and cannot produce enough energy for most people to make it worthwhile. Our mind set is always going to be one of why should we invest in something that does not do what oil and gas can? With the economies of the world in jeopardy and more and more people out of work, asking them to do their part to help the environment is just not realistic. Until science and business can make solar power more viable we as average citizens will not make the change while we have oil and gas still. Unless we either just run out or we can no longer afford fossil fuels we as a society will not make our lives any harder by switching to an alternative energy source that is still not viable nor is it cost effective. Another disadvantage to continuing with fossil fuels is the continued and escalating tension in the Middle East. The cost alone of defending the oil that we use and take for granted is astronomical not to mention the loss of life which cannot be measured. The thought that we as a society have not moved past killing one another for an inanimate objects is shameful. That we have no evolved morally past the point of killing for energy is a discredit to how far we have come as a race. If we would take the money that we spend on defense and guarding oil rigs and clean ups when things go wrong and put it toward improving solar and fusion nuclear power we might find yourself energy independence sooner rather than later. Wind is the next source of alternative energy that has people all a buzz with excitement but is it truly viable? This alternative can seem very attractive but again is the cost of a wind turbine and the land needed to build wind farms is substantial to produce enough energy. So then the question is just like with solar energy, we need so much space to make enough energy that it just cannot compete with fossil fuels no matter what the environmental impact. Alternative energy just does not have enough clout with governments to push their clean energy agendas that it just is not a short term solution. The main problem that we all can see is that  alternative energies cannot do what oil and gas do now. Wind will not let us drive 400 miles to where we want to go when we want to. Solar or battery power is unreliable because it takes time to recharge a battery with solar energy and no one has been able to come up with to date a viable mass producible car that uses solar power. Even hybrids and battery power cars just can give us the flexibility with which gas driven cars can. When something can’t make what we already have better and at an equil or lesser cost to us will not gain ground. We are a visual society and unless someone comes up to us and says that the earth is going to end in 50 years unless we all drive hybrids were not going to do it. It is not in our nature and thus it won’t make any difference what innovations businesses and science come up with. As for oil itself it is going to take something like nuclear fusion or a more advanced solar cell to move us a way from oil. Nuclear power has always been taboo or in simpler terms a ‘Not in my back yard’ energy source. Nuclear fission is a source of energy that is viable and being used to day however the need to increase nuclear fission sites has the environmental community in an uproar. It is a well-known fact that these types of reactions produce waste products that are extremely dangerous not to mention a nuclear fission plant can either be attached or have an issue that would cause an environmental catastrophe which makes the idea of building newer, safer plants an unrealistic idea. The consequences of nuclear fission just do not out way the ramifications of environmental issues that could come of a disaster like Chernobyl. Nuclear fusion is a far more environmentally safe way to produce nuclear power and produces no waste products unlike fission and if an issue were to arise the reaction of fusion just stops and no radiation is not leaked nor is there an explosion of any kind. The proble m again with nuclear fusion is at the moment costly and cannot produce enough power to out way the cost and energy it takes to produce power. This like solar power is where we need to be placing our faith in the future of power in our country and around the world because oil will run out or it will become too costly to produce or something is going to happen that will be so catastrophic that we as a race will say enough is enough but until that time comes were not going to change our ways. Despite nuclear energy’s role as a significant power supply source, it is highly unlikely it will survive past the 21st century, especially since the recent Japanese  disaster. Many people are against it, storage of its highly radioactive wastes is difficult and costly. There are not enough ores available to maintain continued production of nuclear energy, and most of today’s nuclear plants will reach the end of their life span within the next 50 years. McLamb, Eric(2010). Just another reason for moving towards fusion and putting the money that we might use to build new fission plants which could again like the Japanese r eactor disaster fusion will not