Prime Minister John Turner Biography

Prime Minister John Turner Biography John Turner was a Prime Minister in waiting for too long. By the time John Turner had waited out the Trudeau era and was elected Leader of the Liberal Party to become Prime Minister in 1984, the country was fed up with the Liberal government. Turner himself seemed out of date and out of touch. He made a number of political gaffes, including calling an early election, and the Conservatives won a massive majority. For six years as Leader of the Opposition, John Turner fought, unsuccessfully, against free trade with the United States. Prime Minister of Canada 1984 Birth June 7, 1929, in Richmond, Surrey, England. John Turner came to Canada as a young child in 1932. Education BA - University of British ColumbiaRhodes Scholar, BA in Jurisprudence, BCL, MA - Oxford UniversityUniversity of Paris Profession Lawyer Political Affiliation Liberal Party of Canada Ridings (Electoral Districts) Over the years, Turner held ridings in three different provinces - Quebec, Ontario and British Columbia. St-Laurent - St-Georges 1962-68Ottawa-Carleton 1968-76Vancouver Quadra 1984-93 Political Career of John Turner John Turner was first elected to the House of Commons in 1962.He was a Minister without Portfolio from 1965 to 1967, and Minister of Consumer and Corporate Affairs from 1967 to 1968.He ran for the leadership of the Liberal Party in 1968 but lost to Pierre Trudeau.In 1968, John Turner became Solicitor General of Canada.He was Minister of Justice from 1968 to 1972.From 1972 to 1975, John Turner was Minister of Finance. In 1974, his second budget was voted down in the House of Commons, and a general election was called.The Liberals won the 1974 general election and John Turner was again appointed Minister of Finance.Unhappy with the job of Minister of Finance and the economic policy of the government, John Turner resigned in 1975 to return to the practice of law in Toronto.When Prime Minister Pierre Trudeau retired in 1984, John Turner was elected Leader of the Liberal Party of Canada.John Turner was sworn in as Prime Minister of Canada in 1984.A series of patronage appointments by both Pierre Trudeau and John Turner, and an electorate tired of 16 years of Liberal government led to a Conservative victory in the 1984 general election. Brian Mulroney became Prime Minister. John Turner stayed as Leader of the Opposition for six years from 1984 to 1990.He retired from politics in 1993 and returned to the practice of law.

Biography of John Hancock, Founding Father

Biography of John Hancock, Founding Father John Hancock (January 23, 1737–October 8, 1793) is one of America’s best-known founding fathers thanks to his unusually oversized signature on the Declaration of Independence. However, before he autographed one of the nation’s most important documents, he made a name for himself as a wealthy merchant and prominent politician. Fast Facts: John Hancock Known for: Founding father with a prominent signature on the Declaration of IndependenceOccupation: Merchant and politician (president of the Second Continental Congress and governor of the Commonwealth of Massachusetts)Born: January 23, 1737 in Braintree, MADied: October 8, 1793 in Boston, MAParents: Col. John Hancock Jr. and Mary Hawke ThaxterSpouse: Dorothy QuincyChildren: Lydia and John George Washington Early Years John Hancock III was born in Braintree, Massachusetts, near Quincy, on January 23, 1737. He was the son of Rev. Col. John Hancock Jr., a soldier and clergyman, and Mary Hawke Thaxter. John had all the advantages of a life of privilege, by virtue of both money and lineage. When John was seven years old, his father died, and he was sent to Boston to live with his uncle, Thomas Hancock. Thomas occasionally worked as a smuggler, but over the years, he built up a successful and legitimate mercantile trading operation. He had established profitable contracts with the British government, and when John came to live with him, Thomas was one of the richest men in Boston. John Hancock spent much of his youth learning the family business, and eventually enrolled in Harvard College. Once he graduated, he went to work for Thomas. The firm’s profits, particularly during the French and Indian War, allowed John to live comfortably, and he developed a fondness for finely tailored clothes. For a few years, John lived in London, serving as a company representative, but he returned to the colonies in 1761 because of Thomas’ failing health. When Thomas died childless in 1764, he left his entire fortune to John, making him one of the richest men in the colonies overnight. Political Tensions Grow During the 1760s, Britain was in significant debt. The empire had just emerged from the Seven Years War, and needed to increase revenue quickly. As a result, a series of taxation acts were levied against the colonies. The Sugar Act of 1763 sparked anger in Boston, and men like Samuel Adams became outspoken critics of the legislation. Adams and others argued that only colonial assemblies had the authority to levy taxes upon the North American colonies; because the colonies had no representation in Parliament, Adams said, that governing body wasnt entitled to tax colonists. In early 1765, Hancock was elected to the Boston Board of Selectmen, the city’s governing body. Just a few months later, Parliament passed the Stamp Act, which levied a tax upon any sort of legal document- wills, property deeds, and more- leading to enraged colonists rioting in the streets. Hancock disagreed with Parliament’s actions, but initially believed that the right thing for colonists to do was pay taxes as ordered. Eventually, however, he took a less moderate position, openly disagreeing with taxation laws. He participated in a vocal and public boycott of British imports, and when the Stamp Act was repealed in 1766, Hancock was elected to the Massachusetts House of Representatives. Samuel Adams, the leader of Boston’s Whig party, lent his support to Hancock’s political career, and served as a mentor as Hancock rose in popularity. An