Canadian Model Of Occupational Performance Health And Social Care Essay

Canadian Model Of Occupational Performance Health And Social Care Essay Various literatures suggest different terminologies in occupational therapy depending on the school of thought. Hence, it is imperative to bring significance to underpinning words for the purpose of this assignment. National Health Service (NHS) define occupational therapy as the evaluation and treatment of physical and psychiatric conditions using definite and purposeful activities to prevent disability and encourage independent functions in all aspects of daily life (www.nhscareers.nhsuk, 2008). Occupational therapy is a discipline that assists people of all ages to achieve health and life satisfaction through improving their ability to carry out the activities that they need or choose to do in their daily lives (College of Occupational Therapists [COT] 2006a). Occupational therapists assess the impact of changes in motor function, sensation, coordination, visual perception, and cognition on an individuals competence to engage in daily life tasks. Intervention enhances involvement in meaningful roles, tasks, and activities; minimizes secondary complications; and provides training and support to the patient and caregivers. (Rowland, 2008) Occupational therapists concentrates on independence and function, persons goal setting, and their expert skills in task adaptation and environmental adaptation emphasize the professions contribution to stroke rehabilitation. (Rowland 2008) The fundamental intend of occupational therapy is predicated on occupational performance, it seeks to enhance health and well being of a person by limiting occupational dysfunction that is, when an individual is unable to articulate himself within his socio-cultural and physical environment because of illness, disability or lack of enabling skills indispensable for coping like the case of stroke in David. Background information on stroke The diagnosis established that David had stroke, an occlusion in the middle cerebral artery. Stroke is the third most common cause of death in the UK; an estimation of 150,000 people has stroked each year and approximately 30% of people dying in the month after a stroke and 67,000 deaths each year. It is also the greatest cause of severe disability, 35% of all survivors are significantly disabled and will need help with daily occupation (Department of Health, 2001; Office of National Statistics, 2001;British Hearth Foundation, 2005). The World Health Organisation (WHO) defines stroke as a clinical syndrome, of presumed vascular origin, typified by rapidly developing signs of focal or global disturbance of cerebral function lasting more than 24 hours or leading to death (WHO, 1978). The two broad causes are ischemia and haemorrhage. Ischemic stroke results from a blockage of cerebral vessel and can be further classified into thrombosis or embolism. Hemorrhagic stroke results from the rupture of a blood vessel. Blood is release out of the vascular space, cutting off pathways and leading to pressure injuries to brain tissue. It could be either intracerebral (bleeding into the brain itself) or subarachnoid (bleeding into an area surrounding the brain) caused by hypertension, arteriovenous malformation, or aneurysm (Batel, 2004). SYNOPSIS OF DAVID David, a senior fireman officer was born 45 years ago and had worked for 27 years on a fulltime basis. He collapsed at work 8 weeks ago and was diagnosed with a left Cerebral Vascular Accident (CVA) or stroke. A scan following his admission revealed an occlusion in the middle cerebral artery. He was restless and irritable, responding to command physically but no verbal response, and was unable to move his right upper and lower limbs. His blood pressure is 180/75, Blood NAD. Urine testing revealed a high level of sugar. He is a proud family man, married for 22years, extremely sociable with strong passion for football. APPLIED THEORTICAL MODEL A model is a simplified representation of a phenomenon that can account for certain data/relationships or a synthesised body of knowledge that links theory and practice(Finlay, 2004 p73). Model gives us a way to frame a persons problems and treatment (Finlay, 2004). Conversely, the theoretical direction on which these frames of reference are founded is not clear, this is why it is so complicated to follow their guiding principle to institute occupationally based practice (Ikiugu, 2004).   The Canadian Model of Occupational Performance (CMOP): Is employed to guide in Davids health needs because it will emphasis on occupational performance of David as a person, via occupation and environment, CMOP will critically analyse the components of Davids affective, cognitive, physical components and spirituality, the spirituality represent the inner strength that will allows David to keep functioning in the face of great challenges and adversity by engaging him in purposeful occupational activities, that influences his performance areas and bring about health and well-being within the context of adaptable environment fit for David. Client centred practice originally evolved in psychology. It combines with systems approach, environmental theory and research into flow by Csikszentmihalyi to provided CMOP with a broad interdisciplinary base of knowledge [1][3][4]. He buttresses on exploration of flow, the subjective psychological state that occurs when we are totally adsorbed in an activity. He found that flow state involves feeling good, exceedingly motivated and being in the zone. During flow, concentration can be so intense that there is loss of self-consciousness a transitory reprieve from ones worries; flow also promotes self -esteem, life satisfaction and the aptitude to cope with stress. This is contrary to the concept of occupational balance which is a more