have that problem. There are many other forms of alternative energies such as geothermal and hydro power as well but again just like all the other sources, it is not producing as much power as fossil fuels and we are not spending our time and resource to improve these more available and attainable but again we sit with oil still. At the end of the day something dramatic is going to need to occur to push humanity towards a different source of energy but until we can see positive results on a massive scale we are never going to change our ways. As stated before if our planet were to end tomorrow I still don’t think we would change how we do things because we as a people are selfish and only care about what goes on in our homes as opposed to what is going on around the world. Will alternative energy source replace fossil fuels and clean up the environment. The answer is yes but what is it going to take to push us over the edge. Will it be a major environmental disaster, a global shortage of oil, or a scientific advancement that will revolutionize our way of life in a way that oil did when we first started to use it for our day to day to day lives. We can only hope but we are going to have to do something because we cannot continue down this path of ruining our resources and our planet. References Berger, A.A (2008). Seeing is believing (J. Wetherington, Ed. 3rd ed), Boston: McGraw-Hill Mc,Lamb, Eric(2010). The Secret World of Energy(http://www.ecology.com/2010/09/15/secret world-energy//)

Long Term Conditions Principles Of Care Nursing Essay

Long Term Conditions Principles Of Care Nursing Essay When you leave the clinic, you still have a long term condition. When the visiting nurse leaves your home, you still have a long term condition. In the middle of the night, you fight the pain alone. At the weekend, you manage without your home help. Living with a long term condition is a great deal more than medical or professional assistance. Harry Cayton, (DH, 2005a) This essay will provide a critical account of the health requirements of a patient suffering from a long term condition. It will concentrate on the experience of caring for a patient with type 2 diabetes, within the community. It will consider government policies and guidelines which relate to the management of diabetes, and the role of the district nurse. The Nursing and Midwifery Council (NMC, 2008) Code of Professional Conduct Guidance has been maintained throughout this essay and therefore, all names have been altered for the purpose of confidentiality and anonymity. Currently in the UK there are over fifteen million people in England reported to be living with a long term condition. (DH 2009), of these it is reported that 2.6 million people are diagnosed with diabetes. This has increased since 1996 from 1.4 million (Diabetes UK 2010), and over 500,000 more whom are unaware that they have it. It is also predicted that by 2025 over four million people will have diabetes, with the majority having type 2 diabetes. According to Clinical Knowledge Summaries (CKS) (2009) the risk of developing type 2 diabetes increases with age, possibly because as people age they become less active, gain weight, and this affects their mobility and weakening their circulatory system. However this notion is relatively weak as whilst white people over the age of 40 are prone to developing the illness, ethnic minority groups are affected from age 25 years upwards (Diabetes UK 2006). This distinction suggests that diabetes may relate to dietary choices. Another possible ex planation for the development of type 2 diabetes is a genetic link, where people are more likely to develop diabetes when a close relative already has it. Mary is a 61 year old afro-Caribbean lady whom had recently been diagnosed with type 2 diabetes. She lives alone since her husband died 10 years ago. She has no family in this country, and does not have many friends, more acquaintances. Mary had recently sustained a fall, fortunately nothing was broken, but she had suffered with severe bruising and loss of confidence. Her G.P. had been concerned about her and had asked the district nurses to monitor her blood sugars and blood pressure due to already diagnosed hypertension which she takes medication for. On assessment it was identified that Mary has been finding it hard to accept her diagnosis; she was hoping that her G.P had made an error. Hicks (2007) explains that it is not unusual to see denial in a hearing a diagnosis. Dunning (2009) goes on to say it can be appropriate in the early stages so that it enables people to keep a positive attitude and as a coping mechanism. However prolonged denial can cause future problems and possible neglect of warning signs that the condition is worsening. Marys knowledge of diabetes is very poor and her perception is that eventually everyone that has it will have to have injections, go blind, have something amputated and then die. She also stated that the only dietary advice she had been given was to stop eating sweets and food with sugar in. She had been finding it difficult to stick this as she found that most of the food she enjoyed had