Auckland DHB Elderly Care Strategies

Auckland DHB Elderly Care Strategies Auckland DHB is based to part of Auckland City in which they are serving seven wards Avondale/Roskill, Eastern Bays, Eden- Albert (Balmoral), Hobson, Tamaki- Maungakiekie(Penrose), Western Bays and Hauraki Gulf Islands .It has a population of 475,765 people. Eighty seven percent of the Auckland DHB population live within five wards within the Auckland DHB boundary.The other 13% live in either the Manukau ward within the Counties Manukau DHB area, or the Whau ward within Waitemata DHB.Auckland district health board got 10% of the people domiciled in the Auckland DHB district are aged 65 years and over, compared with 12% of NZ population.17% are aged under 15 years, compared with 22% for all of NZOlder People’s Health wards were the first patients moved into the new Auckland City Hospital which is started by Auckland district health board. Auckland district health board has two sites; inpatient services are based at Auckland City Hospital while outpatient and community services are based atGreenlane Clinical Centre. Older Peoples Health looks after the over 65-year-old population of Central Auckland and offers assessment, treatment and rehabilitation services. There are four wards at Auckland City Hospital that form part of the A+ Links Home and Older Peoples Health Service. The four wards are located in the the Support Building. Awatea Ward and Marino Ward are on level 14. Rangi toto Ward and Remuera Ward are on Level 13.These wards work very closely as a team and a unit. There is a strong Interdisciplinary team (IDT) focus on all four wards. This team is made up of nurses, doctors, physiotherapists, occupational therapists, social workers, dieticians, speech language therapists, pharmacists and others, who all make contributions to the patients care. STRATEGIES Auckland District Health Boards vision’s is of a healthy population, and quality health service to the community people need it –Healthy Communities, Quality Healthcare ~ Hei Oranga Tika mo te iti me te Rahi.It is strategic priorities of Auckland district health board that all rest homes and aged residential care facilities are certified and audited to ensure they provide safe, appropriate care for their residents. This is measured by seeing how they perform against the standards set out in theHealth and Disability Services (Safety) Act 2001. HEALTH OF OLDER PEOPLE STRATEGY {2001} It is cooperated on the national level where Auckland District health board is doing this by putting up policies in Auckland to improve and giving standard of life to old people by giving them appropriate services. Health and support services and programmes specially made to facilitate the wellbeing of the aged people, it also controls over the lives and their capability to participate and capability to social life, family, whanau and community life. OBJECTIVES It provides the planning to support the growth of quality health and support services integrated around the needs of older people. Funding will be managed and services delivered to increase timely access for the quality life integrated health and support services for older people, family, whanau and caregivers. The Hauora needs of Older Maori and their (whanau) family will be given by different appropriate programmes which are going to support them. Special requirement of services should be recognise to support unique position of Maori living in Aotera as Maori. The New Zealand Positive Ageing Strategy The 1999 International Year of Older Persons prompted the development of a New Zealand strategy promoting the value of older people.In the this strategy they state the aged people live positively and grow properly in there elderly age. Positively strategy is also takes account the health, financial security, independence, self- fulfilment, personal safety and living environment of older Auckland District citizens. The New Zealand Positive Ageing Strategy provides a framework for developing and understanding policy with implications for older people. POLICIES Auckland DHB A+ Links Older Peoples Health Older Peoples Health (OPH) Serviceprovides inpatient and outpatient care and is spread over two sites; inpatient services are based at Auckland City Hospital while outpatient and community services are based atGreenlane Clinical center. They also have the interdisciplinary day assessment includes Stroke Clinic, Parkinsons Clinic and Auckland City Memory Service. Also available is the Community Rehabilitation Programme to assist people who need some assistance to get back to how they were functioning prior to illness or who need help with the transition back to their home situation after a period in hospital. Home Health Service provides community based healthcare for adults 16 years and over living in Central Auckland. It is based atGreenlane Clinical