Life Is Too Easy for People Essay

That depends entirely on the young person, some are very challenged and some are not and the way this affects them varies from individual to individual. No doubt some, through no fault of their own are very understimulated and could achieve more with a bit more pressure, some are also overstimulated and might achieve more if the entire world backed off and left them alone for a little bit. Take for example the young person in the UK who wants to go to university – their path is pretty much mapped out and loans are guaranteed. They can have a pretty easy time of it all the way up to graduation and get by (if they choose) without ever being really stretched in life (although if they leave Chipping Sodbury Technical College with a third class degree in wine tasting and a 50k debt it will catch up with them pretty rapidly). On the other side of things take the young person who wants to learn a trade, buy a house and raise a family. Apprenticeships are hard to come by and do not offer a living wage while starter house prices in many areas stand at fifteen years of tradesman’s wages before tax. This is not an easy start in life by anyone’s estimation. The only thing for certain is that our current state of affairs was largely influenced by the economic and social policies of our forebears which leaves me a little unsure who has the right to moan about the situation even if young people do, broadly speaking, have an easier time nowadays.

Diseased Body in Wuthering Heights Essay

In Wuthering Heights by Emily Bronte it can be viewed that there is â€Å"more suffering caused by a diseased mind than by a diseased body.† The idea of a â€Å"diseased mind† is a mental illness or madness and the â€Å"diseased body† is a physical illness or injury, both of which are displayed by many characters in Wuthering Heights. Heathcliff is a prime example of a character with a â€Å"diseased mind† that causes him suffering. He spends the majority of his life contemplating and acting out revenge towards Hindley and the Lintons because he believes it was their fault Catherine thought it would â€Å"degrade† her to marry Heathcliff, even though she loved him; this is one example of his unstable mind set. In chapter 9 Nelly foreshadows the suffering of Heathcliff by saying â€Å"if you [Catherine] are his choice, he’ll be the most unfortunate creature,† this is because Nelly understands that society wouldn’t accept the pair to marry, therefore Heathcliff will be unfortunately heartbroken. Heathcliff believes that Catherine is a part of him: â€Å"I cannot live without my soul,† he says which highlights that he is suffering without her. It is from this heartbreak and suffering that his â€Å"diseased mind† commenced. Heathcliff’s â€Å"diseased mind† heightens when he asks for Catherine to â€Å"haunt† him when she is dead; haunting is an element of the Gothic genre but the madness of Heathcliff is enhanced when he requests that Catherine drives him â€Å"mad.† The word â€Å"mad† is ambiguous in this quotation because it could be viewed that Heathcliff wants to be haunted until he is angry with Catherine so he can destroy his love for her. An alternative view is that Heathcliff wants to be haunted until he is insane and suffering since he is desperate to see Catherine, this becomes true because after Catherine’s death Heathcliff’s mind is haunted by his love for her. Jerold E. Hogle explains this is accurate because characters in Gothic novels are â€Å"haunted psychologically† and this is accurately shown through the character of Heathcliff. His mind is â€Å"diseased† by his separation from Catherine due to her choice of partner and her death, which causes him and everyone in the novel immense suffering because of his vengeance. Heathcliff’s unconditional love causes Catherine’s â€Å"melancholy† â€Å"mental state† because it is overwhelming and she is in love with him but a  Victorian society wouldn’t accept their relationship because of the Heathcliff’s very low class, which would result in them being â€Å"beggars.† Catherine has â€Å"a peculiar expression arising from her mind set† before she tells Heathcliff â€Å"you have killed me,† this highlights her â€Å"diseased mind† and the suffering it is causing her because she hasn’t died yet but it could be interpreted that she feels as though she has which emphasises her suffering, but also her madness. The â€Å"peculiar expression† that Catherine is described to have could be because she was â€Å"thinking†¦ of Wuthering Heights.† The â€Å"expression† could be interpreted as a smile, which would be â€Å"peculiar† to Nelly because she has been depressed living with Edgar, therefore a smile would be unusual; David Punter explains â€Å"Gothic reminds us we are driven by our passions† and Catherine’s passion is Heathcliff, which would explain her â€Å"expression† when thinking about Wuthering Heights. This idea of Catherine’s thought process in her â€Å"diseased mind† emphasises her pain and suffering because she cannot be without Heathcliff, her â€Å"soul,† yet she is continuously thinking about him, this is essentially what drives her insane. Catherine’s mental suffering is closely linked with her physical suffering which is an example that represents the â€Å"diseased body† in Wuthering Heights. Another character with a â€Å"diseased body† in Wuthering Heights is Isabella, whose â€Å"bruised† body is a valid example of suffering. Heathcliff’s â€Å"diseased mind† causes him to abuse Isabella which leads to her suffering and her injured body