sugar in, she had also been told to eliminate fruit from her diet as someone told her that it was also high in sugar. Mary reported that she has started to feel low in mood and that she was feeling anxious about her bleak future. Lloyd (2008) states people with diabetes are twice as likely to have depression as those who dont. She goes on to say recent research has shown that this can have a detrimental effect on glycemic control, on self-management of diabetes and on overall quality of life. Evidently Mary has very limited knowledge of her diabetes this in turn has had a negative impact on her psychological well being. The integral place of psychological care, within a holistic approach to diabetes care, is recognised in the National Service Framework (NSF) for Diabetes (2001) where it states that The provision of information, education and psychological support that facilitates self-management is therefore the cornerstone of diabetes care'(p22). Similarly the National Institute of Health and Clinical Excellence (NICE) (2003) reports that diabetes professionals should have appropriate management and detection skills of non-severe psychological disorders, whilst being able to identify and arrange prompt referrals of people with significant psychological difficulties that can interfere with their well-being or diabetes self-management. From Marys assessment it was established that she was not in need of an urgent psychological referral, and that possibly an appropriate edu cation programme would facilitate Mary with the information to be able to understand and manage her diabetes. As acknowledged by the DH (2005b) patient education is designed to improve knowledge, skills and confidence, enabling people to take more control of their condition and assimilate self-management. Siminerio (2008) continues to say that due to the complexity of managing diabetes the patient will require health professionals to support with the appropriate amount of time and long term support to ensure self-management is achieved. Due to the interpersonal nature of their duty, district nurses play a crucial role in the primary care of those suffering from long term illnesses. Cook cited by DH (2005b) states Caring for people with long term conditions is a key part of community nurses (p5). Their home visits and interaction with patients, provides emotional support by developing close trusting relationships, and quickly identify health problems. Nevertheless, recent government policies implemented aim to improve the quality of patient care, reduce the number of hospital patients and deliver more health care to patients at home. However, due to the aging population and the demand for community care is increasing thus putting extra strain on the already full caseloads, resulting in a breakdown of strong patient-nurse relationships. Instead continuity of care may operate primarily through partnerships, shared nursing roles and the involvement of social services, voluntary agencies and NHS organisations. Even before we can really consideration of how Mary receives health promotion advice, there should be consideration for her receptiveness and readiness to receive that advice. Prochaska and DiClementes model of change (1984) (Budd and Rollnick 1996) (appendix 1) is a good example of this. Mary is in denial. It is hard to imagine that she could ignore the severity of diabetes along with the associated risks. However, this could have been to do with possible poor advice from the onset of her diagnosis or through fear (or possibly other reasons) but she has been in denial. This particular episode care following her fall and meeting with the district nurse may well be the catalyst that Prochaska and DiClemente refer to in generating a perceived need to change. Realisation of this fact should be a useful tool for any healthcare professional to capitalise on when endeavouring to manage the change process (Nickols 2004). Colin- Thome (2010) states Delivering improvements for people with long term conditions isnt just about treating illness, its about delivering personalised, responsive, holistic care in the full context of how people live their lives. In 2000 the Labour government introduced a strategy to reform the NHS. The National Health Service Improvement Plan, aimed to modernise services, raise standards, tackle under funding and make a shift towards patient centred care (DH, 2000). A key strategy to emerge was the introduction of the National Service Frameworks in 2001. Â   The NSFs were designed to bring health care in all areas to an acceptable national standard (NSF 2001). They aimed and put a stop to discrimination, offer provide person centred care, and access to fair and prompt services appropriate to peoples needs (Dimond 2008). Â   They also intend to respond to the experience and concerns of service users, use resources efficiently to achieve the greatest possible benefits and promote peoples health and independence. Standard One of The NSF for Long Term Conditions (2005c) requires healthcare professionals to deliver person centred care. Person centred care is seen as a key objective in healthcare. It