Monday, January 27, 2020

Stakeholders Project Organizations

Stakeholders Project Organizations To address the theme of project requirements, carry out research and, from your findings, draft Clearly structured notes that explain what is: †¢ Meant by the terms primary, secondary and tertiary stakeholders. †¢ The purpose of a scope document and what sections it should contain. Stakeholders Introduction:Stakeholders are anyone who has an interest in the project. Project stakeholders are individuals and organizations that are actively involved in the project, or whose interests may be affected as a result of project execution or project completion. They may also exert influence over the projects objectives and outcomes. The project management team must identify the stakeholders, determine their requirements and expectations and to the extent possible, manage their influence in relation to the requirements to ensure a successful project. Project Project Stake holder Project management Project Support Project Manager How a Stakeholders directly involved in a project Figure : The Relationship Between Stakeholders and the Project There are three kinds of stakeholders are involved in a project they are ivolved in a project internally or externally like that . Primary stakeholders Secondary stakeholders Tertiary stakeholders Primary stakeholders Primary stakeholders are those people and groups eventually affected by the project. Who expect to benefit from or be negatively affected by the change of project. In most projects primary stakeholders will be categorized according to socio-economic assessment. Thus, primary stakeholders should often be divided by gender, social or income classes, occupational or service user groups Primary stakeholders a direct link with the business- Customers. Suppliers. Secondary stakeholders: Secondary stakeholders are those with an intermediary role. They can be divided into funding, implementing, monitoring and advocacy organizations, or simply governmental, NGO and private sector organizations. Secondary stakeholders arent exactly participating customer and suppliers. Who is indirectly affected by the project plan. Forestry companies Landowners and or residents not inside the protected area but near Tertiary Stakeholders: Tertiary Stakeholders are those who are not involved or affected, but can influence opinions either for or against. Tertiary- can still have an influence, but are not involved or affected, but can influence opinions either for or against Those indirectly affected by the program neighborhood organizations, academic institutions, elected officials, advocacy groups, professional associations, skeptics, opponents, and staff of related or competing organizations. Local opinion leaders Local media Ecology departments of universities, research institutes etc. Scope Document Introduction: The scope document is a common term for at all document that refines and defines the requirements aspect of the triple constraint of time, cost, and requirements. In this general sense, it provides an overview of what the project is supposed to accomplish and clarifies how those accomplishments will be achieved. It may also provide the team members, customer, and project manager with insight on what is specifically not in the scope. Section contain This section summarizes some of the business issues around the project, including profiles of major customer categories, assumptions that went into the project concept, and the management priorities for the project. Vision Statement. History of project (Before) Assumption Risk Stakeholder User Vision statement: It is important to a project manager vision and scope document. It is also one of the easiest to execute. A project faces some problem when a project run a good vision and scope document will help in this time History of project (Before) History of project section contains a summary of the problem that the project will solve. It should provide a brief history of the problem and an explanation of how the organization justified the decision to build software to address it. Assumption This is the list of assumptions that the stakeholders, users or project team have made. the rest of the vision and scope document should be ready before the Delphi meeting and used as the basis for estimation. Risk It should be generated by a project teams brainstorming session. It could include external factors that could impact the project, issues or problems that could potentially cause project delays or raise issues. User This is a bulleted list of the users. As with the stakeholders, each user can either be referred to by name or role however, if there are many users, it is usually inefficient to try to name each one. The needs of each user are described. Task -2 To address the theme of how to grasp and communicate the â€Å"big picture† (a higher level view of the project overall, rather than a lower level view of, say, tasks for team members) carry out research and, from your findings, draft clearly structured notes that explain the benefits of visual forms of communication compared to, say, text or speech. Provide examples of the following visual forms of communication to show that you understand how they work and what information they contain: †¢ Lifecycle models †¢ Activity networks †¢ Mind maps Give a written explanation of how each of these methods may be used to communicate key ideas in a project. Introduction: Planning and estimating a project has never been easy. All projects have certain characteristics in common. They all have a beginning and an end. In other words, they do not continue on forever. Projects result in the creation of one or more deliverables. Projects also have assigned resources either full time, part time or both. There are other characteristics as well. All organizations can have projects. Projects can include building a house or office building, planning and executing a marketing campaign, upgrading desktop operating systems, installing a new phone system, developing an IT business application, etc. Throughout the course of a project the plan always changes due to certain events, Such as a change in the requirements. In order to support these frequent changes, a Good planning process is essential. It should involve Reducing Risk Reducing uncertainty. Conveying Information to the customer helps support better decision Life cycle models are: There are three kinds of life cycle model Waterfall model V Model