A Nation of Idiots Analysis

What evidence does Moore offer to support his contention that America is a nation of idiots? Is calling us all a nation of idiots an effective way to get our attention and sympathies? Moore shares a number of personal experiences in this selection to dramatize his disgust with formal education. Overall, how would you characterize his attitude toward school and schooling? What textual evidence leads you to make those conclusions?What are the potential problems with using this kind of rhetorical or argumentative strategy in his writing? Moore offers evidence of public ignorance to support that America is a nation of idiots. He does this by stating, â€Å"Only 11 percent of the American public bothers to read a daily newspaper, beyond the funny pages or the used car ads† (Idiot Nation excerpt, Colombo, Cullen, Lisle, 129).This example is a good reflection of Moore’s attitude and style of grabbing the reader’s attention. He relates to the readers in simple terms, but always with a hint of sarcasm. I believe that calling America a â€Å"nation of idiots† is an effective way of getting us to listen. The way Moore sees it, schools have used various tactics to educate its students and politicians have used different forms of engaging the public, but the public is not interested.Moore states, â€Å"A nation that not only churns out illiterate students but goes out of its way to remain ignorant and stupid is a nation that should not be running this world – at least not until a majority of its citizens can locate Kosovo (or any other country it has bombed) on the map† (Idiot Nation excerpt, Colombo, Cullen, Lisle, 129). The potential problem with using this kind of rhetorical strategy in his writing is that the readers probably do not think of themselves as â€Å"idiots† and therefore will assume that Moore’s words do not apply to them and readers will tune out.Another problem is Moore will offend some of his audience and naturally these audience members will become defensive and disregard Moore’s current and future work. Moore does not see schooling in America as an effective way of educating the nation. He also views it as a very harmful environment that teaches children not to question authority and not to think, but rather do as they are told. â€Å"They learn that to rock the boat could get them rocked right out of school† (Idiot Nation excerpt, Colombo, Cullen, Lisle, 143).

A qualitative research critique Essay Example | Topics and Well Written Essays - 4500 words

A qualitative research critique - Essay Example Concerning these challenges, there are various guidelines developed in the past few years that can be utilised while examining a qualitative research paper, such as the Critical Appraisal Skills Programme (CASP) framework (Mack & et. al., 2010). There are various aspects which needs utmost consideration while critiquing a qualitative research. For instance, the coherence of the topic being critiqued should be appropriate for the qualitative enquiry (Boswell & Cannon, 2010). It is also vital for the literature review to be consistent with the methods that has been selected for the study. The article chosen for the critique also needs to possess sufficient account regarding the informants, the chosen subject matter as well as the researcher(s). In addition, there must be adequate description regarding the methods applied for information assembling as well as information analysis. It is significant for an effective critique to possess a sound conclusion (Forchuk, & Roberts, 1993). With due regards to these aspects, the purpose of this discussion is to demonstrate how a particular qualitative research paper can be critiqued by using CASP framework. The article that will be examined is â€Å"Like a Trip to Macdonald: A Grounded Theory Study of Patient Experiences of Day Surgery† by Anne Mottram. ... bed as a form of social enquiry which emphasises upon the approach of interpretation conducted by humans concerning a particular issue effectively utilising their understanding. The major objective of a qualitative research is to acquire a better understanding about the social reality witnessed by the individuals along with the prevailing cultures and groups (John Wiley & Sons, Inc., n.d.). In other words, the idea of qualitative research is often described as the procedure of gathering, interpreting as well as analysing data by examining the activities of the individuals. It is duly based upon subjective matters implementing various crucial approaches such as focus groups and interviews in order to collect valuable information (Flick, 2009). It is in this context that the nature of qualitative research is viewed to be an open-minded as well as an exploratory one. Even though, a qualitative research approach tends to reflect a wide implication on the identified issue, it is considere d to be less costly in comparison to other researches. It is broadly regarded to be an effective process in the area of obtaining necessary information about the communication requirements as well as the responses of the people along with their views concerning specific issues or rather concerns (Anderson, 2006). Moreover, the facet of qualitative research is also defined as a kind of research which is dedicated towards developing an improved understanding of various human approaches along with their behavioural attitudes. The studies which are involved with the qualitative research usually embrace case studies, ethnographies and also descriptive studies (Oxford University Press, n.d.). Apart from the studies, the different methods associated with qualitative research include observations

