Health needs assessment essay

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health needs assessment essay

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Their use has become routine in many situations, particularly in factory farms. Agricultural runoff, which typically contains all of the above-mentioned classes of chemicals, and is also often laden with unhealthy levels of heavy metals, as well, is generally acknowledged as the most pervasive and destructive form of water pollution, degrading virtually every freshwater aquatic environment that. Many of the earths most impacted regions (i.e., those with the highest population densities) are generally conceded to be unhealthy places to live (western Europe and North America excepted with infant morbidity/mortality rates many times greater than those found in Europe and North America (11). These are the same places from which new kinds of emerging and known varieties of re-emerging infections are found (12). Many of them are zoonotic and their life cycles would not normally include humans were it not for encroachment, an activity driven by the need to expand farming into the natural landscape (13). Nonetheless, there is at present a wide variety of produce available, and in quantity (table 3 for those that can afford.

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Introduction, as of 2004, approximately 800 million hectares of land were in use for food production approximating an area equivalent to Brazil (1 and allowing for the and harvesting of an ample food supply for the majority of a human population approaching.3 billion. These land-use estimates include grazing lands (formerly grasslands) for cattle, and represents nearly 85 of all land that can support at least a minimum level of agricultural activity. In addition, farming produces a wide variety of feed grains for many man millions of head of cattle and other species of domesticated farm animal (2). In 2003, nearly 33 million head of cattle were produced in the United States, alone (3) In order to support this large a scale of agricultural activity, millions of hectares of hardwood forest (temperate and tropical grasslands, wetlands, estuaries, and to a lesser extent coral. The advantages of farming are obvious enough from a human perspective, but even our earliest efforts caused irreversible damage to the land. For example, some 8,000 to 10,000 years ago, the fertile, silt-laden soils of the floodplains of the tigris and Euphrates river valleys were rapidly degraded below minimum food production limits due to erosion caused by intensive farming and mis-managed irrigation projects that were often interrupted. Today, primitive farming practices continue to produce massive loss of topsoil (5, 6 while excluding the possibility for long-term carbon sequestration in the form of trees and other permanent woods plants (7). Agrochemicals, particularly fertilizers, are used in almost every major farming system regardless of location (8 largely due to the demand, year in and year out, for cash crops that extract more nutrients from the substrate that it can provide. Mono-crops are extraordinarily vulnerable to a wide range of insect pests and microbial disease agents due to the very nature of farming (i.e., growing large numbers of a given plant species in a confined area). To mount a counter-offensive, we have invented pesticides and herbicides.

Novel ways for obtaining an abundant and varied food supply without encroachment into the few remaining functional ecosystems must be seriously entertained. One solution involves the construction of retrolisthesis urban food production centers vertical farms in which our food would be continuously grown inside of tall buildings within the built environment. If we could engineer this approach to food production, then no crops would ever fail due to severe weather events (floods, droughts, hurricanes, etc.). Produce would be available to city dwellers without the need to transport it thousands of miles from rural farms to city markets. Spoilage would be greatly reduced, since crops would be sold and consumed within moments after harvesting. If vertical farming in urban centers becomes the norm, then one anticipated long-term benefit would be the gradual repair of many of the worlds damaged ecosystems through the systematic abandonment of farmland. In temperate and tropical zones, the re-growth of hardwood forests could play a significant role in carbon sequestration and may help reverse current trends in global climate change. Other benefits of vertical farming include the creation of a sustainable urban environment that encourages good health for all who choose to live there; new employment opportunities, fewer abandoned lots and buildings, cleaner air, safe use of municipal liquid waste, and an abundant supply.