Spiral model Waterfall model But I like waterfall model instance of V model and spiral model. It easy to dived into isolated stage. Which is perfect for project because one stage complete another stage started .so it is sure that the stage is complete. Each stage realize on when previous stage complete. Every stage has a miles stone. It is easy to know about a project to se Waterfall model because it has various stages V model: I cont like v-model because of: -emphasize on testing. Time consuming Waste money because of taste in all phases. Spiral model: its difficult to represent its not understandable to project team. Visual forms of communication System acceptance test Business Requirement Analysis Design Code test Integration Test Fig: Water fall Model 0 6 6 Task 1 0 0 6 6 14 20 Task 2 6 0 20 20 7 27 Task 3 20 0 27 27 7 34 Task 4 27 0 34 34 4 38 Task 5 34 0 38 38 2 40 Task 6 38 0 40 40 40 0 0 40 40 Fig: Activity Network Diagram Fig: Mind Map Life cycle model Written explanation Waterfall Model: Waterfall model is a popular life cycle of the project life cycle model . Often considered the classic approach to the project development life cycle, the waterfall model describes a development method that is linear and sequential. Waterfall development has distinct goals for each phase of development.. Once a phase of development is completed, the development proceeds to the next phase and there is no turning back. Advantages / Disadvantages Most-widely used process model Controls schedules, budgets documentation Tends to favor well-understood system aspects over poorly understood system components Does not detect development areas behind schedule early in the lifecycle stages. Business Requirement: what is requiring in a business to do met in order to successes of a project.Establishes the components for building the system, including the row matatiels of a project and other necessary components Analysis: in analysis stage of a project a project manager is accept the all knowledge of a project how to solve it when its solved (project). Design: The design defines the major components and the interaction of those components, but the design does not define the structure of each component. It is determine the external interfaces and tools to use in the project. Code test: Implements the detailed design specification this only for code and Determines whether the project meets the specified requirements and finds any errors present in the code. System acceptance test: Acceptance testing is conducted within the testing area .its purpose is to allow the customer to confirm that the complete system. A detailed acceptance test plan is produced prior to testing which identifies the test to be conduct. Mind map A Mind map which represent a project with a graphics. Mind map is a diagram used to represent words, ideas, tasks or other items linked to and arranged radically around a central key word or idea. It is used to generate, visualize, structure and classify ideas, and as an aid in study, organization, problem solving, decision making, and writing. Mind mapping, on the other hand, is a more intuitive way to manage projects, particularly if you have a lot of responsibilities and its easy to let something slip if its not right in front of you Mind map show the level Strategic, Tactical, Operational And who is responsible for a particular work of a project. Activity network Activity Networks is one of the most popular planning techniques. However, the activity networks diagrams have since been applied to activity planning for a wide range of projects. The approach is very scalable, enabling it to be applied effectively to the planning of activities spanning even a very short time frame. The activity network is a diagram that represents the activities required and their inter-dependencies, their start and finish dates and the time necessary for their completion. The resources required for each activity are also included on the diagram. Activity Networks are made up of a series of activity boxes, each of which depicts a discrete activity or task. It is easy to know of a project details by using activity network such as Early Start Time: Est. represent of the start time of a project Duration: How long time the project continues. Early finished time: when the project complete Activity description: this is which task is depends other task. Last Start Time: Last finished time minus Duration Last finished time: Last Start Time of succeeding activity Float Critical Path: once the resources required to complete each activity have been identified and the activity network updated to reflect these, then the start and finish dates can be added. With the shape and size of the planned area of work now visible, the total cost of the resources can be calculated. There will always be a critical path running through any project, from the first activity to the last. The critical path is defined as that series of activities that have zero float. The concept of float is central to critical path analysis, as it represents the ability to schedule an activity, or sequence of activities, within a flexible time slot rather than having to perform it immediately. This enables the more efficient management of resources across all of the activities in the network. How to calculate Float of a project Reading through activity networks from left to right gives the total duration of the planned work. Reading back through the network, subtracting each duration shows those activities that have any spare time. This spare time, known as float, is a very useful concept in relation to resource scheduling and smoothing. Float identifies parcels of time that can be used to introduce flexibility into the planned work, enabling the more efficient use of the available resources. Summary: project Lifecycles model which represent the Controls schedules, budgets documentation with graphics about a project .Activity Network which is needs for time management of a project such as est,eft lst,lft float,critical path etc, Mind Map It is used to generate, visualize, structure and classify ideas, and as an aid in study, organization, problem solving, decision making, and writing. Task-3 On the theme of team selection and management, carry out research and, from your findings, draft Clearly structured notes on the team working theories devised by: †¢ Tuck man †¢ Belbin †¢ Myers-Briggs Write a summary of how knowledge of each theory might assist a project manager in the selection and development of an effective project team. Write notes that show how to assess the risk of team failure, using a risk matrix to document at least TWO possible risk scenarios, such as loss of key personnel or infighting between team-mates. Summaries the contingency plans you would call into effect, if the risks were realized. 