Strategic Management at Cafe Nero Essay Example | Topics and Well Written Essays - 2750 words - 2

Strategic Management at Cafe Nero - Essay Example It is evidently clear from the discussion that Caffe Nero is considered to be one of the fastest growing coffee chains in Europe. It is privately owned which gives it a considerable amount of flexibility to grow. The coffee served at Caffe Nero is widely preferred by many Europeans and is counted amongst the top-selling brands in the U.K.   The brand also has a number of outlets in major airports of the U.K. Caffe Nero serve both hot and cold coffee variants thereby attracting consumers in all seasons of the year. Apart from coffee products, the brand also serves a variety of snacks such as pasta salads, sandwiches, and rolls. Caffe Nero gives special emphasis upon developing good relations with its suppliers who are essentially farmers. The business carries the belief that success depends upon the manner in which firms communicate with their suppliers. The business also ensures that customers are treated warmly and they are provided with a good experience. Caffe Nero has emerged a s a strong competition for many existing lines of coffee shops chains in Europe and as also the Americas. In 2012, U.K had for the very first time broken the  £ 1 billion barriers. The billion pounds worth industry has had lesser impacts of the recession and the figures of its growth say it all. On the basis of sales revenue, the coffee industry of the U.K is worth  £ 831 million. The U.K coffee market is dominated by the instant coffee variant mainly. 72% of the market revenue is from the instant coffee sale. Coffee industry mainly targets the working population sector. Starbucks, Costa Coffee, Seattle’s Best Coffee and Caffe Nero are the strongest players in the retail coffee chain industry. The coffee industry, however, lacks innovation and change in terms of providing healthy coffee. The nutritional value of coffee is seen to decline as they are mixed with ice cream or other ingredients so as to make it more appealing to the younger generation. This has caused some of the older consumers to move away from instant coffee consumption. By focussing on developing a healthier coffee experience, the coffee industry can be expected to bring back many lost consumers.

Job opportunities in the deaf community Research Paper

Job opportunities in the deaf community - Research Paper Example This paper delves into job opportunities in the deaf community. The deaf community has its own employment or job resources and opportunities to help the deaf as well as hearing people who are seeking employment opportunities that are related to deafness. It is worth noting that employment opportunities in the deaf community are near similar to other communities. This is because this community requires almost similar types of goods and services (Padden and Tom 33). The first type of job in the deaf community is teaching jobs that are essential in facilitating education in the community. The second one is that of interpreters who help in aiding communication between hearing people and deaf people. The other type of job opportunity in deaf community is captioning – captioning jobs have gained prominence in the deaf community especially because laws of many countries have called for captioning in the broadcasting (Andrews, Leigh and Tammy 106). Captioning entails displaying text or non-speech elements on visual display such as video or television to provide interpretive or additional information to deaf people. There is also the job of speech language pathologists and audiologists who are essential in providing healthcare services to the deaf. They diagnose, monitor, and treat disorders of the vestibular and auditory system (Padden and Tom 71). Psychologists also have opportunity to work in this community. For instance, counseling and clinical psychologists can provide psychological services for deaf people of all ages in mental health clinics and hospitals such as, assessment, therapy and counseling. Social workers are also required in the deaf community and this is because they provide a broad range of services to the deaf individuals. The knowledge and skills developed by the social workers prepare the deaf for career opportunities in addition to empowering them to know their rights (Berke