complex and holistic concept related to balance in life style and tasks. Balance is about the relationship between a person ,their occupations and their worlds.The models national development is a unique feature and so CMOP does not reflect the views of any one individual. However while some assume the model has no cultural bias and adaptation has been encouraged, little research has been conducted into the efficacy of its application in non western societies [10][11][12] APPLYING CMOP TO DAVID SELF CARE The initial process of occupational therapy assessment involves interviews with the David and his family to establish previously held life roles and the tasks and activities that were completed within these roles. Observational assessment is undertaken of personal self-care tasks, including showering, dressing, toileting, grooming, and eating, and domestic or instrumental tasks, including meal preparation, shopping, cleaning, laundry, and management of finances and medications. Establishing the level of assistance needed in each of these areas and Davids priorities will helps the occupational therapist target rehabilitation interventions appropriately and to measure progress towards Davids goals. Observation of activity limitations allows the occupational therapist to identify the impairments that underpin these limitations, including the motor, sensory and cognitive impact of stroke. (Rowland, 2008) PRODUCTIVITY Davis was a fulltime fireman fighter before the stroke assessment regarding return to work commences in the acute setting. The occupational therapist gathers a history of the patients occupation, i.e., job duties (frequency and duration) and work conditions (hours, environment, etc.). Using the results of assessment of the sensorimotor, cognitive, visual-perceptual, and psychological abilities of the patient, the occupational therapist with the help of vocational rehabilitation therapist will considers David feasibility of returning to work, also conduct a workplace assessment and negotiate a graded return to work hours an duties (Trombly, 2002). Leisure: David before the stroke engages in leisure activities he was a football fan and a football coach these are highly social activities that brings about his social inclusion. David derives joy, fulfilment relaxation, excitement, and stimulation. An occupational therapist will seek for ways to reengage him in these activities to enhance other areas of occupational performance. CLIENT CENTRED CMOP is propagates client centeredness which promotes interdependent collaborative relationship between clients and therapist, outcome measure enabling client to rate importance, performance and satisfaction with self -care productivity and leisure activities they need to, want to, or are expected to. Consequently, an occupational therapist together with David will formulate the following achievable outcome as long-term goals: David to gain increased somatosensory perception and will employ compensatory strategies order to perform ADL safely; David will gain strength, endurance, and control of movement in upper extremity in order to use this during performance of ADL due to the fact that he is presently unable to move his right upper and lower limbs. It also includes how David can improve motor planning ability in order to relearn old methods or relearn new methods of performing ADL. EVIRONMENTAL ADAPTATION Occupational therapist is more worried about how David will function effectively and independently in the home environment and to access the community. The occupational therapist will evaluate the need for a home assessment, taking into consideration the environmental barriers, specific impairments, risk of falls, and the needs of the patient/carer. The purpose of the assessment is to establish whether it is safe for David to return to their pre-stroke environment or see how the environment could be adapted to fit David.The assessment involves observing Davids ability to physically negotiate his environment and perform his usual activities. For instance, the occupational therapist may assess Davids ability to safely transfer from their bed or toilet, move on his wheel chair freely within the house, and cook within his kitchen OT APPLICATION TO STROKE The implications of stroke are extremely varied and may include difficulties in motor ability, perceptual-cognitive skills, emotional reactions and social functioning. Occupational therapists look beyond these health conditions and analyse the impact of an individuals specific pattern of component of problems on occupational performance (Molineux, 2004). For instance the left cerebral hemisphere, which is affected in the case of David, controls most functions on the right side of his body because of the decussating of motor fibres in the medulla. The stroke incidence in the case of David may produce symptoms discussed below: Vision and Visual Perception Stroke can also result in blind spot in the visual field usually on the right side to correct this, David will have to gain visual function or will employ compensatory strategies in order to resume previously performed ADL. Occupational therapists routinely screen for visual-perceptual impairments such as agnosia; visuospatial relations problems, eg, figure-ground, body scheme disorders, depth perception, and unilateral neglects, and impairments in constructional skills. [14] Other neurobehavioral changes, including praxis and acalculia, are commonly assessed in conjunction with visual-perceptual screening following a left hemisphere stroke. Occupational therapists will work on Visual and perceptual impairments in David by retraining in specific skills, teaching compensation techniques, substitution of unimpaired skills, or adapting the task or environment. [1] Methods will include visual scanning training [55] to assist David with