1700 SUMMARY of Tuck man theory: Tuck man model explains that as the team develops maturity and ability, relationships establish, and the leader changes leadership style. Beginning with a directing style, moving through coaching, then participating, finishing delegating and almost detached. At this point the team may produce a successor leader and the previous leader can move on to develop a new team. Tuck man theory basically consists of four thing Forming Storming Norming Performing How to create a project group Storming 2 Forming 1 Performing 4 3 Norming Forming In the beginning step of a project which is forming the team is assembled and the task is allocated Firstly. Team members tend to behave independently and although goodwill may exist they do not know each other well enough to unconditionally trust one another. Time is spent planning, collecting information and bonding. Storming The second step of a project which is Storming The team starts to address the task suggesting ideas from a project. Different ideas may compete for ascendancy and if badly managed this phase can be very destructive for the team. Relationships between team members will be made or broken in this phase and some may never recover. In extreme cases the team can become stuck in the Storming phase. If a team is too focused on consensus they may decide on a plan which is less effective in completing the task for the sake of the team. This carries its own set of problems. It is essential that a team has strong facilitative leadership in this phase. Norming The thread step of a project which is Storming in Tuck man model As the team moves out of the Storming phase they will enter the Norming phase. This tends to be a move towards harmonious working practices with teams agreeing on the rules and values by which they operate. Team leaders can take a step back from the team at this stage as individual members take greater responsibility. The risk during the Norming stage is that the team becomes complacent and loses either their creative edge or the drive that brought them to this phase. Performing The four step of a project which is performing in Tuck man model Not all teams make it to the Performing phase, which is essentially an era of high performance. Performing teams are identified by high levels if independence, motivation, knowledge and competence. Decision making is collaborative and dissent is expected and encouraged as there will be a high level of respect in the communication between team members. Summary of Myers-Briggs theory: The Myers-Briggs personality typology, unlike some other typing theories such as the Enneagram or Four Temperaments, uses a combination of several aspects to arrive at a composite type, based on the interaction and relative weight of different behavioral and attitudinal factors. The types are expressed as combinations of four letters, as follows: E or I (Extravert or Introvert) S or N (Sensing or intuitive) T or F (Thinking or Feeling) J or P (Judging or Perceiving) Summary of Belbin theory: The term Team Roles was first coined by Dr Meredith Belbin, but is now used more generically to describe team types. A Team Role is defined by Meredith Belbin as: A tendency to behave, contribute and interrelate with others in a particular way. It is usually written Team Roles, but can also be found as teamroles or team-roles. Belbin Team Roles improve self-knowledge and understanding among individuals and teams. Team Roles depict a current behavioural pattern ,Preferences arent fixed, since many factors can influence behaviour, whether a new job, promotion or circumstances outside work. Co-ordinator Shaper Resource Investigator Company worker Monitor evaluator Team worker Completer finishers Specialist Co-ordinator: The co-ordinator is a person-oriented leader. This person is trusting, accepting, dominant and is committed to team goals and objectives. The co-ordinator is a positive thinker who approves of goal attainment, struggle and effort in others. Shaper: The shaper is a task-focused leader who abounds in nervous energy, who has a high motivation to achieve and for whom winning is the name of the game. Resource Investigator: The resource investigator is someone who explores opportunities and develops contacts. Resource investigators are good negotiators who probe others for information and support and pick up others ideas and develop them. Company Worker: Implementers are aware of external obligations and are disciplined, conscientious and have a good self-image. They tend to be tough-minded and practical, trusting and tolerant, respecting established traditions. Team worker: Team workers make helpful interventions to avert potential friction and enable difficult characters within the team to use their skills to positive ends. They tend to keep team spirit up and allow other members to contribute effectively. Specialist The specialist provides knowledge and technical skills which are in rare supply within the team. They are often highly introverted and anxious and tend to be self-starting, dedicated and committed Risk of Team failure Diagnosing Team Failure Teams are put together to combine the knowledge and expertise of team members, this helps to gain greater strategic thinking and enhanced creativity in business solutions. When teams fail to perform as expected, an attempt is usually made to pinpoint and blame the people responsible. However, the answer doesnt always lie in replacing the team or firing the ‘scapegoat but in answering the question, ‘what went wrong with the group as a whole and why? Unless we make an attempt to identify the underlying causes, its unlikely the solution will be found. Factors Identifying Six Common Problem Areas No Trust Between Team Members When team members dont trust each other or are suspicious of each others motives, the end result is a team that is not cohesive in its approach. Ineffective Interaction and Unproductive Team Meetings All the complexities of team dynamics come to the fore at the meeting. The meeting is one of the most critical aspects of the team process with strategies and