illustration depicting a group of rioting colonists protesting against the Stamp Act. MPI / Getty Images In 1767, Parliament passed the Townshend Acts, a series of tax laws that regulated customs and imports. Once again, Hancock and Adams called for a boycott of British goods into the colonies, and this time, the Customs Board decided that Hancock had become a problem. In April 1768, Customs agents boarded one of Hancock’s merchant ships, the Lydia, in Boston Harbor. Upon discovering they had no warrant to search the hold, Hancock refused to give the agents access to the cargo area of the ship. The Customs Board filed charges against him, but the Massachusetts Attorney General dismissed the case, as no laws had been broken. A month later, the Customs Board targeted Hancock again; it is possible they believed he was smuggling, but it is also possible that he was singled out for his political stances. Hancock’s sloop Liberty arrived in port, and when customs officials inspected the hold the next day, found it was carrying Madeira wine. However, the stores were only at one-fourth of the ship’s capacity, and agents concluded that Hancock must have offloaded the bulk of the cargo during the night in order to avoid paying import taxes. In June, the Customs Board seized the ship, which led to a riot on the docks. Historians have differing opinions on whether Hancock was smuggling or not, but most are in agreement that his actions of resistance helped spark the flames of revolution. In 1770, five people were killed during the Boston Massacre, and Hancock led a call for the removal of British troops from the city. He told Governor Thomas Hutchinson that thousands of civilian militia were waiting to storm Boston if soldiers were not removed from their quarters, and although it was a bluff, Hutchinson agreed to remove his regiments to the outskirts of town. Hancock was given credit for the withdrawal of the British. Over the next few years, he remained active and outspoken in Massachusetts politics, and stood up against further British taxation laws, including the Tea Act, which led to the Boston Tea Party. Hancock and the Declaration of Independence In December 1774, Hancock was elected as a delegate to the Second Continental Congress in Philadelphia; around the same time, he was elected as president of the Provincial Congress. Hancock held significant political influence, and it was only because of Paul Revere’s heroic midnight ride that Hancock and Samuel Adams were not arrested before the battle of Lexington and Concord. Hancock served in Congress during the early years of the American Revolution, regularly writing to General George Washington and relaying requests for supplies to colonial officials. Despite his undoubtedly hectic political life, in 1775 Hancock took the time to get married. His new wife, Dorothy Quincy, was the daughter of prominent justice Edmund Quincy of Braintree. John and Dorothy had two children, but both children died young: their daughter Lydia passed away when she was ten months old, and their son John George Washington Hancock drowned at just eight years of age. Hancock was present when the Declaration of Independence was drafted and adopted. Although popular mythology has it that he signed his name largely and with flourish so King George could read it easily, there is no evidence that this is the case; the story likely originated years later. Other documents signed by Hancock indicate that his signature was consistently large. The reason his name appears at the top of the signatories is because he was president of the Continental Congress and signed first. Regardless, his iconic handwriting has become part of the American cultural lexicon. In common parlance, the phrase â€Å"John Hancock† is synonymous with â€Å"signature.† Fuse / Getty Images The official signed version of the Declaration of Independence, called the engrossed copy, wasn’t produced until after July 4, 1776, and was actually signed at the beginning of August. In fact, Congress kept the names of the signers secret for a while, as Hancock and the others risked being charged with treason if their role in the creation of the document was revealed. Later Life and Death In 1777, Hancock returned to Boston, and was re-elected to the House of Representatives. He spent years rebuilding his finances, which had suffered at the outbreak of the war, and continued working as a philanthropist. A year later, he led men into combat for the first time; as the senior major general of the state militia, he and several thousand troops joined General John Sullivan in an attack on a British garrison at Newport. Unfortunately, it was a disaster, and it was the end of Hancock’s military career. However, his popularity never dwindled, and in 1780 Hancock was elected governor of Massachusetts. Hancock was re-elected annually to the role of governor for the rest of his life. In 1789, he considered a run for the first president of the United States, but that honor ultimately fell to George Washington; Hancock received only four electoral votes in the election. His health was in decline, and on October 8, 1793, he passed away at Hancock Manor in Boston. Legacy After his death, Hancock largely faded from popular memory. This is in part due to the fact that unlike many of the other founding fathers, he left very few writings behind, and his house on Beacon Hill was torn down in 1863. It wasn’t until the 1970s that scholars began seriously investigating Hancock’s life, merits, and accomplishments. Today, numerous landmarks have been named after John Hancock, including the U.S. Navys USS Hancock as well as John Hancock University. Sources History.com, AE Television Networks, www.history.com/topics/american-revolution/john-hancock.â€Å"John Hancock Biography.† John Hancock, 1 Dec. 2012, www.john-hancock-heritage.com/biography-life/.Tyler, John W. Smugglers Patriots: Boston Merchants and the Advent of the American Revolution. Northeastern University Press, 1986.Unger, Harlow G. John Hancock: Merchant King and American Patriot. Castle Books, 2005.