Discussions Essay Example | Topics and Well Written Essays - 500 words - 12

Discussions - Essay Example This creates a company that focuses on standards with rigid controlled process and the best practices that are closely supervised. The main advantage associated with the bureaucratic structure of an organization is the fact that decision-making takes a shorter time as less people who take part in this activity and this makes sure that work is completed in an efficient manner and on time. In contrast, bureaucratic structures may have a discouraging effect to creativity as well as innovation in the entire organization, as it is difficult for a single person in the organization to come up with all the strategic ideas that are required in a large company. Information systems are computer systems that provide the management and other employees within the company with latest information in terms of the performance of the organization such as the prevailing inventory and sales (Jawadekar, 2013). It is usually connected to a computer network that is developed through linking various computers to allow sharing of data as well as resources. These systems are intended to collect, transmit, store and retrieve as well as display the information that is utilized by several process in the organization. The systems that are supposed to serve general and foreseeable management practices are also referred to as management information systems. An example of a report that is generated by this system is the information that contained in yearly reports developed for the stakeholders of organizations. Staffing professionals include staffing managers in the human resource department who are responsible for all the areas that are linked to the staffing requirements of the company(Strayer, 2005). These professionals must be able to recruit when they find the applicants who are appropriately qualified while being able to deal with the hiring and retaining of the already hired employees. For a company to be successful, staffing is not enough, as the human resource

Research Report for the Business development in the engineering sector Paper

Report for the Business development in the engineering sector - Research Paper Example This calls for acute understanding of the customer expectations. Research shows that the mastery of technological and scientific disciplines is not enough to deal with the market dynamics of a technologically driven economy. There have been profound implications in the technologically driven global economy. Developing business in the sector requires engineers capable of working in different cultures and with knowledge on the dynamics of the global markets. The distinction between collaboration and competition in the sector continues to blur. Therefore, new perspectives must be developed to build competitiveness in the sector. This paper will be discussing the changing global knowledge which has driven economy and caused the engineering sector to shift from the conservative to business-sensitive approach in a quest meet the organizational objectives, business development needs and respond to the customer expectations High quality engineering services are being developed in countries w ith cheap labor (Rob, 2002). The aim is to lower the costs of labor. Developed countries like United States have been forced to look for cheaper labor to compete with China and India. Contemporary business development practices demands that interdisciplinary strategies be used to attract potential customers, develop quality products and other stakeholders (Annacchino, 2007). The modern engineering practice is bound to shift from the conservative approach of market ting and service delivery. Engineering sector is calling for innovative solution with involve cultural, social, ethical and environmental issues. Modern engineers rarely take the leadership positions in business issues (Haaf et al, 2002). The knowledge-intensive business society demands engineers with knowledge concerning marketplace and how to develop technical solutions are responsive to the needs of the society. The culture in developed countries, the free-market and demographic values offer a conducive environment for technological innovation. Business development in engineering sector shall involve empowering the engineers with sales and marketing skills (Annacchino, 2007). The brand dynamics must be understood in the sector (Rob, 2002). Technical engineers are product developers. They should be in a position to understand the market needs and competitiveness of services and products. Adding value in the engineering sector shall entail giving them the skills on developing competitive products, understanding market needs, responding the consumer expectation and means of sales (Haaf et al, 2002). This demands increased creativity, innovation and communication skills. The construction industry can develop competitive designs that address consumer concerns. This involves ensuring the stakeholders deliver quality in the construction process. There has been a long standing conflict between marketing and engineering (Haaf et al, 2002). The conflict is being addressed through integration, commercializin g of products and establishing successful development processes (Annacchino, 2007). This demands support from management to ensure products are developed in an integrated process. This marketing process takes into consideration the personality differences and capabilities of the manufacturing personnel. Knowledge management is the use of strategies to identify, distribute, and adopt experiences and insights beneficial to an engineering organization (Rob, 2002). An increasing