innovative solutions to problems emerging during this time. Poor Role Clarity Role clarity is a must in a team situation. When roles are not clearly defined, this can lead to conflict and confusion on tasks. Losing Focus of Business Objectives If you dont know where you are heading, how can you get there!? At times a team fails because the goals are unclear to the team members. Faulty Analysis of Market Conditions and Flawed Company Policies At times a team can fail due to uncertainties in market conditions and an inability to read the signs of change. Poor Time Management A team should plan its goals and activities whilst keeping time constraints and deadlines in mind, otherwise their efficiency level in managing and implementing a task can Risk Matrix A Risk Matrix is a tool used in the Risk Assessment process, it allows the severity of the risk of an event occurring to be determined. http://www.databasepublish.com/solutions/project-services/risk-management The identified risks are collected into a Risk Matrix. The Risk Matrix includes the rating of severity, mitigation strategy, owner and contingency plan for each risk. These proposed actions are formulated to address the risks that can be avoided upon implementation of a mitigation strategy. For example Impact Probability High No Trust between team member High Poor Role Clarity High Poor Time Management Medium Faulty Analysis of Market Conditions and Flawed Company Policies Law Ineffective Interaction and Unproductive Team Meetings High H/H Mitigation/Contingency Required H/H Mitigation/Contingency Required H/H Mitigation/Contingency Required H/M Mitigation/Contingency Required H/L Mitigation/Contingency Recommended Midium M/H Mitigation/Contingency Required M/H Mitigation/Contingency Required H/H Mitigation/Contingency Required M/M Mitigation/Contingency Recommended M/L Mitigation/Contingency Optional Low H/H Mitigation/Contingency Required H/H Mitigation/Contingency Required L/H Mitigation/Contingency Recommended L/M Mitigation/Contingency Optional L/L Mitigation/Contingency Optional Probability / Impact Ranking Chart for Risk Matrix of a project The company or organisation then would calculate what levels of Risk they can take with different events. This would be done by weighing up the risk of an event occurring against the cost to implement safety and the benefit gained from it. Contingency Introduction:A project contingency or management reserve is an amount the consultant or the contractor may want to include the unexpected resources that may be overlooked or tasks that may have to be redone because they might not work for the first time. Contingency provision is to cover the elements of unforeseen minor changes in the technical and design specification. Contingency Plan: A defined set of tasks agreed upon by appropriate members of the Project Team that will be undertaken to manage the Project Team in the event the Risk occurs, roughly equivalent to an organizations various Disaster Plans. Tasks should be assignable to a single accountable resource. Given the substantive effect that the Risk is judged to have on the Project, the Contingency Plan may be relatively short with the realization that if it is invoked, it will ultimately give rise to a larger Project Plan detailed elsewhere. Otherwise, the guidelines for granularity etc. of individual tasks are identical to those described for the Mitigation Strategy. All risks with a must have an associated Contingency Plan If the decision has already been made to cancel the project if the Risk occurs, the Contingency Plan should stat

Saturday, January 18, 2020

Role of communication and interactions with individuals who have dementia Essay

1. How do individuals with dementia communicate through their behaviour (1.1) Persons with dementia may communicate through behaviours such as: †¢Repetition of actions or questions, this may communicate anxiety over memory loss, boredom from inactivity, to seek reassurance, picking at clothing due to anxiety. †¢Aggression, this may communicate depression, an inability to rationalise, impaired judgment, feeling embarrassed and fearful of humiliation, frustration that they are unable to remember what they are meant to be doing or that others do not understand their need to accomplish tasks that they feel to be important. Can find no other way to express themselves. †¢Pacing or walking, this may communicate a desire to visit a certain place or person. Although the individual may have forgotten who or where. They may be bored and attempting to use up energy, uncomfortable from sitting, confusion about what they are meant to be doing or where they are, to enter in to past routines of behaviour that once served an important purpose that the individual feels they need to accomplish. †¢Becoming suspicious of others, this may communicate that the individual is experiencing memory loss and is having difficulty recognizing familiar faces †¢Pointing and vocalizing to communicate their intentions as the individual loses the use and understanding of their vocabulary 2. How you as a carer can misinterpret communication (1.2) †¢Not being attentive and missing behavioural communications such as picking at items, failing to make eye contact or being out of the persons view, not creating an environment conducive to communication (adequate lighting, low background noise levels etc) †¢Not allowing the individual time to process information before continuing the conversation. †¢Misunderstanding the intention behind a given response as the individual may mean one thing but say another. †¢Individuals in a support team may fail to record information and communicate with one another when they have identified a need for a behaviour and the correct response to that need. i.e., the individual may pace because they are anxious remembering a forgotten routine (the need to catch the bus so they are not late for work). †¢Asking open rather than closed questions requiring a yes or no answer. Making communication difficult. 