health needs assessment essay

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A reliable food supply was the result. This singular invention has facilitated our growth as a species to the point now of world domination over the natural world from which we evolved. Despite the obvious advantage of not having to hunt or buy scavenge for our next meal, farming has led to new health hazards by creating ecotones between the natural world and our cultivated fields. As the result, transmission rates of numerous infectious disease agents have dramatically increased- influenza, rabies, yellow fever, dengue fever, malaria, trypanosomiasis, hookworm, schistosomiasis umum and today these agents emerge and re-emerge with devastating regularity at the tropical and sub-tropical agricultural interface. Modern agriculture employs a multitude of chemical products, and exposure to toxic levels of some classes of agrochemicals (pesticides, fungicides) have created other significant health risks that are only now being sorted out by epidemiologists and toxicologists. As if that were no enough to be concerned about, it is predicted that over the next 50 years, the human population is expected to rise to at least.6 billion, requiring an additional 109 hectares to feed them using current technologies, or roughly the. That quantity of additional arable land is simply not available. Without an alternative strategy for dealing with just this one problem, social chaos will surely replace orderly behavior in most over-crowded countries.

Below is a list of people who may be involved in making choices and what is considered when making choices and how the choices will be implemented. Professional * Family * Individual * The elderly * Enabling environment * Supporting others to make informed choices about the services they receive making an informed choice * Implementing an informed choice * Decision making for both short term and long term * Culture. Below is a list of concerns that may contribute to the capacity of an individual around making informed choices and how this would be considered. This is done in the best interest of the person and is without prejudice. Physical health * Mental health * The law * Social class * Culture * Religion * Age * Ability * Gender * Location * Family support * Carer support * Social mobility * Communication and interpersonal skills * Education * Financial situation * Criminal. Abstract, the advent of agriculture has ushered in an unprecedented increase in the human population and their domesticated animals. Farming catalyzed our transformation from primitive hunter-gatherers to sophisticated urban dwellers in just 10,000 years. Today, over 800 million hectares is committed to soil-based agriculture, or about 38 of the total landmass of the earth. It has re-arranged the landscape in favor of cultivated fields at the expense of natural ecosystems, reducing most natural areas to fragmented, semi-functional units, while completely eliminating many others.

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health needs assessment essay

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Specific improvements to individual Service Users/staff monitoring through team meeting and supervisions, reviews * health- this can be monitored through regular heath checks and monthly service users reports staff meetings and supervisions, service users meeting and key working meetings. Care plan reviewing * Self esteem-evaluating changes to service users moods and input in to involvement and challenge this look at this with gp as could be medical set some goals have a review meeting with care manager and possible advocacy maybe an agreement. Self-concept-this can be monitor through questionnaires and family questionnaires, family communication, service users meeting, key working meeting * Staff happiness and productivity- this is monitored through evaluating paper work and structure with in the data home. Supervision, appraisals questionnaires, sickness levels and staff moral * Timescales-are monitored through regular meetings and supervision to monitor progress * Effective communication of others- checking that the system in place are being tom used correctly and that staff are following guidelines set out reviewing this through. As a manager i am responsible for monitoring and making changes in areas that require changes in the care we are supporting, i do this by evaluating weekly monthly and arranging meetings encourage staff involvement ensuring any shortfall mare addressed to a timescale and making. 4.1) Describe ethical dilemmas that may arise in own area of responsibility when balancing individual rights and duty of care. As the manager I have the responsibility and duty of care to ensure the service users are receiving good quality care in line with the care standards while promoting independence and pcp, i am also responsible for positively representing Dolphin homes and I do this.

Providing and supporting staff with training ensure all staff receive 6-8 weekly supervisions and yearly appraisals often there are areas of conflict but as a manager I have to manage this in a professional manner that is non detrimental to the service users and staff. Below are areas where this can happen and the impotence of following policy and procedure available and regular monitoring? Confidentiality versus disclosure * Protection issues relating to individuals and to communities * Sharing data between professionals * Conflicts between principles of good practice and the values of others this can be very apparent where families are heavily involved in there childs care. Is that everyone has the opportunity to make choices that will effect them as a manager it is very important that all service users are given this opportunity to do this in a form of communication that they understand. And judgment should not be considered informed choices must be proven to be provided where possible and be non conflicting from other individual unless proven to be in the best interest of the service users however evidence should support this.