Centre. Dementia Pathways We will increase access to early onset dementia services.We will help to develop a greater range and level of skill within the Aged Residential Care sector.Overall, we want to see safer practice in working with older people across both inpatient and community settings.This will also depend on increasing service accountability and the reporting of clinical issues. SENIORLINE Support of carer- In this old person can get a support of carer on full time basis from district health board. FUNDING Auckland DHB received $1074.6 million in funding in 2014/15 from Ministry of health Funding increases as a result of growth over the last 3 years were as follows: $21.9 million in 2014/15 $21.4 million in 2013/14 $32.2 million in 2012/13. They also get public funding to serve aged people of Auckland District from NGO’s. TERMINOLOGY Terminology is meant to be the word which is used in different settings of science and in forensic science to name some special characters of some incidents and reactions in chemical. The old age person in the old age socially they called geriatric or elderly. Old age person- As the age recognised socially for the human being which is 65 years and they called retired people. ATTITUDES it is define how the people look the old age person, some of them are think they rely on their kids on the governments to live their lives. The elderly people with dementia they are isolated from the community in the mental institutions. Elderly people are undervalued by the young generation and discriminated against especially with loss of health and income. STEREOTYPES People start commenting them by words like useless or the words which hurts their dignity and respect. Person with cognitive impairments are socially isolated from community and from the family sometime. Most of dementia clients those with serious illness are unable to make decisions for their own lives where some of the families feel burden on them start suggesting them to go live separate or in rest home facilities. BARRIERS It is problem where elderly people get abused at home where they have to do home cleanings and home works like lawn moving, vacuuming. They also neglected most of the times due to their unwillingness and the diseases for the social parties in the families. Society starts undervaluing them when they starts going towards their retirement and they hurts their dignity where they feel disrespectful for themselves. They create image of elderly person of negative energy due to their suggestive nature to young people from their experience which always suggest them to do right things or in proper manners, these things also varies from culture or to religion. 2.3 SERVICE PROVISION All the service provided to aged people through hospitals their primary services and the services which they get from community. General practitioner- for the routines check up Hospitals- for the emergencies and accidents Work and income- for their financial part of their life Citizen’s bureau- for first time information NZ Positive Ageing Strategy (2001) Health Of People Strategy (2002) Above strategies helps to improve their quality of life improving their policies from their past years data gathering from their regional statics. ACESS FRAMEWORK RESTHOME FACILITY- it is started from GP first he assess the elderly person how much care they need for themselves, if it is fell dependence then they ask them to go for NASC assessment to get full service. Ministry of health – incorporate the strategies Auckland District Health Boards- Corporate the policies and strategies stated by Ministry of Health for Auckland District. They can access WINZ for their financials though their website. www.wins.govt.nz REFERENCES A Links Needs Assessment and Service Co-ordination (NASC) †¢ Healthpoint. (n.d.). Retrieved February 21, 2015, from http://www.healthpoint.co.nz/public/older-peoples-health/a-links-needs-assessment-and-service-co-ordination/ Seniorline Home. (n.d.). Retrieved February 21, 2015, from http://www.adhb.govt.nz/SeniorLine Auckland DHB. (n.d.). Retrieved February 21, 2015, from http://www.health.govt.nz/new-zealand-health-system/my-dhb/auckland-dhb Residential care. (n.d.). Retrieved February 22, 2015, from http://www.health.govt.nz/new-zealand-health-system/publicly-funded-health-and-disability-services/residential-care HEALTH OF OLDER PEOPLE STRATEGY {2001}. Retrieved February 23, 2015, from http://www.health.govt.nz/system/files/documents/publications/olderplebb.pdf The positive ageing Startegy Retrieved February 22, 2015, from https://www.msd.govt.nz/what-we-can-do/seniorcitizens/positive-ageing/strategy/

Communication barriers Essay