3. Explain the importance of effective communication with individuals with dementia (1.3) We all communicate to express needs and share information. In order for these needs to be met there must be someone open to receive information and a receptive environment in order for information to be shared effectively. As a person with dementia already has a compromised ability to communicate, communication needs to be effective and understood or the client may not understand what is being done to them, where they are being taking. It is important that for effective communication to take place the care giver: †¢Creates an environment that supports effective communication oAdjust lighting so you can be seen and you can in tern see, adjust lighting, close curtains if excessively sunny etc. Reduce the distraction of background noises Approach communication when there is reduced or no distracting activity in the surrounding environment oTry to make the individual’s environment comfortable in terms of temperature, seating arrangements, attempting to meet baser needs, food, drink, toileting. †¢Presents themself in a way that supports communication: Position yourself in a way that enables eye contact to be made (but not to invade personal space or intimidate) oBe aware of your non-verbal bodily communication, allow the individual to see your body language as they will be more receptive to this than speech, ensure your body language is in keeping with your intentions to avoid mixed messages †¢Speech: oRemain positive and present information in an enjoyable and pleasurable manner but avoid patronising oWhen assisting with tasks attempt to offer direction by decompiling tasks to their fundamental components rather then assuming the individual will recall how to carry out complex activities i.e. putting on shoes. Redirect the topic of conversation or activity if the individual becomes distressed rather then arguing your point oAssume that the individual can understand what you are saying. If they are present while other conversations are taking place, be respectful and show dignity by not discussing them in their presence oAttempt to retain as much of the persons autonomy as is possible by offering choices, i.e. food, clothes, activity. However keep choices simple, in the present and not abstract. Asses the individual’s ability to choose; as the illness progresses, simple choices can become overwhelming and may need to be revised. †¢Assisting with activities: Do not boss the individual; allow them time to attempt tasks at their own pace. If people feel that they are being controlled they may resort to aggression or withdraw. oUse hand over hand techniques as opposed to carrying out tasks for individuals. Praise efforts and avoid highlighting errors. 4. Describe how 3 different forms of dementia can affect the way an individual communicates. (1.4) Vascular Dementia: †¢Caused by a series of small strokes, Vascular dementia can compromise understanding of language, memory and ability to follow instructions. Early symptoms may include slurring of speech (affecting the individuals ability to verbally express), dizziness (affecting concentration), short term memory (affecting the ability to take in new information, adjust to new situations, settings and people). More dominant symptoms affect a person’s control over bladder and bowel movements compromising the ability to communicate these baser needs, ability to process information and abstract thought affecting a person’s independence and autonomy. Dementia Pugilistica: †¢Brought upon by a repetition of concussions, the dementia commonly effects a decline in mental abilities, lack of concentration (affecting a person’s ability to hold a conversation, process information, attention to tasks). Personality disorders including psychomotor retardation (a slowing-down of thought and a reduction of physical movements affecting processing skills, learning new information, recalling learnt information and ability to  complete tasks), exacerbation of aggression, suspiciousness (effecting trust in relationships and inclusiveness), loquacity (becoming talkative). Huntington’s Disease: †¢A neurodegenerative genetic disorder that affects muscle coordination and leads to cognitive decline and psychiatric issues. Some of the symptoms and their effect on communication could be: Motor dysfunction, jerky, random, and uncontrollable movements may affect both the individual’s confidence in their ability to communicate and their ability to express and gesticulate. Slowed saccadic eye movements (quick, simultaneous movements of both eyes in the same direction) may affect the individual’s ability to make or maintain eye contact affecting attention, ability to read both facial and bodily expression. Rigidity, writhing motions or abnormal posturing would affect the individual’s ability to express themselves through body language. Abnormal facial expression, difficulties chewing, swallowing and speaking would affect both use of the spoken language and accurately conveying emotion and intent through facial expression. oSleep disturbances would leave the individual feeling tired, affecting concentration, temperament, attention and emotional state Ability to correctly initiate appropriate actions and to inhibit inappropriate actions could affect the individual’s ability to gesticulate creating, misunderstandings and possible offence. Impairment in the range of short-term memory and deficits to long-term memory may affect the individual’s ability to retain information required to hold conversations in context, identity of others, what’s their relationship, what are their intentions. 5/6. Give 3 examples of how you have positively interacted with clients with Dementia and explain how these positive interactions contribute to their wellbeing. (2.1)(2.2) Although I do have experience of interacting with people who have dementia, this was at a time when I was not a support or care worker. As I used to be a cook in a large care home, I interacted frequently with persons with dementia; I will use those experiences along with the information I have learnt as a result of this unit to answer questions 5 and 6. Example one: †¢As I would go about my work in the kitchen at the nursing home, there was a lady resident who would often stand at the kitchen door and would mutter to herself and occasionally look at me and say short sentences that to me made no sense as I did not know the content. Despite not knowing much about dementia, I felt comfortable in this lady’s company and felt that she was also comfortable with standing and chatting at the door: her stance, demeanour, tone and facial expression supported this. I would always speak to her in a calm, clear pleasant manner; as this was not only polite but reflected how she spoke in my presence. I’d greet her when she came to the kitchen door and ask how she was, I would tell her about what I was doing