a hemianopia or neglect to locate items more accurately within his house. The depth perception problems in David may be encouraged to hold the handrail for additional proprioceptive cues to safely negotiate stairs, as well as to pace themselves and go more slowly down a flight of stairs. The praxis condition of David [56] or motor planning problems affecting one upper limb may initially practice a range of remediation techniques involving feedback, cueing, and functional repetitive practice to overcome the impairment. If Davids impairment of the stroke-affected hand is resistant to remediation methods, the occupational therapist may teach Daivd to compensate by using the other, unaffected, upp er limb for tasks requiring greater precision such as gardening that he loves to do or washing his car, thus increasing the patients level of independence. Memory and Cognition The impact of the stroke on Davids memory, cognition, and executive skills can significantly affect his ability to participate in a rehabilitation program and to complete personal, domestic, leisure, and work-related tasks. [21] Difficulty in initiating regular tasks such as been a fire fighter, coaching his foot ball team, washing his car, gardening activities as he use to do before even socialising with the member of his community or preparing breakfast, or impulsiveness that poses safety risks for the individual are practical examples of the effects of these impairments. Sensory, Motor, and Upper Limb Function Occupational therapy interventions will address Davids changes in motor power, muscle tone, sensory loss, motor planning/praxis, fine motor coordination, and hand function, with the aim of regaining upper limb control and function. Daily upper limb movement facilitation and positioning, massage, elevation, and compression were employed to address muscle weakness and edema of the left upper limb. Education was provided for safety in the care of his arm and practical training in one-handed methods of completing daily tasks, including dressing, grooming, and eating. The occupational therapist will also assess Davids ability to plan, implement, and problem-solve tasks like making a simple meal, The OT may recommend the installation of grab rails in the shower and toilet, removal of a shower screen that limited safe access, purchase of a shower stool for seated showering as his balance remained impaired, and purchase of a lounge chair of a suitable height. Safely administering medications or prescribing a wheeled mobility tray for transporting meals and using the telephone to call for assistance. If David does not have the capacity to get out of bed, the occupational therapist trains family to safely operate an electric hoist or wheelchair. OT will continuously educate the patient and family members on the treatment program, this is essential for the smooth transition to his discharge. An occupational therapist will need to consult with a social worker to help David and his family apply for Medicaid or other support, establish if it is financially possible to consult others professionals. His cognitive impairment can be assessed during evaluation and treatment of occupational performance by focusing on the adaptive abilities of planning, judgment, problem solving and initiation. Depression is common with lesions in the left hemisphere as compared with the right hemisphere resulting in outbursts, anger or frustration when he cannot perform tasks that he was used to. These responses can further result in impaired personal interactions, inability to perform social and leisure activities or roles, and eventual experience social isolation. Emotional Counselling: Prior to Davids stroke, he and Helen both had clearly defined traditional roles in the family. One potential issue for the family unit, now that David is likely to require a long period of rehabilitation at home, will there be tension between him and Helen due to extreme role reversal? Have a full time worker and David believing that a man must be the breadwinner for his family. If not managed correctly, this tension could have repercussions on the childrens adjustment and could trigger feelings of guilt, isolation and resentment within Helen and Davids relationship. In order to avoid this, and to ensure maximum family unity, communication on coping strategies for the whole family is crucial. Openness between all family members about the severity of the illness, coping strategies, a were in this together attitude, adjustments to daily life and incorporating care into it are just a few things which will help quell feelings of anxiety, fear, depression and resent fulness. Therapeutic use of leisure could be employed to organise activities that provide social interaction, pleasure, entertainment, or diversion like taking for a football match, knowing well that David is very sociable and has great passion for football. Leisure is a medium through which a person is able to learn and rehearse a wide range of skills that will enable him to respond appropriately and adaptively in different situations. Conclusion To make available an activity to pass time or do a work out on a limb is not very complicated, but to facilitate an individual to engage in an activity that has purpose and meaningful for a client, and which help out in the improvement of performance skills, is the utmost art of the occupational therapist (Creek, 1998,p.27). Hence, an attempt has been made to focus on applying occupational therapy concepts, which is engagement of occupation and meaningful activities to enhance occupational performance as it relates to Davids health condition. Research has demonstrated that stroke survivors with a positive self-efficacy report higher quality of life and fewer depressive symptoms (Robinson-smith, 2002b). CMOP model was applied as relevant evidence base.