Strengths and Weaknesses of a Theoretical Framework Centered on Term Paper

Strengths and Weaknesses of a Theoretical Framework Centered on Universal Notion of Gender - Term Paper Example Because of the situations presented to them by such a framework, members of the same gender learn to love and help each other in the society. For example, men may learn to work together and help each other as they strive for financial resources to help their families. On the other hand, women also learn to help each other in carrying out household chores. A theoretical framework that is centered on universal notion of gender has strength of helping the society maintain law and order. Once a belief concerning a certain gender becomes universally known, those concerned, that specific gender, tends to abide by what that theory states. Women for example naturally respected men and effectively take care of the family. In this case, gender roles in the society are strictly observed thus maintaining law and order. From birth, each child learns what is expected from him or her in the society. If such children learn that, that is what is universally expected of them, or that is their status in the society, they easily accept and practice it. In most western countries, though women are engaging themselves in professional jobs, they still uphold the universal believe that they are their family’s caregivers. Therefore, they ensure, at all costs, that they observe their roles at home as expected. After work, they go home to take care of chi ldren and cook for the family as men go out to enjoy themselves in bars. The weaknesses of a theoretical framework that is built on universal notion of gender include gender discrimination. In this case, if a certain gender, male or female, is universality viewed as weak, for example females, such a gender will be discriminated universally in every society because such a notion is usually believed to be a fact. The other weakness of a theoretical framework that is built around the notion of gender is that, it hinders self expression and individual strengths. In this case, individuals may fear to come out publicly and express themselves because of fear of the way the society might perceive them. For example, the African woman is believed to be inferior to the man, and is only supposed to care for the family. Such a woman may hardly express herself, and interests in the society, especially political ambitions. In Africa, women rarely stand out in the society for political or education al reasons because they can rarely succeed as almost everyone believes that that is not their role because of gender. Domestic labor among girl children has also had a negative impact on school performance among girls. They are expected to help their mothers as they learn the roles of motherhood instead of fully concentrating on education. Kinship and the Understanding of Gender Kinship is the study of links between different people that is based on descent, adoption or marriage (Vigdis, n. d.). Kinship has been a domain of definition in anthropological investigations since it was incepted in the late 19th century. Major paradigmatic changes in anthropology like feminism, cultural turn and political economy made kinship to undergo many restructuring phases. Detailed complexities in the system of kinship were considered important in the understanding of societies that were not from the west. Anthropological studies of kinship have been used to help in the understanding of gender as w ell as new forms of family, genetic development, lesbian and gay movements. In anthropological history, kinship is seen like a social institution

The Lockwood Group Essay Example | Topics and Well Written Essays - 1750 words

The Lockwood Group - Essay Example In the similar context, it can be stated that rather than paper and packing business, Lockwood had expanded its firm with the food industry. The company had gained long-term profitability in the market related to the food and packing industry. Further, they had expanded the business into other fields (The Lockwood Group, Inc, â€Å"New Strategies for the 21st Century†). The main purpose of this paper is to analyze the major situation faced by the Lockwood Group. Though the company had faced certain problems in the competitive market, it is essential to analyze their marketing situation and provide appropriate recommendations for the company. Therefore, it can be stated that the main motive of the paper is to provide recommendation for future by analyzing the Lockwood Group’s present as well as past marketing scenario (The Lockwood Group, Inc, â€Å"New Strategies for the 21st Century†). Major Situation Faced by the Lockwood Group Lockwood Group had faced major ch ange in the competitive market, as the company had initially started the business with packing and paper section. During the second part of the 20th century, Lockwood Group was engaged in producing auto parts, electrical equipments, metal alloys, electric motors, communication equipments, furniture, appliances, power equipment, specialty equipments and consumer products. However, Lockwood could not succeed in the above mentioned businesses. All the segments were sold or liquidated at losses (The Lockwood Group, Inc, â€Å"New Strategies for the 21st Century†). Though the Lockwood was bearing a loss, the CEO of the company has taken various majors in the 21st century to set up long-term profitability in the competitive market. Their main business was financial services, energy, and packaging along with forest products. The company had reinvested the funds in vicinity promising the expansion of cost-effectiveness. In 2001, Lockwood had increased its sales from the four main bus inesses due to adoption of various strategies as it has been stated earlier that the company had expanded the business in the four sectors (The Lockwood Group, Inc, â€Å"New Strategies for the 21st Century†). Financial Services Lockwood had started financial services in 