Hyundai Motor Company Business Challenges and Relationships Case Study

Hyundai Motor Company Business Challenges and Relationships - Case Study Example In a bid to penetrate the markets of the developed countries, the company’s packaging strategy faced great challenges. First, the company’s most expensive car model such as the Santa Fe and Sonata were undervalued when compared against their competitors in those markets. A research in these markets reviled that despite the cars from Hyundai ranking high in terms of quality scores when compared to their competitors, they still had lower resale values. A good example is the Hyundai’s Elantra which had higher quality rankings than the Dodge Neon, Nissan Sentra, and Chrysler but when it came to the resale values all these car models ranked well than it. Similarly, this was phenomena was also exhibited in the Hyundai Santa Fe. Its quality rankings ranked higher than that of competing models such as the Toyota RAV 4, Toyota Highlander, the Jeep Liberty, the Ford Escape and the Mazda Tribute. After one-year of sale, the retail value of the Hyundai Santa Fe was much lowe r than all these car models from competitors. To make matters worse the resale value gap between the Hyundai Santa Fe car and its competitors such as the car models from Toyota was larger than the quality gap between the car models. The resale value of a car is usually considered as the market’s perception of the quality, worth and value of that specific model. These low ranking of the models from Hyundai models in the markets of developed nations pose a great challenge to the survival of the company in those markets.

Larkin and Abse write about the society Essay Example for Free

Larkin and Abse write about the society Essay Larkin often seems to criticise society. In the light of this statement, what connections have you found between the ways in which Larkin and Abse write about the society in which they live? In your response include at least two of Larkins poems. Larkin criticises society in many of his poems and also does it from a superior place in an attempt to distance him from the society which he criticises and this can be seen in Nothing To Be Said. On the other hand, Abse writes about society and community whilst he participates in it and is a part of it. Larkin tries to stunt and remove the parts of society he criticises whilst it is clear Abse attempts to preserve many of the positives in society, for example in The Story of Lazarus, a story that surrounds the optimistic tale of someone surviving something so horrific. Abse is also very proud of the society from which he grew for example he is proud of being Welsh. Larkin labels and stereotypes the working class with a superior view in Nothing To Be Said, for example in the first stanza he describes the working class as small-statured cross-faced tribes, giving the impression that he views the working class as poorly developed, and a sense of savagery and it is possible to assume that Larkin viewed them as not very intelligent also. In addition to this, the use of the word tribes is particularly powerful and evokes this idea of animals and removes their traits as a human being. Larkins use of slow dying also helps to emphasise his views that these people arent contributing to society, just slowly dying as they trudge on in their day to day lives, however it could also be Larkins view that for him these type of people arent going fast enough either. It may be true of Larkins opinion that the only thing he shares in common with these people is death and it is possible that Larkin resents this and doesnt believe he should share anything at all with them. Larkin uses enjambment in the first verse to emphasise the steady rhythm at which everybody cruises towards death. In comparison, Abse likes to preserve people in time and focuses on the positives in society. Not only does Abse focus on positives but he presents them in a more favourable way unlike Larkin, in addition to this Abse takes people from history and gives them life again in his poetry for example The Story of Lazarus. This poem aims to continue the legacy of Lazarus, a survivor of the holocaust, he showed us the number on his arm. Abses views on society here suggest that he is upset that people are becoming less interested in preserving the tale, soon they merely nodded. In comparison, Larkin doesnt want to preserve the tale of the people he mentions in Nothing To Be Said, its as though the repetition of Slow dying is emphasising that for Larkin, it wasnt slow enough. Abse also hints at the biblical tale of Lazarus, suggesting that this tale should be savoured and of its significance. On the other hand, in Nothing To Be Said, the title and final line diminishes any significance of the society and can be interpreted that there is nothing more to say on the subject. In the Whitsun Weddings, an observational poem, Larkin takes superior views upon the wedding party, as he does in Nothing To Be Said, and he makes bold and unkind judgments such as mothers loud and fat. Unlike Abse, Larkin distances himself from society, for example in Whitsun Weddings, I leant More promptly out next time he tries to be involved in society but never feels like he fits, and the train in the poem separates Larkin from community. In the Whitsun Weddings Larkin shows a slightly more sympathetic side as he discusses the train journey from Hull to London and how much it has changed and perhaps shows a sentimental side regarding how time has changed the things he knew. In addition to this, the train journey could be a metaphor for Larkins inability to adapt to ever changing society and the fast pace that it moves. To conclude, Abse celebrates people within society and relishes the opportunity to be a part of it, where as Larkin tries distinctly hard to distance him from the ever modernising world, in attempt to disguise his insecurities and promote his sense of superiority. This superiority removes any doubt in Larkins mind that he could be wrong and therefore missed out on so many things in life. Abse on the other hand is proud of the society from which he came, especially emphasises his Welsh nationality and in addition to this his Jewish faith. To conclude, Larkins poems reflect on all that is missing in society, while Abse is in the middle of it and making the most of everything positive society has to offer.

