Health and Safety Regulations for Elderly Care

Health and Safety Regulations for Elderly Care Chapter II – Literature Review Literature Review Like any other places of work, residential homes for the elderly must have everything in line with the Occupational Health and Safety Authority (OHSA) regulations. It is the duty of the Management (employer) to ensure the health and safety of the residents, employees and visitors. Therefore, the Management is responsible for budgets, facilities and the purchasing of OHS equipment in order to conform to the OHSA. Moreover, the Management needs to understand its role in order to improve the health and safety performance of such homes for the elderly. Commitment and consultation is recommended in order to identify, prioritizing and act on key issues to make real improvements in OHS in this context (L.N. 36 of 2003 section 13.). The OHSA states that the Management (employer) has a responsibility to model healthy and safe workplaces for their residents, especially when these residents present medical conditions, mental health issues or a disability. It must provide information, training, instruction and supervision to enable workers to work safely and without risks to their health (L.N. 36 of 2003 section 4). On the other hand, according to section 15 of the same legislation, employees must cooperate, have the knowledge and to care for their own safety as possible and of others in accordance to the training and instructions given by the employer. This also includes reporting of incidents or hazards and also be able to conduct an evacuation in case of fires, earthquakes or bomb threats. In such environment, employers are obliged to designate persons having the necessary aptitude, capabilities, competence and training to assist in the undertaking of measures with regards to occupational health and safety and the prevention and control of occupational risks as per L.N. 36 of 2003 section 9. The employer shall designate workers who shall be responsible for the implementation of the measures required for fire-fighting and for the evacuation of workers. The names of the persons thus designated shall be entered into a register to be kept at the workplace, and the register shall be maintained and amended as necessary by the employer (L.N. 437 of 2012 section 9.4). Therefore, when organizing an evacuation that includes people with mobility impairments, effective fire safety management should ensure that sufficient people with relevant training are available to take control of the situation (Crowder Charters, 2013). However, having residents with mental health conditions or mobility impairments, residential homes for the elderly must set a Personal Emergency Evacuation Plan (PEEP) for every resident. The PEEP explains the method of evacuation to be used by a disabled person in each area of a building (Department of Health, Social Services and Public Safety, 2011). Elderly people are likely to have some kind of disabling condition ranging from a mobility impairment, hearing impairment, visual impairment (blinded or partially sighted)to a cognitive impairment or mental health issues. Therefore, people with such disabling conditions have individual needs and each person should be responded to accordingly (Department of Health, Social Services and Public Safety, 2011). However, some might have more than one-impairment and their needs may be quite specific. For example a person with dual sensory impairment (deaf blind) may have needs which are quite distinct from a person who is either just Deaf or b lind. Therefore, in order to ensure that the emergency evacuation plans run smoothly training should include practice on how to evacuate safely each person with all the specific required needs. Regular staff is likely to know the history of each resident and it is assumed that care staff would know what kind of conditions each individual resident lives with. Therefore, they are likely to be the most physically involved if an emergency evacuation occurs. Crowder and Charters (2013) argued that these carers will be the most familiar with evacuees’ requirements and how much time and help will be needed. They therefore they will be most likely the most adequate to evacuate the elderly residents from the building. It was also pointed out that staff that interacts on a regular basis with elderly people with regards to mental health issues will have the knowledge on how to achieve an evacuation without causing undue distress to individuals. Another important role of front line staff is to have knowledge about health equipment used by some of the residents in case of acute health care treatment. Crowder and Charters (2013) stressed out that patients in acute health care premises may be attached to one or several pieces of equipment as part of their treatment or life support and that the front-line staff should be consulted on whether a person can be disconnected from any of this equipment and for how long. First Aiders Having people trained as first aiders can be instrumental since in an emergency there might be the need of immediate medical assistance before professional medical care is available. The law requisite states that an employer must have a considerable number of employees trained in basic first aid procedures; not only in case of fire emergency but for whatever emergency may arise. An employer shall ensure the presence at all times of such a number of first aiders as is adequate and appropriate in the circumstances for rendering first aid to his employees if they are injured or become ill at work (L.N. 348 of 2011 section 5.1). Evacuation In their study, Crowder and Charters (2013) argued that the time that passes between the ignition of a fire and the onset of life threatening conditions is the maximum time the occupants have to move to a place of safety. They refer to it as the Available Safe Egress Time (ASET) and the total time needed for evacuation is termed the Required Safe Egress Time (RSET). Therefore, fire detection and the alert (alarm) play an important role to have the most amount of time at hand for a safe evacuation or refuge before the scenario turns into an unacceptable hazard. Evacuation training beforehand is critically important. It has to be frequent enough in order to assure no decrease in efficiency. Crowder and Charters (2013) maintained that lack of familiarity with the task at hand would lead to incorrect handling and lifting procedures, excessive number of people being required to assist and a considerable