lies at the heart of a number of policies and government strategies aimed at providing and improving personalised care, such as High Quality Care for All (DH, 2008) and Our Health, Our Care, Our Say, (DH, 2006). The Royal College of Nursing (RCN) (2007) describes person centred care as care which is safe, effective, promotes health and wellbeing and helps to integrate patients into todays society and community. Person centred care also informs, empowers, is timely and convenient (McCabe and Timmins, 2006). It is an approach which integrates patient ideas, expectations, beliefs, values, culture, emotional needs and social perspectives whilst ensuring mutual participation in a shared decision making partnership (Antai-Otong, 2006). The strategy of empowering and educating the patient is thought to be amongst the most useful (Peile 2004). Mary is far more likely to comply with a treatment regime if she understands the regime, the reasoning behind it and is given the tools to achieve it. (McDonald et al 1999). Empowerment and education is an important concept in patient management and has been widely used over a huge range of clinical issues (Kelly 2002). It will be particularly useful for Mary, not only with regard of accepting she has diabetes, but with the whole question of her diabetic control as well (Gadsby 2005). Mary will almost certainly have a large number of questions and concerns that she should be encouraged to raise, as understanding is a vital ingredient of compliance (Marinker 1997). District Nurses must act as teachers and counsellors, helping patients regain independence by showing patients or carers how to confidently perform care-giving duties in the absence of the nurse. Therefore play an indirect but crucial role in keeping hospital admissions and readmissions to a minimum. When educating a patient with diabetes, care must be taken to ensure that they recognise that diabetes is a progressive condition, and that their requirements will probably change during their life. Expert Patient Programmes (EPP) (DH 2007) are a valuable opportunity for individuals living with diabetes to learn more about how they can manage their condition, better themselves and not rely so heavily on healthcare services. They have been proven to be beneficial and involve lay members who nurse patients. Reports suggest they have been considerably successful at regaining patients independence (DH, 2007). It has been suggested that accident and emergency attendances could be reduced through the use of expert patient programmes, along with individuals accessing out of hours general practitioner services (EPP 2009). However, The Healthcare Commission found, following a study that in two thirds of Primary Care Trusts (PCT) 20% of people or less had been offered courses, even though there were structures of education and training in place. In half of the trusts, 10% of people reported to going to a course. Overall the reporting of attendance varied from 1% to 53%. There was also no consistency of the length, content and style of educational. Some were unstructured, not evaluated and were delivered by insufficiently trained staff. If the correct education programme is enforced then Mary would be able to manage her own care with support from the community team. Self management is seen as an integral, even central part of the system of care provided to people with long term conditions and can be instigated through the implementation of expert patient programmes (Davidhizar, 1998). The British Diabetic Association (BDA) (2005) also suggests that the overall aim of diabetes management is to enable people with diabetes to achieve a quality of life and life expectancy similar to that of the general population (p5), ensuring high quality equal care to ensure the provision of appropriate information and education to enable people with this condition to maximise their wellbeing. Kozier et al continue to explain that supported self care management refers to the individuals ability to manage their symptoms, treatment, physical and psychological consequences and lifestyle changes inherent in living with a long term condit ion (2008). Also through working in a multidisciplinary approach, different professionals can collaborate with each other in order to benefit the patient and deliver person centred care (Lethard, 1994). Nevertheless, education alone is frequently not enough. Merely providing information often does not lead to a change in behaviour. If there is a continuation of motivational struggles and unwillingness to change Prochaska and DiClemente suggest using motivational interviewing to try and over overcome this (Nickols 2004). This looks at encouraging and supporting people in adopting new behaviours. The district nurse would support the Mary whom is struggling with ambivalence about change. Encouragement is used so that there is recognition and action to move to the action stage, this where they can start to understand and feel able to change (Gallagher and Scott 2006). However, Bundy (2004) does go on to say this can be seen as quite challenging and can have elements of being confrontational. This