JetBlue and WestJet

How important is the reservation system at airlines such as West Jet and JetBlue. How does it impact operational activities and decision making? Over the past years, it seems customers have heavily relied on airline reservation systems to book their tickets, reserve seats, pay for the tickets, and check-in-online. This has been very convenient for customers to plan their trips. These systems have also allowed the airlines to manage their whole flight inventory. They have the all the information stored and recorded and maintained.It provides a platform for communication between airlines for their â€Å"code-sharing plans† this also allows agents or other ticketing office to see real time information such as booking or seat availability (Laudon & Laudon, 2013). Because all of the parties rely on heavily on these systems it is important for Airlines Company to have it. A perfect example of the chaos that is created when one company decides to switch to a newer version of this sys tem would be the case of WestJet.The impact of operational activities and decision making has greatly changed with the new system. The system has helped the airlines maintain accounts with other airlines, as well as help processes internal information between departments with more efficiency since everything is done online (Laudon & Laudon, 2013). Now that customers can plan, book, and pay online for their trips it as boosted customer satisfaction with faster service.This system has allowed airlines to make good strategic decisions on which routes to monopolize, and how to improve their services by accessing information about previous customers stored on the system. However, this system can affect customers’ decision while they are booking for example if the system is slow or not user friendly customers may be more likely to go to a different site to book their flights. Evaluate the risks of the projects to upgrade the reservation systems of WestJet and JetBlue and key risk f actors. There are always risks to any business when they are upgrading their systems.However, the biggest risk to a business is the down time that they will occur when transferring and receiving data from the old system to the new upgraded system, not to mention the time it will take to train the employees that will be overseeing the new system. In the situation with WestJet and JetBlue upgrading the reservations system had its own risks and it could only go two ways smooth with no inconvenience to the customer or horrible wrong and the customers are angry and your good name is now in trouble (Laudon & Laudon, 2013).Despite the extensive training that WestJet had before the upgrade, it did not prepare them enough for when they went live some of the problems they had were not on the practice test environment they trained with. No one can predict that the updates to the information system will could create a defect in the system. The time it took to transfer the information to the res ervation system could create a gap in the services to the customer. Having a major outage to their online services could cause major setbacks for the two companies that neither of them could afford.Classify and describe the problems each airline faced in implementing its new reservation system. What people, organization, and technology factors caused those problems? In the case of WestJet successfully planning the development would have saved them millions of dollars, and it would have saved them many of angry customers. WestJet biggest mistake was they did not have a plan for system failure as well as the extra help at the call centers until it was too late and the issue was already out of control.If WestJet would have planned for the time it would have took to transfer all their files to the new system, and lighted the passenger load they would bypassed all the problems they had during the transfer. JetBlue on the other hand did successfully plan the switch they decided to do the switch when the airlines were not as busy and they also decided to book fewer seats during the time of the switch (Laudon & Laudon, 2013). They also a built a backup system to prepare for the worst, and hiring temporary call center workers was a great idea this allowed them to make sure they were available for customers during the transition.However, there were a few glitches such as wait times for calls and the airport kiosks and ticket printers were not online right away they still managed to be well prepared for any of these problems. Describe the steps you would have taken to control the risk in these projects? The steps I would have taken to control the risks in this project would be similar to what JetBlue did. I would have planned for an outage in the system and tried to look at the situation from the customer’s point of view.The training that we have done to prepare us for this new system cannot prepare us for everything that can go wrong during the transition. I woul d have to look beyond what could happen and prepare for that. I would slowly move the company into the transition and prepare the customers for it as well. Maybe by letting the customers know up front that the company will be doing a transition on the reservations system will allow customers to be prepared in the case something happens while making their reservations.Offering some sort of discount will help the customers through the transition and help keep the customers loyal to our company. On the business side making sure that we have options if something goes wrong by having a backup system we can turn to if the new system goes down. Making sure we do not over book our flights during the first few days of the transition and making sure we are all prepared and ready for anything that can happen is the only way we could overcome the situation.