Negligence in Midwifery

Negligence in Midwifery Christine Borg After a spontaneous vaginal delivery a woman suffered a severe haemorrhage leading to hypovolaeima and severe adult respiratory distress. She was admitted to an Intensive Care Unit but had recurrent bleeding, than collapsed. After resuscitation in theatre, a substantial piece of placental tissue was removed under general anaesthesia. Upon routine checking the staff midwife was initially doubtful about the placenta, but then she documented that the placenta was complete. Discuss. Introduction A practising registered midwife is an accountable person who ensures that health and safety laws are implemented in her care provided (Dimond, 2002 pg.312). The registered midwife puts into priority the safety of the mother and her baby. The competent midwife is knowledgeable, understanding, skilled, and accountable. Unfortunately any behaviour that the research based professional carries out or fails to carry out, that result in harm to the mother or the child will have legal implications (Dimond, 2002). Postpartum haemorrhage Uncontrolled bleeding of more than 500mls from the women’s genital tract, at any time following delivery to 12 weeks postpartum is described as postpartum haemorrhage (Williams, 2011 pg.113). Blood lost can be either evident or concealed, resulting in shock (Tiran, 2012). Postpartum haemorrhage is the most common cause of maternal death occurring worldwide (Fraser Cooper, 2009). Optimum management of the third and fourth stage of labour is a matter of great concern towards preserving maternal health. Postpartum haemorrhage is most often a case of inappropriate management of the third stage of labour, along with an unprofessional inspection of the placenta (Fraser Cooper, 2009). Examination of the placenta Inspection of the placenta is a practical examination done in the labouring room by a fully qualified midwife. This exam includes the assessment of both the fetal and maternal membranes. Evaluation of the placenta is part of the duty of care of the midwife in the first hour following birth. On the delivery of the placenta, either by expectant or active management of the third stage, the midwife holds up the placenta from the umbilical cord with the fetal surfaces being examined first. The membranes are examined for integrity, completeness and any present abnormalities. Membranes; the amnion and the chorion should be made sure to be present and complete (De Kock, 2004). This assessment is usually done in the presence of the mother. The maternal surface is examined for completeness, so as to make sure that no cotyledons have been left inside the uterus. If a cotyledon is found to be missing, or if the midwife is uncertain with regards to placental findings, help from other health professionals should be sought and the placenta kept for further examination. Of utmost importance is to include the mother in the examination, describing reasons for the examination procedure, while explaining the possible risks of an incomplete placenta (De Kock, 2004). Women’s right for information The mother has the right to be informed of both the normal and abnormal findings. Communication is a necessary tool in midwifery. While being close to the woman, the midwife should have explained the situation and kept the mother calm, while talking her through the necessary procedures that were to take place (ICM, 2011) The midwife The title ‘midwife’ can only be used by the ’’person who has successfully completed a midwifery educational programme, that is duly recognized in the country where it is located and that is based on the ICM Essential Competencies for Basic Midwifery Practice and the framework of ICM Global Standards for Midwifery Education : who has acquired the requisite qualifications to be registered and/or legally licensed to practice midwifery and use the title ‘midwife’; and who demonstrates competency in the practice of midwifery’’ (Midwives code of practice, 2005). The core competencies of the midwife The midwife is fit to practise if she has the necessary knowledge and skills, has a good professional behaviour, character and a good health status, meeting the standards and competencies required (ICM, 2011). Competencies are set up as a guide for midwives to fulfil their profession. The guidelines provided by the code of practise in midwifery, aims to put in priority the safety of the mother and the child. The competencies of the expert of normality include her ability to work with the women and provide constant care and support. Being competent means, that a high quality care and a cultural sensitive assistance is given to the mother during birth. Such event is the monitoring of the fetal and maternal wellbeing and providing the assistance towards performing a safe birth. The midwife must be aware of the possible risks occurring during labour being able to observe, recognize and act when warning signs present (ICM, 2011). Being competent and accountable- the case scenario The skills and abilities allow the midwife to inspect the placenta for integrity and