process needs to be executed wisely, and there needs to be a relationship with trust for it to be beneficial. This can take time and as recognised previously there may not be continuity of care with the same nurse. Furthermore, care planning is also a key part of managing long-term conditions, and its importance has been stated in a number of major policy documents. The final report of Lord Darzis, High Quality Care for All, NHS Next Stage Review, (2008), stressed that over the following two years, everyone with a long-term condition should be offered a personalised care plan. In February 2008 the National Diabetes Support Team (2008) produced its guide to implementing care planning in diabetes Partners in Care and is also working with Diabetes UK and other key partners to determine ways to support the NHS in embedding the principles of care planning into the delivery of diabetes services (NSF 2008). It has been reported that Primary care is getting better at managing diabetes and one of the outstanding achievements of the Quality and Outcomes Framework is the rising numbers of diabetics receiving essential tests and measurements (for example, blood pressure and cholesterol). The results of those tests have also indicated health improvements, however an important fact is the 2005/6 National Diabetes Audit (Healthcare Commission 2007) found that not everyone is receiving every care process that they need thus indicating that there is still gaps in care. The theme of the final report of the NHS Next Stage Review acknowledged that too few people have access to information about their own care (NSF 2008). It is imperative that the person with diabetes has as much information as possible to allow for maximum utilisation of their time with the healthcare professional. The Department of Health recommend that measures can be taken to improve the lives of diabetics. Although diabetes currently cannot be immediately cured, by using medication and other therapies it can be controlled (2005a). Mary will have to be closely monitored to ensure that she is compliant with her management of diabetes. As has been demonstrated there are many interventions which district nurses can undertake. However, for Mary to have the best possible care a collaboration of multi disciplined professionals need to par-take in a proactive role in the holistic treatment of diabetes. The governments aims are to support people with long-term conditions by delivering recommend changes that will help people. This is particularly vital as the long term compliance of the person with diabetes is essential to prevent and delay complications, as diabetes is estimated to account for at least 5% of UK healthcare expenditure (DH 2008). In conclusion, it is clear that the key role of all health professionals requires knowledge and understanding of issues and policies to support patients. Furthermore, this role requires a detailed knowledge of inter-professional and multidisciplinary working. Â   It requires high levels of communication skills, diplomacy and assertiveness. Health professionals also need to have knowledge of service delivery systems to enable them to carry out their role and to provide their patients with an efficient and seamless service

Impact of tourism in Greece

Impact of tourism in Greece Tourism Impact Greece Corfu The Economic Impact In Greece, in 2006, Travel Tourism is expected to post à ¢Ã¢â‚¬Å¡Ã‚ ¬37.2 billions of economic activity (Total Demand), growing to à ¢Ã¢â‚¬Å¡Ã‚ ¬70.3 billion by 2016. Greeces Travel Tourism Industry is expected to contribute 7.3% to Gross Domestic Product (GDP) in 2006 rising in nominal terms to à ¢Ã¢â‚¬Å¡Ã‚ ¬26.3 billion by 2016. The Travel Tourism Economy contribution (per cent of total) should rise from 16.4% to 17.2% in this same period. In the European Union, Travel Tourism is expected to post average annualized gains of 3.5% between 2007 and 2016. For Greece, Travel Tourism activity is expected to grow by 4% per annum in real terms between 2007 and 2016. Greeces Travel Tourism Economy employment is estimated at 867,000 jobs in 2006, 20% of total employment, or 1 in every 5 jobs. By 2016, this should total 1,216,000 jobs, 20.9% of total employment or 1 in every 4.8 jobs. The 449,000 Travel Tourism Industry jobs account for 10.3% of total employment in 2006 and are forecast to total 601,000 jobs or 10.3% of the total by 2016. Travel Tourism is a major exporter, with inbound visitors injecting foreign exchange directly into the economy. Travel Tourism exports in the European Union are expected to represent 13.0% of total exports in 2006. In Greece, exports make up a very important share of Travel Tourisms contribution to GDP. Of Greeces total exports, Travel Tourism is expected to generate 29.1% or à ¢Ã¢â‚¬Å¡Ã‚ ¬11.8 billions in 2006, increasing to à ¢Ã¢â‚¬Å¡Ã‚ ¬23.9 billions or 27.8% of total, in 2016. Travel Tourism is very significant for construction and manufacturing. In 2006, the public and private sectors combined are expected to spend 9.3% of total investment on new Travel Tourism capital investment worldwide rising to 9.6% of the total in 2016. In the European