2000s. The company had appointed the investment banker to trade the unwanted business and had invested the capital in financial business. Lockwood insurance sector had good profitability in the market. Visualizing the profitable financial scenario, the company had extended to insurance operation. In 2002, Lockwood financial services had three broad categories i.e. life insurance, real estate and causality insurance. Though the company was strongly positioned in the financial sector, its competitors were high, because Lockwood financial division was petite by the national standards (The Lockwood Group, Inc, â€Å"New Strategies for the 21st Century†). Energy Lockwood had operated in the energy business since 2004. The company had entered into energy businesses through the acquisition of the EasyGas Energy. Previously, Lockwood had small businesses in the offshore and onshore oil industry but later on expanded the firm into Gulf of Mexico and Mississippi. Lockwood had gained long-term

Critically examine the use of patient satisfaction as a measure of Essay

Critically examine the use of patient satisfaction as a measure of health care quality - Essay Example Patient satisfaction assessments are used to determine if the hospitals have accomplished the performance standards to qualify for Medicare reimbursements. Efforts are therefore focused on accomplishing the standards set in the VBP program and hence improved patient satisfaction. This essay critically examines the use of patient satisfaction as a measure of healthcare quality. It is aimed at developing a critical understanding of the political, professional and public dimensions of quality as well as an assessment of the relevance and validity of quality measures within the context of public services. Patient satisfaction is a multidimensional result that cannot easily be defined. The expectations of different patients for any healthcare setting are varied and significantly influence their satisfaction. The nature of ailment generates psychosocial aspects that may influence how a patient rates the level of satisfaction, such as pain, unhappiness and fear among others. For the healthcare professionals, patient satisfaction is characterized by the success of surgical procedures and the objective results. On the other hand, patients are likely to base their satisfaction on the inter-personal contact with the healthcare provider. This inconsistency between the parties involved is likely to weaken patient satisfaction as a measure of quality. Moreover, some of the survey questions are based on the communication between doctor and patient, focusing on doctor’s courtesy, esteem and attentiveness to the patient as well as simplicity with which a doctor explains issues to the patie nt (Neuner et al. 2014). There is a possibility of bias associated with individual perceptions of behavior and expectations. Doctors may not be focused on the interpersonal relationship as much as they do for the ailment, which makes efficient doctor-patient communication difficult. In most cases, inpatients are not aware of the doctor in charge of their treatment. This is

Care and Management of Asthma

Care and Management of Asthma Asthma is a common incurable disease that affects the small tubes carrying air in and out of the lungs in the airways; it is more common at childhood stage but can also occur at a later age (British Lung Foundation, 2011). The major cause of asthma has not been determined but it is believed that some factors as allergies, exercise and common cold contribute to its development. In the United Kingdom, asthma is being handled primarily by a General Practitioner or nurse. Healthcare can be provided in three major means: Primary, Secondary and Tertiary. They are delivered depending on the severity of an individuals condition. General Practitioners (GPs), Pharmacists, Nurses, Dentists and Optometrists are the main classes of healthcare providers that deliver Primary care. It is the basically the first point of contact for most individuals (National Health Service Choices, 2010). Care distinctively provided in local hospitals is usually on referral from primary care health providers, such t ype of care is basically referred to as Secondary Care. The third aspect of care is the tertiary care which is provided by specialist such as neurologist and cardiologist in a majorly specialised hospital centre for long term treatment. EPIDEMIOLOGICAL OVERVIEW OF ASTHMA Major facts that make Asthma a major health issue in the UK are: In 2008, a total number of 1,204 deaths were recorded from asthma in the UK, out of which 29 were children aged 14 years and under. 1 person every 7 hours or 3 people per day die from asthma 146,000 adults and 36,000 children currently are on treatment for asthma in northern Ireland making it a sum total of 182,000 people (1 in 10)In Northern Ireland 182,000 people (1 in 10) are currently receiving treatment for asthma. This consists of 36,000 children and 146,000 adults. In Scotland 368,000 people are currently receiving treatment for asthma. This consists of 72,000 children and 296,000 adults. In Wales 314,000 people are currently receiving treatment for asthma. This consists of 59,000 children and 256,000 adults (Asthma UK, 2011). the number of adults with asthma in the UK has increased by 400,000 since the last audit of UK asthma in 2001 about 2% of adults consult their GP annually with asthma ASTHMA CARE AND MANAGEMENT AND LOCALITY STUDY OF UK Asthma exists in various forms hence; its heterogeneity has been well established by a variety of studies that have proven the disease risk from early environmental factors and susceptibility genes, inflammation and therapeutic agent response further induces accompanying diseases (Lang et al., 2011). Risk factors associated with asthma are family history of atopic disease, for example Allergic rhinitis Allergic conjunctivitis Male sex, for pre-pubertal asthma, and female sex, for persistence of asthma from childhood to