Intermediate certificate in Human Resource Management Essay

Is the criticism of HR in the article justified? Yes and no! The quote in the article from Dona Roche-Tarry is fairly damning. She states the HR team should be equally responsible as they work alongside the CEO and MDs to recommend strategies for pay and bonuses. Whilst HR may work alongside the senior decision makers, they can only make recommendations. The ultimate decision and power lies with the CEO. However, another perspective could be that HR need to be influencers, and should be more efficient at managing upwards. What are the main accusations being laid at the door of HR in this scenario in terms of its competence? Not being responsive Lack of knowledge Being unethical What are the implications for HR here in relation to professional ethics, integrity and confidentiality? The main implication is being seen to be unethical to stakeholders. This could result in HR being seen as not communicating and could have a negative impact on how people perceive HR to be importance wise. Integrity is also damaged by not being seen to have provided a voice in relation to political equality. How might HR been able to influence the situation more? By managing relationships better across hierarchies, and also by forward planning, being market savvy, and risk management. Predicting the issues  before they arose and either finding ways to avoid them or developing damage limitation scenarios and plans. What other key behaviours from the CIPD’s HR professional map do you think are critical here for HR to display? Skilled influencer Courage to challenge Personally credible Collaborative What learning can HR take away from this experience/situation? The main learning is to be more responsive, and take more of an active role in discussions regarding important issues such as renumeration Being seen to consult stakeholders and provide senior stakeholders with a more accurate company and market view. Improved communication across all levels needs to be implemented.

The Fall of the House of Usher, by Edgar Allan Poe

A writer can influence wording, diction, tone, and additional parts of language to make style. Style is the form of writing the author uses to build the story. Style is one of the most influential parts of a piece of fiction because it creates the overall mood and feeling. In â€Å"The Fall of the House of Usher,† the style is very gothic and dark, making an ominous mood to the story. This piece of fiction demonstrates Poes skill for making a moving tone, an impeccable language, and a unique gothic style in his work. The story begins with an unnamed narrator who receives a letter from an old friend named Roderick Usher, saying that he is ill and would like the narrators company. The story begins with no explanation of the narrator’s cause for†¦show more content†¦At the time she reappears she puts together a great deal more considerable shock on the characters and setting surrounding her. The reader could assume that Madeline would be weaker in death than in existence, however Poe demonstrates the precise opposite. Poe’s addition of evocative language and a variety of metaphorical language improve the story’s wickedness, providing the house and its population creepy and supernatural characters. Poe’s effectual use of imagery, personification, repetition, and foreshadowing make a gloomy story getting to, and in the end making the fall of the house of Usher happen. Poe selects particular words so as to draw attention to the fear of insanity, early burial, and passing away and obliteration. Most importantly is his account of the dark Usher house. He states that the age of the home provides the feeling of an empty front wall and not a real structure. He, as well, talks about a little hairline fracture that goes from top of the house and winds the length of to the water that circles the structure. The narrator reaches his destination at Usher’s house but right away comes across himself triumphed over by an insufferable gloom. This surveillance and description sets up the story’s tone and the secrecy that will develop. The narrator’s account of the house and its foundation, Roderick’s very much distorted