as a running commentary (cooking, chopping, baking etc). Although she never appeared to directly interact with me I sensed that standing in a kitchen and chatting were both familiar and comforting for her, as she would spend frequent part s of her day doing this. I felt it important to accommodate her presence and interact on her terms (not pushing for answers), using common politeness and manners, offering information as a framework for my conversation. I believe this allowed her to feel comfortable in the social situation while lacking social skills. Example 2: 3: †¢The only part of my job role that required me to assist individuals with daily living tasks was serving, describing and presenting their meals to them. I would assist the support staff in serving meals as dinner was a busy time. One gentleman in particular would often become distressed when his meal was presented to him; the nurse requested that when I write the meal choices on the menu board I present this particular individual with physical representations of the food for him to be better informed and have clearer expectations. Although it was not my place to help the patients make choices, the gentlemen when presented with the food items did take an interest in them and I presented him with his meal accordingly. Although the instances of anxiety still remained around dinner time they did however significantly decrease. I now know that the food items were used as objects of reference and I believe it would have been of greater benefit to all residents if they received a comb ination of a written menu, objects of reference, photographic or pictorial representations of meal choices  according to their individual abilities around choice making. I also believe that with the information gained in this unit, in hindsight the gentlemen in question would have benefited from a smaller range of choice, 2 items as opposed to 4. 7. Why is it important to involve clients with dementia in a range of activities, give three examples of how you have done this. (2.3) As stated in questions 5 and 6, I have no experience in supporting people with dementia. For the purposes of this question I will give three examples of activity that could be considered essential for most people. Humans are occupational and social beings, physically and mentally built to interact with their environments. Therefore activity would not only be a natural pursuit for all people, but, for individuals with dementia who are losing the ability to interact with the world around them, the use of activity would allow them both structure and purpose for interaction: linking familiar experiences of the past to the unfamiliar experience of the present. Example1 †¢Supporting individual with their morning ablutions. This task would have taken place for almost every morning of the individual’s lives, with guided and prompted support the individual may benefit from a sense of pride in appearance that would have been culturally important for members of the older generation. The support worker could reinforce the activity and the individual’s attention to task by complimenting them on their appearance. There may be a range of ways in which the client chooses to cleanse themselves; shower, bathing, or it may be appropriate for individuals of a certain generation to wash at a hand basin. The act of washing may hold some religious significance for the individual (Muslims are required to be clean when handling and reading the Qur’an) allowing them the benefits of their religious convictions. Example 2 †¢Accessing social occasions (tea at a village hall). The individual may  benefit from time spent away from their home in the company of others from a familiar cultural generation. Socialising may combat isolation, loneliness, feelings of despair, suicidal thoughts, offer the individual an opportunity to positively experience their identity. Example 3 †¢Accessing reminiscing sessions. This activity may immerse the individual in an environment filled with remnants of their formative years; familiar objects, smells, clothing etc; creating a sense of identity and safety, stimulating the mind and senses in a bid to prolong their cognitive abilities, believes that are supported by the Orientation Approach. 8. Compare reality Orientation Approaches to Validation Approaches. (2.4) The validation approach attempts to offer extremely disorientated individuals (predominantly the elderly at the end of their lives) an opportunity to express what are believed to be unresolved feelings and offers the care giver an insight in to the underlying meaningful reasons for what may be perceived as odd behaviours. The care giver attempts to empathise with the individual’s behaviours, mannerisms and expressions, presenting themselves in a non-confrontational and non-judgemental way; engendering trust and acceptance. Thus allowing the individual to communicate as they are able, rather than as they should. Unlike the validation approach, which attempts to enter the world of the disorientated individual, the orientation approach attempts to focus the individual’s perceptions in the real world. Using prompts such as calendars, clocks, current magazines or newspapers, menu boards, staff boards to orientate them in to the time and place that they currently occupy. It is thought that continual, repetitive reminders will keep the patient stimulated and lead to an increase in orientation. However, I have found through researching this topic that some care givers and providers have adapted the orientation approach (which advocates the present time) by creating and orientating individuals to the particular reality or time that they may be experiencing. 