completeness, however, in such a case as described above, having a midwife not sure of herself, referral to other health care professionals should have been considered while assisting the latter if possible. Having the mother notified of the findings and given consent with relation to the procedures that needed to take place, appropriate analgesia should have been administered. Once the doctor confirms that a part of the placenta is missing, a vaginal exam followed by an examination of the uterus under sterile conditions is usually performed. Should the midwife acted as a responsible professional, she must have been in control to take the necessary urgent measures if help from other health professionals was not accessible, keeping in mind the risk against the benefits. In such a case the priority of the midwife should have been managing postpartum bleeding so as to avoid the incidence of haemorrhage (ICM, 2011). The skills and abilities of the midwife allow her to perform a fundal massage in order to stimulate a contraction and help any remaining clots left in the uterine or vaginal cavity to be delivered (De Kock, 2004). Of utmost importance in the delivering the appropriate care, was the monitoring and estimation of the maternal blood loss. Oxytocic drugs should have been administered while regularly assessing vital signs of the mother, in addition to the recording of concise and accurate data of the events (ICM, 2011). In such a case were haemorrhage occurred, lifesaving drugs could have been administered to the woman in order for shock and respiratory distress to be avoided. The midwife shall have the skill to identify shock and be able to manage it. An intravenous line should have been inserted in such case and while administering the appropriate fluids and drugs, drawing of blood for laboratory testing could have been made possible. The woman with serious complication needed to be transferred to a higher level of care so as for emergency care to be given as required. In extreme cases the midwife must be able to perform cardio pulmonary resuscitation (De Kock, 2004). Furthermore, following such care, the midwife must have given great importance to the postnatal period of the woman. Observations of the woman’s progress and monitoring of the vital signs should have taken place (ICM, 2011). Record Keeping- A professional tool Accurate documentation of the process of labour and birth is a responsible role of the midwife. Appropriate written information about the progress of labour and the on-going care provided during this experience, gives out relative information about the mother and the fetal well-being during the birth events. The midwife must ensure that all the records are filled appropriately before transferring the woman to the future health care professionals (De Kock, 2004). The purpose of documentation is to provide a written evidence of events as they take place (Dimond, 2002). Appropriate written communication in the event of labour shall be factual, well dictated, concise, consistent, accurate, clear, legible, relevant and signed. Writing shall include detailed information of the care provided, the plan, actions, observations and the events occurring during labour (Dimond, 2002) All the information being documented is to be written as a contemporaneous manner of events. Documenting childbirth is a description of the birthing process. Relative information shall include data of the estimated blood loss during labour, the findings from the placenta examination as well as the results of the mother’s vital signs, whenever taken during the mother’s stay. Assessment of the perineum and vagina along with identification of necessary repairs, type and quantity of sutures required should also be noted (Dimond, 2002). The midwife must preserve all information recorded. Keeping all the records provides guidance to the health professional (Dimond, 2002). Documentation is a tool in the experts practise and it shall be considered as an essential part of care and not as additional to the care offered (Dimond, 2002) When writing out records one is to eliminate abbreviations and write in a manner that is easily understood by others. Records shall be clear so as to serve as a tool to facilitate an investigation. If any mistake is present in the recording of information, this should be corrected by cutting out neatly the mistake, while making sure that a signature and a date is presented. All information recorded by students is to be seen and signed by the midwife assigned. Information is to be written in a consecutive manner, having problems arising during the birth identified, and the actions and plans noted (Dimond, 2002). Regular training on documentation shall be proposed especially in situations where pressure is present especially at the time of the delivery where time is limited and record keeping is given a low priority. Written information shall reflect a clear evidence of the care being constantly provided to the mother and the baby (Dimond, 2002) ‘’A record becomes a legal document whenever it is required as an