adulthood Bronchiolitis in infancy Parental smoking, including passive smoking Premature birth, especially in extreme-preterm infants who required ventilatory support, with consequent chronic lung disease of prematurity (NHS Choices, 2011) In the UK, asthma is more common among children than in adults and also has an increased rate in women than men (NHS choices, 2010). A condition referred to as acute asthma exacerbation could occur and could sometimes be life-threatening but is mostly rare. Asthma patients are treated with care by GPs and nurses trained for asthma management and such treatments are specific to the symptoms portrayed by each patient. This treatment (Primary care) basically involves: A personal asthma procedural plan concurred with your GP or nurse An annual regular check ensuring proper control of the patients treatment and positive response to the treatment Proper seeking of the patients consent ensuring his/her decision is involved in decision making of his/her treatment Comprehensive detailed information about how to control and manage the patients condition; while a Secondary or Reactive care is enforced in emergency cases to regain control of more high-risk symptoms. In treating asthma, reliever inhalers are given to every patient by the GP; these inhalers serve as immediate relievers and ensure restoration of normal breathing. It functions effectively due to its composition of a short-acting beta2-agonist that works by relaxing the muscles surrounding the narrowed airways (British Medical Journal group, 2011). This further ensures the airways are opened wider, making it easier to breathe again. Salbutamol and terbutaline are common types of this inhaler. They have been proven to be generally safe except when their use is abused although they possess very few side effects. If the asthma is well controlled, then their usage will be minimal; if a patient uses the inhaler for up to three times or more weekly then it is advised that the treatment be reviewed Secondary care and management of asthma is implemented when Patients exhibit a combination of  severe asthma, behavioural and psychosocial features, they hence are at risk of developing near-fatal or fatal asthma. (BTS and SIGN, 2009). Asthma care is dependent on the age of the patients in that children have a different mode of care as compared to adults, a critical look at the adult care is elaborated below. Prior considerations are basically that the patient is registered with his GP, will have to book for an appointment with his GP before visiting (except in emergencies as acute exacerbations), confirmation with the patient of their understanding of the role of treatment, adherence to treatment, inhaler technique, and appropriate elimination of trigger factors as: exercise, drugs foods, emotional factors, weather changes, allergens etc (Shiang et al., 2009) In analyzing the delivery of care to asthma patients in the UK, data from Office for National Statistics shall be addressed. Table 1 below signifies that there was a remarkable decrease in hospital admission in 2000 for asthma; it showed a 45 percent decrease among children between ages 5 and 14 years and a 52 percent decrease among children below 5 years (Office for National Statistics, 2004). TABLE 1 The management of asthma is patient-specific and is delivered by either the GP or asthma nurse; a respiratory nurse specialist works closely with the GP and the patient serving as the best form of encouragement to the patient in the procedural management of his/her asthma condition. The respiratory nurse specialist has a critical role in the management of asthma as elaborated that he/she: Explains the need for various inhalers (ensuring the best is offered to the patient) and provides the patient with information on treatment administered Advices on triggers and how to keep off them Assists the patient in quitting smoking (if applicable) Explicates on how to monitor the condition Provides the action plan of treatment and explains it to the patient. Is always available for assistance both at home and on the phone (NHS Choices, 2006) Nurses are generally recruited into the NHS through the website www.nursebank.co.uk , the Association of Respiratory Nurse Specialists offer courses for development and training of nurses and promote clinical excellence in respiratory care delivery (Association of Respiratory Nurse Specialist, 2010). The selection of a professional nurse in a recruitment procedure is dependent on factors as Years of experience, area of expertise and personal record check. CRITIQUE ON ASTHMA CARE Asthma management involves a wide range of services including primary care, routine follow up, hospital inpatient and outpatient care, proper education and advice of patient, emergency calls and prescribed drugs; these services when combined with the intensity and level of use result to a high cost (Department of Health, 2011). In 2001, England recorded a net ingredient cost of  £442million and around  £33million for inhaled therapy Brocklebank et al (2001). In prescribing drugs, the patient is considered as whether or not to use the drug/device appropriately; the most effective and clinically proven cost effective drug is also reasonably considered. However, restrictions imposed on manufacturers make some inhalers commercially unavailable hence the use of more expensive drugs. The British Thoracic Society (BTS) and Scottish Intercollegiate Guidelines Network (SIGN) have clinical guidelines on the use of inhalers for asthma (BTS and SIGN, 2009) however; there are inconsistencies or absence of recommendations for inhaler devices from these guidelines. Evidence-based guidelines are currently being prepared by the British Thoracic Society (BTS) and the Scottish Intercollegiate Guidelines Network (SIGN). There are criticisms on the effectiveness of the inhaler which largely depends on technique of administration by patient considering experience, physical ability and education on usage (NHS centre