9. List the physical and mental health needs that may need to be considered when communicating with some one with dementia. (3.1) Physical needs: †¢Effects of stroke ( multiple TIAs bringing about vascular dementia) oParalysis on ether side of the body †¢Problems with vision †¢Speech and language problems †¢Memory loss †¢Muscle spasticity †¢Tremors †¢Incontinence †¢Disruptions in sleep patterns †¢Unable to remain settled, pacing †¢Loss of hearing and or tinnitus †¢Loss or increase of physical sensation, touch, sight, smell. †¢Ability to accurately form facial expressions Mental health needs †¢Depression †¢Sense of agency †¢Loss of hope, experiencing despair †¢Lack in recognition of familiar people or places resulting in possible suspicion †¢Experiencing frustration †¢Heightened sense of anxiety †¢Aggressive behaviour †¢Feeling fearful †¢Short and long term memory loss †¢Becoming withdrawn 10: Describe how a sensory impairment of someone with dementia can affect their communication skills (3.2) Visual impairment: †¢The individual may not be able to accurately gauge a person’s body language or facial expressions, minimising the amount of information they receive. The interpretation of light fall on objects and surroundings may be distorted resulting in confusion and anxiety. †¢Heightened sense of smell (Hyperosmia), this may affect how an individual smells both people and places around them, they may find bodily odours, perfumes, deodorants, and cleaning products offensive, reminiscent and confusing; affecting the individual’s tolerance of these smells and ability to concentrate on tasks such as communication. †¢Loss of proprioception (body’s internal sensory network of muscle and movement), this may affect an individual’s ability to express body language or gesticulate. †¢Taste, an individual may cease to communicate their desire, choice, interest in food if eating has become a displeasurable or confusing experience due to a change in their taste. †¢Change in the sense of touch, a heightened or dampened sense of touch may result in individuals recoiling from another touching them to show reassurance or gain attention as the sensory information received may relay pain, discomfort or not register at all. †¢A change in sensory input of any of the senses may be distressing and confusing for the individual, affecting their concentration, perception and desire to communicate. 11. Describe how an environment can have an affect on a client with dementia (3.3) A change in mental faculties, cognition, memory and mental health in a person with dementia coupled with an array of sensory impairments may affect the individual’s perception of their environment in the following ways: †¢The smell of the environment may distress individuals due to Hyperosmia. †¢A loss of vision may alter the perception of visual stimuli, bright light from a window or light bulb may wash out the visual field, shadows may create the illusion of people or objects, a change in depth perception may alter a person’s ability to gauge depth of furniture. †¢Reactions to the alterations in visual perceptions may be interpreted with fear, confusion, anxiety as objects may appear different to what they are, or the individual is unable to correctly identify or comprehend their purpose †¢The environment can be arranged to effect positive change, the dà ©cor and items can be chosen to  resemble familiar surroundings from a time or era that the individual is remembering. The Orientation Approach fills the environment with informative and stimulating objects (present time frame): large clock, calendar, staff board, meal board, current literature. 12. Describe how your behaviour and that of other carers can have an affect on a client with dementia (3.4) The care giver needs to consider the way they speak: whether it is positive or negative, does it show that you are attentive and caring, if a carer rushes their speech or does not allow the client time to respond, it may convey a lack of respect and that they don’t want to be there. The messages that the carer’s body language communicates must not be at odds with their verbal content; this may create confusion and appear as insincerity. The carer must be focussed on the needs of the client, not becoming distracted by personal discussions with other carers; at all times the chosen language must be that of the clients while in their presence. Interpersonal staff conversations conducted while staff are delivering care show a lack of respect and compassion, the client may not feel that they have a right to talk if they are not involved or may become distressed about the content of conversation and feel a need to become involved. Clients may feel that they can assist with a staff member’s personal problems, offering money or possessions, accepting gratuity is both unethical and would be in contravention of the code of conduct. This may be interpreted by clients as payment for preferential services or as theft: after a client having forgotten there offering discovers their money or possessions gone. Carers need to remain professional and stick to their roles as described in their job descriptions; if the client should request services that are in contravention of their role, the carer should politely decline the request and seek support/advice from their manager if they feel it necessary. 13. Describe how the use of language can hinder positive interactions and communications. (3.5) Clients with dementia will be experiencing a deterioration in their  cognition, attention, memory, producing and understanding language, learning, reasoning, problem solving. It is therefore necessary that the carer not only use their language and communication skills appropriately but they also recognise deficit in the client’s abilities and change their approach accordingly. The client’s deterioration in cognition will result in a struggle to comprehend both spoken and written language; if a client does not understand information they are more likely to withdraw and accept their confusion with feelings of embarrassment and ineptitude rather than seeking clarification. The carer should be attentive to the client’s communication needs; noticing if they are struggling to understand, offering the information in a more appropriate way. The carer should always adapt their vocabulary to that of the clients; considering the use of slang, euphemism, colloquialism, all owing time to process and respond, realising that the clients may have lost the ability to ask questions and seek clarification.

Friday, January 10, 2020

How have certain modern conflicts been described as ‘New Wars?’ Essay