One of the most challenging issues, any manager will face, is communication barriers. Process, personal, physical, and semantic barriers is what I will focus on throughout this essay. For me, as a manager, the combination of lack of formal upbringing and non-traditional schooling contribute to my communication flaws. The process by which a person interprets a message being delivered is known as the process of communication. When an error occurs while two people are communicating this is known as a process barrier. This type of error can occur while using any form of communication including face to face, or media and can occur for many reasons. I, as a manager, struggle with encoding the messages I am trying to send. Due to my lack of formal upbringing and non-traditional schooling I have a hard time with vocabulary and correct word usage. While writing papers or emails I can use the built-in review tools to assist me such as spell check or grammar correct. I use a program like Word t o check my grammar and spelling when possible. While speaking face to face with people I use simple vocabulary and ask detailed questions to better understand them when needed. Personal barriers is defined as any individual attribute that hinders communication. This particular area of communication is one that I have struggled with my whole life. I have a tendency to talk very fast and not listen so well. I have trained myself to remember that listening is one of the most important steps in communicating with people. I have attended effective communication seminars to help me understand the importance of listening. My main source of communication is face to face and not through media. When communicating through email or text I tend to lose a lot of what I am trying to say. I also focus on using constructive criticism. I have learned from personal experience that it is easier to get your point across when the sender is open to hearing it. Factors such as bad signal, different time zone, and loud noise are known as physical barriers. Physical barriers is another huge reason why I prefer face to face meetings and conversations over media interactions. During a conversation the communicator can misperceive the receiver’s distraction by loud noise and think they are not listening or being rude. This can lead to a very frustrated communicator. When having important conversations with customers, employees, or other supervisors I  always practice active listening. In order for active listening to be effective I require the meetings to be in a designated quite open area that is distraction free. I make sure we have adequate funding for the best technology available to avoid any media physical barriers. We have the best modems, and routers available to a small business. This helps lessen the possibility of signal interruption during our virtual online meeting with the owner during our monthly meeting. The way a person interprets frequently used words can create a semantic barrier. An example of semantic barrier is a situation I personally went through. I will never forget my first experience, I was a new hire for a company within an industry I knew nothing about. I had 8 years management experience in a service industry, but the fashion industry was foreign to me. My new boss said to me, â€Å"We need to get those mannequins done tomorrow before we leave.† The next day came and I assumed we would do them together, but to my surprise my boss never mentioned them. Three days later I was being formally wrote up for not completing an assigned task, also known as insubordination. I was shocked and very frustrated. Due to this situation, when speaking with employees, I always give clear, defined instructions and check for understanding before leaving an employee to perform a task. During day to day operations I have developed Jargon for our office. Previously all the doctors were referred to as doctor and all the patients were known as patients. This became very confusing when trying to discuss specific doctors or specific types of patients. For example patient in room 5 ready for doc would be announced. Now each type of patient, hall, and doctor have a specific call. The same statement as above on the new system would be NP, blue hall, doc 5. It is very specific and leaves no room for wrong interpretation. The new practice of Jargon in the office reduced our semantic barriers dramatically. I am currently a manager for several doctors within one office here in Amarillo, Tx. I have developed procedures for my employees to follow when requesting a meeting with myself or other administrators so that we do not have any physical barriers. During the meeting I use tools such as active listening, assertive communication, and constructive criticism to ensure that there are minimal process or personal barriers. I encourage all employees to ask questions if they are not clear on what is expected of them. I have also developed a training program for our office Jargon that requires all  employees to attend meetings once a month to ensure their understanding of office terminology.