for reviews and Dissemination, 2003) CONCLUSION The role of a nurse in quality care delivery cannot be overruled especially in a health condition as asthma which could be critical and possibly fatal. The initial primary care given to asthma patients and subsequent secondary care has been proven to be appropriate in that the health status of patients is being improved. The incorporation of a respiratory nurse specialist has been a major milestone in achieving a better health status for asthma patients in the United Kingdom. REFERENCES Association of Respiratory Nurse Specialist (2010) professional development Available at: http://www.arns.co.uk/pages/professional%20development.html (Accessed: 11 March 2011). Asthma UK (2011) For Journalists: Key facts and statistics Available at: http://www.asthma.org.uk/news_media/media_resources/for_journalists_key.html (Accessed: 5 March 2011). British Lung Foundation (2011) Asthma, Available at: http://www.lunguk.org/you-and-your-lungs/conditions-and-diseases/asthma (Accessed: 9 March 2011). British Medical Journal group (2011) Asthma in adults Available at: http://bestpractice.bmj.com/best-practice/pdf/patient-summaries/531553.pdf (Accessed: 12 March 2011). British National Formulatory (2010) NICE Technology Appraisal. Available at: http://bnf.org/bnf/extra/current/450034.htm (Accessed: 9 March 2011). British Thoracic Society, Scottish Intercollegiate Guidelines Network (2009) British Guideline on the Management of Asthma: A national clinical guideline. Available at: http://www.sign.ac.uk/pdf/sign101.pdf (Accessed: 10 March 2011). Brocklebank, D.,  Ram, F.,  Wright, J.,  Barry, P.,  Cates, C.,  Davies, L.,  Douglas, G.,  Muers, M.,  Smith, D.,  White, J. Comparison of the effectiveness of inhaler devices in asthma and chronic obstructive airways disease: a systematic review of the literature Health Technology Assessment 5 (26) pp. 1-149. Pubmed [Online]. Available at: http://www.ncbi.nlm.nih.gov/pubmed/11701099 (Accessed: 4 March 2011). Department of Health (2011) Prescription Cost Analysis 2001. Available at: http://www.doh.gov.uk/stats.pca2001.pdf (Accessed: 11 March 2011). Lang M., Erzurum S., C., Kavuru M. (2011) Asthma. Available at: http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/allergy/bronchial-asthma/ (Accessed: 12 March 2011). Medicines and Healthcare Regulatory Products Agency (2007) vol (1) drug safety update. Available at: http://www.mhra.gov.uk/Publications/Safetyguidance/DrugSafetyUpdate/CON2033216 (Accessed: 12 March 2011). NHS Centre for reviews and dissemination (2003) 8 (1) Inhaler devices for the management of asthma and COPD Available at: http://www.york.ac.uk/inst/crd/EHC/ehc81.pdf (Accessed: 10 March 2011). National Health Service Choices (2010) About the NHS. Available at: http://www.nhs.uk/NHSEngland/thenhs/about/Pages/nhsstructure.aspx (Accessed: 5 March, 2010). National Health Service Choices (2010) Acute asthma in adults-management in primary care. Available at: http://healthguides.mapofmedicine.com/choices/map/asthma_in_adults2.html (Accessed: 9 March 2011). National Health Service Choices (2006) The role of your Respiratory Nurse Specialist. Available at: http://www.chelwest.nhs.uk/documents/patientLeaflets/Asthma%20-%20The%20role%20of%20your%20Respiratory%20Nurse%20Specialist.pdf (Accessed: 11 March 2011). Office for National Statistics (2004) Asthma and allergies: Decrease in hospital admissions in 90s. Available at: http://www.statistics.gov.uk/CCI/nugget.asp?ID=722Pos=1ColRank=1Rank=192 (Accessed: 8 March 2011). Shiang, C., Mauad, T.,  Senhorini, A., De Araà ºjo, B., Ferreira, D., Da Silva, L ., Dolhnikoff, M., Tsokos, M.,  Rabe, K.,  Pabst, R. (2009) Pulmonary periarterial inflammation in fatal asthma Clinical and Experimental Allergy 39 (10) pp. 1499-1507 Wiley [Online]. Available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2222.2009.03281.x/abstract (Accessed: 11 March 2011). LEARNING OUTCOME 2 LEADERSHIP IN NURSING AND ASSOCIATED PROFESSIONS A Leader is someone who guides or chairs a group of people or an organisation; it is common practice that a leader portrays some leadership skills to enable him/her be productive and effective. Cook (2001) describes a clinical nursing leader as someone who endlessly gets involved in direct patient care hence improving care by being of positive influence to others. All nurses (from those who provide direct care to the managers) need potent leadership skills. Mahoney (2001) emphasises that anyone (e.g. a nurse) who gives assistance to others or is responsible for other people is considered a leader; however, good leadership is reproducible superior performance targeted towards a long term benefit to everyone called for. John, (2011) has defined a manager as an individual with the sole responsibility to plan and direct the work of a group of people, ensuring proper monitoring and directives are followed. Management in nursing involves regarding leadership functions of administration and making appropriate decisions within organisations that employ nurses. SIMILARITIES BETWEEN LEADERS AND MANAGERS Leaders and managers go hand in hand, none of them tend to possess abilities that make them stand on their own, and there is no unique or particular way of managing people. Some basic similarities between managers and leaders are: People development: An effectual manager and leader have skills and abilities that tend towards the development of the people. Partnership working: the work of both a manager and a leader tend to be of a partnership level (Mather, 2009). Motivators: both leaders and managers are motivators of their subordinates DIFFERENCES BETWEEN LEADERS AND MANAGERS Thinking pattern: A major difference between a leader and manger is in their level of reasoning, Managers think incrementally, whilst leaders think radically; managers always work towards doing things rightly while leaders work in the perspective of doing the right thing (Richard, 1990). Loyalty: Subordinates are mostly