evidence of events occurred and is relevant in a court of law’’ (Dimond, 2002). Tools of documentation are necessary in the court of law, as although they are not always a proof of truth; records are an instrument of evidence and are tool for criticism by the judge. All written records are to be accurately dated timed, and signed. Negligence ‘Negligence may be best defined as actionable harm where a patient claims compensation caused by the carelessness of a midwife in breach of their duty of care’’ (Griffith, 2008). Negligence is the failure to take care of someone or something. This is the most brought up action in health services for compensation (Dimond, 2002 pg.182). Compensation can only be given when the midwife infracted the law in her duty of care, when harm has been recognised, or in the presence of a negative result that had been led to by the disrupted duty of care. The midwife has the responsibility of the duty of care towards all her clients. The duty of care involves: caring safely for the women and family, being able to communicate effectively, sharing evidence based information, giving advice, notifying the women of risks and acting in a way to promote health (Dimond, 2002 pg.184). The duty of care does not only relate to the care and treatment, but includes also the act of recording factual information and storing records. Duty of care involves all actions and activities that ensure safety. The midwife must aim to avoid acts that put the person at risk of harm. The person described is one who is directly affected by the midwife act. The aim is to have a positive effect on the mother, new-born, family and the overall experience (Dimond, 2002 pg.185). When a midwife is found guilty of putting the mother close to death a custodial sentence is most likely to be received by midwife (Griffith, 2010). Legislation of care This case scenario is a typical example of a dispute in the legal duty of care. In this case the midwife must have first understood the present standards of care (Dimond, 2002). The midwife described here has failed to understand and follow the protocols, guidelines and procedures drawn up nationally and locally. The midwife has also failed to understand the importance of accurate record keeping. The midwife is challenged on her inappropriate actions. Her records, if written precisely can also aid in defending her actions (Griffith, 2010). As a general rule, midwives who are not certain about the changing and revised standards of care, being practised in the area, are to make sure that all necessary information is gathered, understood and followed, so as to enhance safety in the care given to the mother and the family (Griffith, 2008). All midwives are responsible to obey to all policies. Trained and competent midwives are trusted and the element of trust in a qualified midwife reflects her level of competencies (Dimond, 2002). The government aims to increase the standard of the registered professionals and makes sure that all practioners listed on the registration list are safe and protective towards the public. Legislation aims to protect the mothers from dangerous professional staff. When a professional staff identifies that she has made a mistake, she shall not be complacent. It is the role of the midwife to communicate effectively with the woman and give all the acknowledgment, explanations and apologies, so as to act in the best way to correct her behaviour towards safeguarding the women and her family (Dimond, 2002 pg. 220). Although health professionals are to be knowledgeable and assertive, being over confident with their behaviour might put the mother and child at risk. With regard to this case scenario, having the midwife not seeking help from other professionals signifies, that her over confidence has led her to reduce the quality of care provided. Furthermore, a competent midwife would not only make sure that the placenta is examined correctly, but would also ensure that the placenta is examined in the presence of the mother, having findings continuously being communicated and explained. Any competent assessment of the risk would have to take in account the post birth vital signs of the women. The midwife’s failure to document correctly, take action and evaluate the mother’s vital signs was a direct cause towards the deterioration of the mother (Dimond, 2002). Conclusion The professional care provided by the midwife should be based on research and be within the law. As the claims for compensation continue to rise, the need for midwives to understand and reflect on the cases of negligence is important; so as to minimize the risk of negligence and increase the levels of standards of care (Dimond, 2002 pg.226). It is the midwives’ duty to understand the elements of negligence and take care of their actions and behaviours. A holistic approach of care provided by the midwife includes ’’leadership; clinical knowledge and skills; documentation; guideline development; risk management and debrief; audit; and education’’ (De Kock, 2004). 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