condition, and Madeline’sShow MoreRelatedThe Fall Of The House Of Usher By Edgar Allan Poe1570 Words   |  7 Pagesingenious Edgar Allan Poe. A prime example of Poe’s spectacular work with single effect would be in the classic short story â€Å"The Fall of the House of Usher† which was published in 1839 and holds much critical acclaim. In the story, the narrator visits an old, mentally disintegrating friend and his dying sister in a house that invokes anxiety with mere proximity. While the whole tale is wrought with single effect, the most defining creepiness of the story was brought to life through Roderick Usher. ThroughRead MoreThe Fall Of The House Of Usher By Edgar Allan Poe Essay1333 Words   |  6 PagesEdgar Allan Poe is known for his poetry and short stories especially his tales of mystery and mor bidity he was one of the countries first practitioners of short stories such as the Fall in the House of Usher many of his poems and short stories is said to have been inspired by Poe’s real and tumultuous life, in â€Å"The Fall of the House of Usher† Edgar Allan Poe uses sound, feeling and sight imagery to create and explore an atmosphere of horror and to convey to the reader the idea that fear coalescedRead MoreThe Fall Of House Of Usher, By Edgar Allan Poe1603 Words   |  7 Pagesshown in the previous paragraphs of Cole and Poe, they are very different people who have had contrary life experiences . Yet their works are still very similar. To further prove my case I shall use some of their works as examples. 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This literature of his is best known for its melancholy descriptions that establish a setting and mood that contribute to the overall tale. Poe’s goal through his literature is to evoke horror into the reader’s mind. In â€Å"The Fall of The House of Usher,† Poe presents the demise of a distinguishedRead MoreThe Fall of the House of Usher by Edgar Allan Poe946 Words   |  4 PagesEdgar Allan Poe is known for the suspenseful and mysterious nature in his short stories, and to achieve this he uses repetitive symbolism. In the â€Å"Fall of the House of Usher†, the narrator gets a letter from an old friend saying that he needs his help. When he arrives he starts to hear voices that eventually cause the house to fall and results in the death of usher and Madeline. Poes â€Å"The fall of the House of Usher† portrays a melancholy setting and utilizes a motif of the supernatural, howeverRead MoreThe Fall Of The House Of Usher By Edgar Allan Poe896 Words   |  4 PagesEdgar Allen Poe is well-known for his frightening and disturbing short stories. He portrays his characters in unforeseen circumstances that create an eerie atmosphere, and this then leads t o unsettling actions. In his famous short story, The Fall of the House of Usher, Edgar Allan Poe utilizes dark mood, dreary allegory, and mysterious symbolism to create the thrill and suspense. The mood of the characters set the intensity of fear and gloom, while the story of the Ushers follows psychologicalRead MoreThe Fall Of The House Of Usher By Edgar Allan Poe1159 Words   |  5 Pagesâ€Å"The Fall of the House of Usher† â€Å"The Fall of the House of Usher† by Edgar Allan Poe is an ominous tale, told in retrospect, of a man who visited an old friend, Roderick Usher, who was dying of a mental illness. This visit was quite different then how the narrator believed it would be. The narrator explained the â€Å"insufferable gloom† he felt when he saw the mansion, and this dreary feeling only grew stronger the longer he stayed (Poe 1265). The narrator endured the bleak time with his old friend whoseRead MoreThe Fall Of The House Of Usher By Edgar Allan Poe1104 Words   |  5 PagesThe Fall of the House of Usher Edgar Allan Poe is best known for his unnerving and suspenseful writings, and â€Å"The Fall of the House of Usher† is no exception. Just like Poe’s other clever writings, â€Å"The Fall of the House of Usher† portrays a sense of fear and paranoia yet also a touch of curiosity with his extraordinary descriptions about the setting and characters, along with the tone. Poe does a magnificent job creating an eerie tone while describing the setting. Even in the first paragraph of