subordinate to their leader than to their manager; this applies often because the leader takes credit in times of achievement and allocating merit to subordinates (John, 1990). Competencies: A nursing manager allocates resources and sets timetables while a nursing leader is someone who clarifies the big picture created by the manager and simplifies it, making the hospital/nursing homes vision more understandable to the staff and patients (Kristina R, 2009). Leadership is a very vital issue in the nursing practice because nursing requires knowledgeable, consistent and strong leaders, who inspire and boost peoples moral and support professional nursing practice. Nurses need to be both leaders and managers for some very key reasons as: An Advocate for quality care: a head nurse who serves as either a leader has to stand out in ensuring the needs of both the patients and nursing staff are adequately met, sometimes it will require a robust and bold person to stand before the board in defending these needs. An influential personality: the presence of an influential nurse handling an asthmatic patient will go a long way in guiding the patient in making informed choices; the patient becomes free and open to the nurse when she/he exhibits a high level of positive influence on the patient. CRITIQUE OF NURSING PUBLICATIONS IN RELATION TO LEADERSHIP AND MANAGEMENT IN ASTHMATIC AND GENERAL NURSING CARE A report by the Royal College of Nursing (RCN) on the support by Asthma UK on RCNs frontline campaign published on 14th January 2011 is carefully analyzed highlighting the publishers aims of writing, lessons to be learnt, consequences of the article and its impact on positive care delivery. It was rightly stated in this article that about three-quarters of asthma emergency admissions can be avoided if proper care is delivered (Royal college of Nursing, 2011). This implies that the need for proper managerial skills needs to be adapted by the healthcare leaders to manage asthma patients which will ultimately lead to the reduction of emergency care delivery for asthma patients. He went further to stress that specialist nurses are the cohesive source of support and stability for care for asthma patients; this issue is supported by the Relationship theory of leadership (also known as transformational theory) which highlights the connection between the leader and the led (Kendra, 2011). Leaders that possess this trait tend to motivate and stir their followers to ensure maximum productivity is achieved. Focus is geared towards the performance of the group members. When a leader with such trait is employed, the function of the specialist will be balanced on both as a helper of the patient and a confidant to the patient. He also said that the role of a specialist nurse has reduced hospital admissions from 22% to 6%, hence saving the National Health Service billions of pounds annually. The writer concluded by turning down the practise of relieving the specialist nurses of their jobs and employing other nurses and ward clerks to fit into their roles which he said the adverse effects were of greater negative impacts as costing the NHS more finance and damage the lives of the patients already receiving care by the specialist nurses. The lessons from this article cannot be over-emphasized in that there is an immediate need for the employment of more specialist nurses to manage asthmatic patients better and to save the lives of their patients. A similar report by Akinsanya (2009) on the Exacerbations of severe asthma; psychosocial predictors and the impact of a nurse-led clinic stated that the need for alternate management approaches is paramount in caring for people with severe asthma. He also recommended further findings on the social and psychological aspects of asthma management. Recommendations were also made on the holistic approach for long-term management of asthmatic patients (Akinsanya, 2009). This report clearly shows the application of the contingency leadership theory that postulates the influence of variables that relate to the environment on the determination of the specific leadership style fit for a situation (Kendra, 2011); it further implies the need for a paradigm shift on the care for acute asthmatic patients towards need for more nurse specialists. PERSONAL REFLECTIONS ON LEADERSHIP AND MANAGERIAL SKILLS As a major role player in healthcare delivery, nurses have inevitable functions. This Portfolio has given me an in depth understanding in various areas of my practice as: Efficiency: I have learnt that my level of efficiency has a vital impact in saving asthmatic patients lives; it will help ease the huge financial burden on Government by saving extra expenses. Leadership skills: According to the great man theory of leadership (Management Study Guide, 2011a) which denotes that some people are born with inherent leadership skills which become apparent when great needs arise. I have understood that as a nurse, I can lead rightly and manage people if I can nurture the greatness in me. In enhancing my managerial skills, I will give room for creativity in my area of work by combining both human and non-human resources (Management Study Guide, 2011b) to achieve the designed goal. Team work is also a very good point I learnt from this report in that I cannot be an effective leader if I am regarded as the only member of my team succeeding, there has to be a cohesive effort from all. Care delivery: The focus is on the nurses to serve as interlocutors between the GP and patient ensuring the patient adheres to prescriptions and that the nurse is always available for assistance by the patient. CONCLUSION The difference between a leader and manager is quite small and most leaders tend to end up as managers. Asthmatic guidelines need to be reviewed often to improve its managerial aspect of care. Nurses are relevant care deliverers and all need to develop leadership and managerial skills in order to safe guard the healthcare of the United Kingdom.