Child Beauty Pageants Must Stop Essay

A child beauty pageant is a beauty contest featuring contestants younger than 13 years of age. Divisions include talent, interview, sportswear, casual wear, swim wear, western wear, out-fit of choice, decade wear, and evening wear, typically wearing makeup as well as elaborate hairstyles. The debate about child beauty pageants in Australia is getting particularly ugly. Ever since the US group ‘Universal Royalty Beauty Pageant’ announced plans to hold its first Australian competition in Melbourne, the cries of protest from parent groups, psychologists and children’s rights organisations have been loud and fierce. â€Å"Would you stand your two daughters side by side in the lounge room and tell one of them that she’s more beautiful than the other?† Pull The Pin organiser, Catherine Manning said. For most people that’s a resounding no, and the reason is obviously not just because of the impact you have on the girl that you tell isn’t the most beautiful, but you’re also sending a really strange message to the girl that you tell is the most beautiful. Adolescent and child psychotherapist, Collett Smart, states that â€Å"it’s cruel to judge little girls on their appearance. To say to a young girl, no, you’re not pretty enough.† It’s harmful to a young girl’s self-esteem to tell her that she simply isn’t pretty enough and that’s the only reason she didn’t win the pageant. It starts to lead to three of the most common mental health problems in girls and women; eating disorders, low self-esteem and depression. In 2002, Stacey Weiner conveyed a study for a column she was writing on seventh-grade girls who viewed idolised magazine images of women, reported a drop in body satisfaction and a rise in depression. In 2005, a study conducted by Anna Wonderlich, of the University of Minnesota, eleven women who took part in child beauty pageants were compared to eleven women who did not. The study found pageant contestants score higher on body dissatisfaction, interpersonal distrust and greater impulsiveness. Child psychologist, Dr. Robert Reiner, stated in 2006 that many parents whose children took part in pageants were attempting to live through their young daughters and were often ‘very pushy parents who, for a variety of reasons didn’t get what they wanted when they were children’. In all the studies shown, 1 in 3 professionals all conveyed that child beauty pageants have major impacts on the well-being of these children, from low self-esteem to depression to eating disorders from such a young age. Savanna Jackson made headlines in the Herald Sun on June 7th 2012, because a three-year-old girl should not be allowed to have a spray tan, on a monthly basis. Lauren Jackson, Savanna’s mother, spends roughly $4,670 a month entering Savanna into beauty pageants. Lauren thought that when she reached the age two, that she would start giving Savanna tanning sessions so the other girls wouldn’t have an unfair advantage. Mrs Jackson first entered her daughter into a ‘natural pageant’ at 10 months, which allows little or no make-up. After Savanna won, her mum began entering her into ‘more glamorous’ pageants. She said that Savanna loved the attention and being on stage made her happier than she had ever been before. What more could a parent want for their child than seeing them happy, however, it starts to become a little concerning when Lauren tells the Herald Sun that her three-year-old daughter wears more make up than her 26 year old mother. Karen Nussbaum, a member from Minor Consideration, a non-profit foundation to give guidance and to support young performers, says that most stage mothers claim their child wanted to enter the pageant on their own. Do children under the age of 10 really know what is best for them? For example, in 1996, 7 year old Jessica Duboff died when her parents let her fly a plane across the country just because she wanted to do it. The Universal Royalty Beauty Pageant, made famous in the reality TV show Toddlers & Tiaras, is travelling from Texas this month so Australian children can compete in formal wear, photogenic and congeniality contests. A controversial article published by the ABC on April 6, 2012 by Stephanie Corsetti, interviews Australia MP’s and gets their opinions. Federal Labour MP Anna Burke is supporting the private members bill and calling for a national ban on the event. Anna says â€Å"dressing them up, fake tans, fake teeth known as flippers, even fake books and bums on three-year-olds is a bit of a ridiculous situation.† It makes us start questioning; do we actually want to promote this in Australia? Promoting something that is not emotionally and mentally stable for young people especially children under the age of 10. In another perspective, for those who believe child beauty pageants should not be banned, owner of Universal Royalty Beauty Pageants, Annette Hill, stated â€Å"if you are looking at children in a sexual way, you should be ashamed of yourself and something is wrong with you. It’s all about a beautiful dress, a beautiful child with lots of personality performing on stage.’ Brendan O’Neill wrote an opinion piece published by the ABC on August 4, 2011 which stated â€Å"the pageant-bashers see SEX, a little whore, a walking, talking temptation for the predatory paedophiles who apparently lurk in every street and alleyway in Australia.† There needs to be a limit on these horrendous child beauty pageants. Change the age to at least 13/14 years old or limit the amount of make-up used etc. That is approach Sally Belinda Broad took. Direct of Australian Kids Pageants. â€Å"our events are ‘natural’ pageants where anything fake is disallowed and age appropriate appearance and performance is encouraged.†

5 Activities for Creativity Improvement for Students

It’s not uncommon for students to experience â€Å"blocks† when facing everyday challenges in school. You can’t get that exam ready, you can’t put yourself up to writing that essay, or simply, homework assignments start to seem tedious or mundane. If you recognize yourself in some of these situations, don’t sweat it; it just goes to show you’re a normal student like any other. But how can you overcome this feeling and start enjoying the tasks assigned to you? Start by putting your creativity to the test. Making your mind go wild and thoughts float freely can be difficult, especially if you’re living with other people, working a job to pay off tuition, or have a cat that jumps up and down the room (it happens). Creativity is a thing of beauty; it allowed us humans to change the world and shape it since the dawn of time. Imagine for a moment that you could not only focus, but be creative about your learning and work. Here are five smart activities to help you ignite your creative spirit and improve your learning abilities in college: 1.Alternative Uses An activity that’s widely regarded to be both productive and engaging when it comes to creativity. Grab the first item you can find at your hand’s reach. A pen, a notebook, anything will do. Now think of ten ways to use it. For example, we can use a notebook as a makeshift tent, albeit a small-scale one. Think of ten examples like this. Go wild, don’t think about the why, not just the how. The test may come off as silly, but it actually activates divergent thinking and your results divide into four categories: Fluency: How many uses for the item did you come up with? Originality: How uncommon are these uses? Flexibility: How many categories do your answers cover? (the tent for example, is an outdoor item) Elaboration: What’s the level of detail in the use you came up with? 2.Incomplete Figure This one is a gem if you’re into graphic design, art, or just like to scribble when you’re bored. Grab a piece of paper and draw a shape. Any shape; an incomplete letter, a half of a circle, a number. Now try to complete the image by using the shape as a base. This is called a â€Å"Torrance Test of Creative Thinking† and it was developed in the ’60 with the goal to identify people with alternative IQs. Sounds interesting, right? Give it a shot. You may be surprised with the results. 3.Riddles Using riddles to improve your creativity is an oldie but a goldie. Websites like GoodRiddlesNow.com offer a vast variety of brain teasers to get your creative side to front and center. Psychologists use riddles to specifically measure and develop convergent thinking, and unlike the first test about alternate uses, the goal here is to arrive at one specific answer. 4.Remote Associates Elephant, vivid, lapse; what do these three words have in common? It’s up to you to discover. The Remote Associates test revolves around giving yourself three words, seemingly at random, and trying to find a fourth word that links all of these together. The answer to the example in mind is â€Å"memory†. Seems obvious, right? Give it a try; creative thinking is best developed when you think about a wide number of subjects. 5.Candle Test Take this one in a safe environment, as it involves burning a candle. All you really need is a candle, a box of thumbtacks and a few matches. Your goal is to fix the candle to a wall in a way it doesn’t drip wax onto the table below it. Sounds crazy, right? The test was developed by a psychologist Karl Duncker in 1945 and it’s a classic when it comes to overcoming creativity problems. Just be careful not to burn anything. Try taking one or two of these at different times during the day; take days in between to process the information and give your mind some rest. You’d be surprised by how you’ll think of new and intriguing ways to overcome infamous writing blocks or studying deprivations. It’s all a matter of perspective, and if you give yourself a fresh one, the amount of work you can get done will increase exponentially. And do be careful with that candle!