Good clear staff job descriptions and working guidelines Regular staff meeting and senior meeting to challenge areas of concerns and offer support and encouragement to other senior staff. The impact and ongoing reviews of all policy and procedure are monitored on a regular basis by our quality assurance manager who completes 6 monthly audits on all the homes with in the organisation to ensure that all areas of the standards are being met. As a quality assurance manager they are responsible to ensure that the company is regularly updating on the latest information from the government and local authorities etc as a manager it is my responsibility to ensure they are implemented in to the home to maintain. Legislation and key points Policy and Procedures Example of how policy and procedures are implemented in practise Example of How Compliance is monitored in the work place care standards care act 1990 * Medications policy * Fire * Environmental health * Confidentiality * health and. In-house policies-all in house policies will be written and implemented with a no tolerance to discrimination with in the organisation with clear procedure to combat any discrimination that may be suffered by a vigorous complaint and whistle blowing procedure, all staff will work and.

Audit of practice-As the manager i am responsible to ensure that all care is monitored and the quality of care and service provided is to a high standard in line with care standards. And this is monitored regularly by revaluating policy and procedure updating information in line with care standards 6 monthly visits from quality assurance manager who will look through everything and evaluate against cqc requirements to ensure we are covering all areas. If we comply then we are given a percentage if we are not fully compliant we are given dates to ensure that this is completed then revisited by qa manager. Staff appraisals- This is to monitor yearly progress of each support worker and offer a planned goal set for the following year to promote a persons abilities and training needs also to support progression in there role. Client/family questionnaire actions from questionnaire results yearly questionnaires are sent out to families to monitor the quality of the care provided. Service users also are supported to complete this questionnaire also a questionnaire about the menu and choices available ect once the questionnaires are gather as the manager I will look at any areas that require actions or areas that may be of concerns and look. Sharing good practice and partnership working- communicating clearly with other managers and homes and sharing ideas. Proving support to outside agencies providing information working tom consistent plans when supporting service users this can be done during managers meeting, qa visits etc professional meetings friends an family visits. 3.2) evaluate the effectiveness of systems and processes in promoting equality and diversity and inclusion in own area of responsibility.

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Reminding the team about our no tolerance to discrimination and that all service users, staff, visitor must be supported in a professional manner in line with the policy and procedure and that this is monitored by managers and shift leaders and any concerns or paper complaint. Appraisals- This is to monitor yearly progress of each support worker and offer letter a planned goal set for the following year to promote a persons abilities and training needs also to support progression in there role. The appraisal looks at the progression over the year looking at training and performance and encourage support on areas of weakness. 2.3) providing others with information about * The effects of Discrimination * The impact of inclusion * The value of diversity, staff meetings Valuing people white paper Department of health. Shift meetingsCare standards frame work human rights act. Job DescriptionEquality Act, policy and procedures Service users weekly house meetings. Cqcstaff forum meetings, internet Managers meetings, gSCCservice users forum Training local authority.4) promote others to challenge discrimination and exclusion Ensuring through recruitment that no applicant or employee receives less favourable treatment on the grounds of someone race, ethnic origin, religion, nationality, disability, gender, sexuality.