Sir Gawain and the Green Knight :: Sir Gawain and the Green Knight

Sir Gawain and the Green Knight - Gawain Finds The Green Knight's Castle PASSAGE ANALYSIS LINES 763-841 Sir Gawain and the Green Knight is an Arthurian story about the first adventure of Sir Gawain (King Arthur's nephew). The author and date of this romance are not exactly known but may be dated circa 1375-1400, because the author seems to be a contemporary of Geoffrey Chaucer. From the very start of the story, the author gives a grand introduction for Arthur and his court, and then Arthur's men are described as "bold boys" (line 21) which means that they are brave, but only boys. If they are so brave why then did the author not describe them as men? Chaucer uses this kind of irony to describe his characters in "The General Prologue" of The Canterbury Tales. Chaucer made no direct judgements on his characters in the "General Prologue," nor does the unknown author of Sir Gawain and the Green Knight. This particular passage (lines 763-841) from Sir Gawain and the Green Knight deals primarily with Gawain, Arthur's most courteous and well-mannered knight, finding the castle of the Green Kn ight, whose name is Bercilak, and then there is a lengthy description given of the castle. Gawain is on a journey to find the Green Knight almost one year later. He promised to take his hits from the Green Knight. The most important item in this passage is the description of the castle. Bercilak's castle is well protected and similar to other castles during this period. This castle is unlike others, however, because it is magical and because of its symbolism. Castles in the Middle Ages A Summary of Sir Gawain and the Green Knight Analysis of Passage In this particular passage, Gawain is a knight who is on a journey with deep faith in his religion. This is expressed through his fervent prayers to Christ and Mary. No one is here to help him except God who he speaks to and asks to hear mass on Christmas Eve. He humbles himself "meekly before God" in the snow and cold. His prayers are then answered immediately. Bercilak's castle appears out of nowhere, green with trees and grass as if it were springtime. It is almost as if the castle were provided for Gawain by God. He is at Bercilak's court, but of course, does not know this until the end. After praying, he crosses himself three times and then this grand estate appears before him like magic. Sir Gawain and the Green Knight :: Sir Gawain and the Green Knight Sir Gawain and the Green Knight - Gawain Finds The Green Knight's Castle PASSAGE ANALYSIS LINES 763-841 Sir Gawain and the Green Knight is an Arthurian story about the first adventure of Sir Gawain (King Arthur's nephew). The author and date of this romance are not exactly known but may be dated circa 1375-1400, because the author seems to be a contemporary of Geoffrey Chaucer. From the very start of the story, the author gives a grand introduction for Arthur and his court, and then Arthur's men are described as "bold boys" (line 21) which means that they are brave, but only boys. If they are so brave why then did the author not describe them as men? Chaucer uses this kind of irony to describe his characters in "The General Prologue" of The Canterbury Tales. Chaucer made no direct judgements on his characters in the "General Prologue," nor does the unknown author of Sir Gawain and the Green Knight. This particular passage (lines 763-841) from Sir Gawain and the Green Knight deals primarily with Gawain, Arthur's most courteous and well-mannered knight, finding the castle of the Green Kn ight, whose name is Bercilak, and then there is a lengthy description given of the castle. Gawain is on a journey to find the Green Knight almost one year later. He promised to take his hits from the Green Knight. The most important item in this passage is the description of the castle. Bercilak's castle is well protected and similar to other castles during this period. This castle is unlike others, however, because it is magical and because of its symbolism. Castles in the Middle Ages A Summary of Sir Gawain and the Green Knight Analysis of Passage In this particular passage, Gawain is a knight who is on a journey with deep faith in his religion. This is expressed through his fervent prayers to Christ and Mary. No one is here to help him except God who he speaks to and asks to hear mass on Christmas Eve. He humbles himself "meekly before God" in the snow and cold. His prayers are then answered immediately. Bercilak's castle appears out of nowhere, green with trees and grass as if it were springtime. It is almost as if the castle were provided for Gawain by God. He is at Bercilak's court, but of course, does not know this until the end. After praying, he crosses himself three times and then this grand estate appears before him like magic.