Whilst ‘old’ wars have sometimes been referred to as ‘interstate industrial warfare’ which involve wars between states being fought by armed forces in uniform, with decisive encounters being decided on one battlefield, ‘new’ wars have been described by Mary Kaldor as ‘intra-state’ wars. In the last 20 years we have seen a paradigm shift; from armies with comparable forces doing battle on a field to strategic confrontation between a range of combatants using different types of weapons .These so-called ‘new’ wars which involve the use of civilians as both targets and objectives to be won, have been said to have been led by globalisation, due to the fact that the integration created has led to â€Å"fragmentation,† as seen in the Yugoslav wars with these wars being wars on identity. An identity war is a conflict in which the quest for cultural regeneration, expressed through the demand that a people’s collective identity is publicly and politically recognised, is a primary motivation for conflict. These ‘new’ wars have constructed new sectarian identities (religious, ethical or tribal) that undermine the sense of a shared political community. They recreate the sense of political community along the new lines through purpose of fear and hate. These ‘intra-state’ identity conflicts have been prominent in many recent conflicts, with the Iraq war and The Arab Spring seeing the recurrence of tensions between the Shia and Shiite Muslims. Furthermore, conflicts in the Congo, Rwanda and Sudan were also fought on the lines of ethnicity, with ethnicity also being a real cause in the Yugoslav wars with Slavic Christians being pitted against Bosnian Muslims. Furthermore, ‘new’ wars have differing characteristics to ‘old’ wars. As mentioned earlier, ‘old’ wars traditionally saw conventional armies fighting against each other, however with ‘new’ wars, we have seen a blurring between civilians and soldiers. This can be seen through the feminization of war, which has been seen in conflicts such as Rwanda, and the use of child soldiers in conflicts throughout Africa including Rwanda, Sierra Leone and Congo. This change has meant that women and children have become the main targets and victims of war and armed conflict in today’s conflicts. It estimated that 75% of all African wars are fought by children, and whilst rape has traditionally been a by-product of war for many centuries, it is now thought that War Rape is genuine military tactic. War Rape has been seen primarily in Rwanda where it is thought that 1 million women were raped and in the Yugoslavian Wars where ‘Rape Camps’ were set up. As one UN peacekeeper working in Africa put it, â€Å"It has probably become more dangerous to be a woman than a soldier in an armed conflict.† ‘New’ conflicts have also seen new tactics come in to play aside from ‘War Rape.’ Often’ ‘new’ conflicts have seen the occurrence of ‘Asymmetrical’ wars. Asymmetric warfare exists when two combatants are so different in their characters, and in their areas of comparative advantage, that a confrontation between them comes to turn one side’s ability to force the other side to fight on their own terms. Tactics used in these conflicts are often Guerrilla warfare and low-intensity hit and run conflict. An obvious example of this is seen in the conflict in Afghanistan through the use of IEDS and roadside bombs. Essentially such strategies used in the ‘war of the flea’ involve inflicting pain over time without suffering unbearable retaliation in return. Lastly, ‘new’ conflicts differ from ‘old’ conflicts through their funding. Whilst ‘old’ conflicts were funded through the state, as seen in the WW2 and the entrance into ‘total war’, ‘new’ wars are characterised by funding through the criminality of war. This illegal funding has been seen in Sierra Leone, where funding was acquired through the selling of blood diamonds, in Afghanistan where the Taliban are funded through the selling of opium, and finally in the Bosnian war, where counterfeit cigarettes funded Para-military groups involved in ethnic cleansing. To conclude, recent modern conflicts have been classified as ‘new’ conflicts as they differ through their legitimacy, funding and tactics.

Thursday, January 2, 2020

Guzman Surname Meaning and Origin

The Guzman surname comes from uncertain origins. Two of the disputed theories include: A descendant of Guzmà ¡n (good man), a lord or nobleman. It could also indicate a cadet or noble who served in the military.  A habitational surname from  de Guzmà ¡n, or  of Guzmà ¡n, derived from the village of Guzmà ¡n (es) in the province of Burgos, Spain.As an  eastern Ashkenazic name, it could be a variant of Gusman, an  occupational name for a metalworker, from the Yiddish gus, meaning casting and  man. The ancient Guzman surname is the 43rd most common Hispanic surname, and found in all parts of Spain and the Hispanic world. Surname Origin:  Spanish Alternate Surname Spellings:  GUSMAN Where Do People With the Surname Live? According to WorldNames PublicProfiler, individuals with the Guzman surname are found in greatest numbers in Argentina, especially the regions of Argentine Northwest, Cuyo, Gran Chaco, Patagonia, and The Pampas. However, their surname distribution results do not include data from all of the Hispanic countries. Forebears pegs the Guzman surname as most frequently found in the countries of Bolivia, the Dominican Republic, Mexico, Guatemala, Chile,  El Salvador, Guam, Puerto Rico, and Colombia, followed by Venezuela, Argentina, Peru, Cuba, Honduras, Nicaragua, and Spain. Famous People With the Surname Emerita de Guzman - Filipino scientistSanto Domingo de Guzmà ¡n (Saint Dominic) - founder of the Order of Friars Preachers, commonly called the DominicansLuis Guzman - Puerto Rican actor Genealogy Resources for the Surname Guzman Family Crest: It May Not Be What You ThinkContrary to what you may hear, there is no such thing as a coat of arms for the Guzman surname.  Coats of arms are granted to individuals, not families, and may be rightfully used only by the uninterrupted male line descendants of the person to whom the coat of arms was originally granted.   GUZMAN Family Genealogy ForumSearch this popular genealogy forum for the Guzman surname to find others who might be researching your ancestors, or post your own Guzman query. Source: Cottle, Basil. Penguin Dictionary of Surnames. Baltimore: Penguin Books, 1967. Menk, Lars. A Dictionary of German Jewish Surnames. Bergenfield, NJ: Avotaynu, 2005. Beider, Alexander. A Dictionary of Jewish Surnames from Galicia.  Bergenfield, NJ:  Avotaynu, 2004. Hanks, Patrick and Flavia Hodges. A Dictionary of Surnames. New York: Oxford University Press, 1989. Hanks, Patrick. Dictionary of American Family Names. New York: Oxford University Press, 2003. Hoffman, William F. Polish Surnames: Origins and Meanings.  Chicago:  Polish Genealogical Society, 1993. Rymut, Kazimierz. Nazwiska Polakow.  Wroclaw: Zaklad Narodowy im. Ossolinskich - Wydawnictwo, 1991. Smith, Elsdon C. American Surnames. Baltimore: Genealogical Publishing Company, 1997.