Union, Travel Tourism Capital Investment is expected to be in total the 8.6% of total regional capital investment in 2006. Travel Tourism Capital Investment in Greece is estimated at à ¢Ã¢â‚¬Å¡Ã‚ ¬6.4 billions or 14.3% of total investment in 2006. By 2016, this should reach à ¢Ã¢â‚¬Å¡Ã‚ ¬12.9 billions or 14.8% of the total. Nowadays bureaucracy in Greece is having a very negative impact on both operations and investment. In that nation, as in other countries, responsibility for policies and services that affect Travel Tourism are spread among many ministries. However, co-operation between these different ministries and government departments appears to be seriously lacking which affects everything within the government and occurs serious issues. The Environmental Impact Travel Tourism has the potential to bring enormous benefits to people and environments, especially in terms of providing an alternative source of income. However, if not developed in a sustainable way, the industry may result in negative impacts such as environmental degradation, alienation of local communities and, ultimately, destruction of the product itself. If Greeces Travel Tourism is to realize its full potential, any threats to its sustainability must be firmly addressed and tackled before it finds itself in the same situation as some well-established resort destinations such as Spain. Its future depends on preserving the combination of natural and cultural assets, as well as engaging the support of the communities that will be the life-blood of the industry. Integrated plans and planning processes should address issues such as airline carrying capacity, tourism supply and demand, resource utilization and economic, socio-cultural and environmental impacts. In every community there are those who believe that, if nature is to be preserved, it should be left completely untouched. While this belief is infinitely more worthy than a disregard for the environment in a quest for profits, a balance between the two extremes ensures the long-term economic well-being and preservation of an area. A Greek island located in the Ionian Sea named Corfu has an extremely rich natural, historical and cultural heritage and the goal must clearly be to preserve it all. The key is to ensure that tourism development and environmental management are mutually supportive, and that integrated planning, policies and implementation provide for environmental impact assessments for all tourism projects. In addition, a list of valuable historic, natural, and cultural sites, which can be logically exploited for tourism, should be identified and steps taken to conserve those sites for long-term use. Protection of the environment also means limiting construction (especially in terms of accommodation capacity) and ensuring cleanliness and effective sanitation services. Investment in infrastructure and facilities in Corfu appears to be inadequate. Firm government and strong legislative guidelines to ensure that regional and local authorities are adhering to sound development principles must be enforced. The Socio-Cultural Impact The socio-cultural impact of tourism is developed through an enormous range of aspects from the arts and crafts through to the fundamental behavior of individuals and collective groups. A factor often overlooked by researchers is the socio-cultural impact of tourism on the visitor population. Visitors to Corfu, for example, often find it hard to resist adopting the beach-based lifestyle and the Greek culinary particularity when they return home. Generally there is a variety of ways in which we examine the relationships between tourism development and socio-cultural changes. The socio-cultural impact is based on the host-guest interaction and the behavior of tourists. In Corfu and generally in Greece the development of the elements above, every year is being improved because the whole economy of the country is based on tourism and for this reason another significant element is that tourist crime doesnt exist in Greece and therefore in Corfu. In other countries the tourists are the most common victims of the marginal populations of each place, but in Corfu the tourists are absolutely safe and crime incidents involving tourists are fiddling. Corfu is also a very popular destination because of the local customs during the Easter period and other customs during the year. However, if the tourists are not aware of, or care of, the local customs they may behave in a way that creates several social frictions between tourists and residents. Corfu is quite rich in customs and each custom gives the tourist an opportunity to adapt to the local traditions. References Tourism: Principles and Practice (Cooper, Fletcher, Fyall, Gilbert, Wanhill), Fourth edition. www.msu.edu/course/prr/840/econimpact/pdf/ecimpvol1 www.impact.gr/products/itourism_285.htm www.islandheritage.org/tourism.html www.ecotourism.org/WebModules/WebMember/MemberApplication/ www.dallascityhall.com/convention_center/pdfs/city_tourism_impact www.economicsbulletin.vanderbilt.edu/2008/volume3/EB-07C20155A www.sete.gr/files/Ebook/TourisminGreeceBuhalisinCurrentIssues