health needs assessment essay

Good news section Regular managers meetings-to keep the manager updated on organisational information, cqc information, look at paper work or new paper work to be implemented, staffing, hr, training, finance, purchasing and hartle supplying each meeting will include all manger from each home and area managers. Structures changes ensuring that all qa is being maintained ensuring that the cleanliness of the home is maintained and is kept safe. 2.2) Challenge discrimination and exclusion in policy and practise. Support plans- ensuring that all support pan reflect a person desires and wishes and are regularly monitored and challenge staff when record are not kept appropriately or followed correctly in line with the service users wishes and that there are no bad practises reflected. Training- All staff complete training around discrimination and the effect this has on them as a staff member and how this is to be reflected in the care they will be providing to service users and give them the information to be able to challenge. Staff must then demonstrate there knowledge in there working practise which is monitored in the home and the training is updated yearly and this will also work alongside our organisational policy and procedures. Supervisions-all staff receives supervisions every 6-8 weeks or weekly and monthly if the need arises this is to monitor performance and challenge any bad practise and helping to work on resolving any concerns in performance this allows the manager to support the staff to set. Concerns and complaints policy- all staff are trained on concerns and complaints and will read and sign the complaints policy we also follow our policy by providing a complaints and concerns file and guidelines to follow when making a complaint or raising a concern. Team meetings-reminding staff in staff meetings about policy and practises and informing the team of any changes to practises reminding staff about the complements and complaints file reinforcing the importance of the policy and the whistle blowing policy and what as a manager i espect.

impact of legislation on any service can only mean good things in promoting good quality care ensuring that all staff, families, friends and professionals are working together and putting the service user at the heart of service provision, eg providing active. Active promotion of anti-discriminatory practice: ethical principles; putting the service user at the heart of service provision, eg providing active support consistent with the beliefs, culture and preferences * supporting individuals to express their needs and preferences, empowering individuals, promoting individuals rights, choices and wellbeing; balancing. Pcp- support plans- This is to ensure all care is given as the service user would like to be supported and how they would like to be supported, when they would like to be supported, where they would like to receive support, by whom they. Yearly Appraisals- This is to monitor yearly progress of each support worker and offer a planned goal set for the following year to promote a persons abilities and training needs also to support progression in there role. Staff Training and yearly updates- Staff training is very important in providing staff with the tools to complete there roles in line with the care standards and the safety of all staff and service users. And ensure that the staff demonstrate this in there role and performance which is monitored through supervision and appraisals Regular updating of policy and procedures- it is important that all policies are monitored and regularly review of the contents to reflect the care standards, health and. They must be made aware of any changes and updates and they must demonstrate that they can follow the policies in there role they must read and sign every year to keep updated weekly service users meetings- staff are encouraged to support all service users. The meeting must contain sections on organisational changes, home changes, changes to the staff team, health and safety, menu planning, activities planning, personal section for service users to raise anything they would like to raise that is specific to them, any other business, and.

As a manager i am responsible for ensuring that universities the ethos within the home promotes equality and diversity through training, policy and procedures, support plans and health files. In line with the care Act, mental Capacity Act 2005. Equality Act 2010, human Rights Act 1998 And enable staff to have the confidence to challenge discrimination. Ensure that all care and support is personalised individual having control of own personal budgets. Support is delivered in partnership with individuals from communities. Voluntary and private sectors the nhs and housing. Safeguarding against the risk of abuse or neglect.2) Analyse the potential effects of barriers to equality and inclusions in own area of responsibility. Lack of finance Independence, language, attitude, isolation/Segregation. Lack of Access, fear/Ignorance, barriers, social Myths, offensive images of Disabled people.

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Champion Equality, diversity and Inclusion Unit 503.) Understand diversity, equality and Inclusions in own area of Responsibility.1) Explain Models of practises that underpin equality, and diversity and inclusions in own area of responsibility. See more: models of practice that underpin equality diversity and inclusion. The social model of disability which views discrimination and prejudice as being embedded in todays society, their attitudes and their surrounding environment. Society often focuses on what a person lacks in terms of disability and focuses on condition or illness or a persons lack of ability. Medical model of disability which views adults has having an impairment or lacking in some way. Person centred views the person as individual and unique and places the person at the centre of there care whether this nurse be physical, psychological, social, spiritual. Qualities, abilities, interests, preferences and needs. Offering the personal whole involvement in there care and input to completing there support plan and how they like to receive this, where they want to live and who with.

Health needs assessment essay
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