time loss because people are unsure about their next action. McMahon (2013) argued tha t there are several steps involved in an emergency evacuation and that the primary step is the recognition of a potential threat and how to take a rapid decision about whether or not to order or request an evacuation. Therefore, fire drills and training is a formal learning experience for all those involved. The University College London (2013) illustrate that the purpose and objective of a fire drill is to: Identify any weakness in the fire evacuation plan strategy. Test the procedure following any recent alteration or changes to working practices. Familiarize new staff and occupants with procedures. Test the arrangements for disabled people. Identify weaknesses in emergency communications procedures and systems. Identify positive and negative reaction of staff with designated responsibilities such as Fire evacuation Marshals. Safe Egress All the directions of travel towards the egress must be visible and immediately apparent. Therefore, maps and signs must be posted indicating the current location and the direction of travel to the nearest exit and that each exit must be clearly marked as an exit. Permanent signboards must be used for signs relating to prohibitions, warnings and mandatory requirements and the location and identification of emergency escape routes and first-aid facilities (L.N. 45 of 2002 section 2.1.1). OSHA state that these floor maps with arrows that designate the exit route assignments should be attached in areas prominently to be seen by all employees and should include locations of exits, assembly points, and equipment (such as fire extinguishers, first aid kits, spill kits) that may be needed in an emergency. It is maintained that the employer shall take all the necessary steps to provide and maintain suitable and sufficient emergency routes and exits so that in the event of danger, workers and all persons therein can evacuate all the workplace and all parts thereof quickly and as safely as possible (L.N. 437 of 2012 section 7.1). There must also be an emergency Action Plan and this has to be kept at the work place, it has to be in writing and it has to be available to all members of the residential home for review. Therefore, it is important that training for such an emergency is performed frequently enough to be knowledgeable on how to perform a safe evacuation. All exit routes have to be continuous and unobstructed. L.N. 437 of 2012 section 7.2a states that exit routes must be kept clear at all times, and lead as directly as possible to a safe, open air, specifically designated area outside the premises, which shall be on the ground floor. Therefore, the exit access itself has to be clear at all times and not blocked or obstructed and that each opening has to be protected by a self closing fire door that will remain closed or automatically closes in an emergency according to section (8d) of the same legislation. Provided that no lift shall be used as an emergency route unless such lift has been certified by a mechanical engineer as being safe to be used in emergencies (L.N. 437 of 2012 section 2a). Such context must have lifts which can be used even in a fire evacuation alert. When you have residents with physical impairments, the most practicable way to evacuate in less time possible is to travel beds or wheelchairs to the nearest safe elevator and take them safe down to ground floor. Evacuation lifts will not only improve evacuation time’s brackets for high-rise buildings, but also provide equitable egress for persons with disabling conditions (Worcester Polytechnic Institute, 2013). Firefighting System and Appliances Fire fighting systems and appliances are the first aid emergency unit that can be used to domesticate the initial stages of fire. Fire ­ detection systems are of vital importance and a necessity at the place of work. For such environment, an addressable fire detection and alarm interface system is the ideal installation over the conventional fire system. This system is able to monitor and control the capabilities of each individual alarm-initiating and signal device (Alberta Group, 2014). This is an automated system having fire/smoke detectors, water sprinklers, air-conditioning system dampers, fire doors/stoppers and the fire alarm system all interfaced while alert signal is sent to the control panel at the main desk where it is constantly monitored 24/7. Having this system installed fire incidents are identified at their early stage and will prevent or minimize premises damages or harm to the people inside the building. Besides having an ‘intelligent’ automatic system, there must me also manual devices to put out the fire detected at first stage such as proper fire extinguishers, fire blankets, and fire hose pipes among others, depending upon the nature of the context environment as there are a wide range of devices that can be implemented. The employer shall ensure that workers are adequately instructed and trained as appropriate in the proper use of firefighting equipment as may be required for that work place by the Civil Protection Directorate (L.N. 437 of 2012 section 9.13). By means of ongoing training, drills and simulations, personnel are more likely to respond effectively to fire emergencies since they will increase their confidence. The Department of Health, Social Services and Public Safety (2011) argue that in order to ensure that the plans run smoothly training should include practice evacuations of the premises. Therefore, training is the rehearsal of the residential home’s fire evacuation plan strategy. Provision of a fully integrated PEEP system will improve safety for everyone using the building whilst identifying any weaknesses in any existing evacuation plans (DHSSPS, 2011). In the event of a real fire emergency, such training will lead everyone to know what to do and how to act in a calm and o rderly manner. Good communication and appropriate training for staff and management regarding the fire or emergency evacuation process are vital to ensure success (DHSSPS, 2011).

Heart: Definition and Life Essay

What is your definition of success? Before you can achieve success, you need to define what success means to you. Unless you have a clear vision of what success is to you, you cannot work towards it. Success means different things to different people. For some, monetary reward is a measure of success. Yet others have multiple definition of success. 1. The Different Areas They measure it across a few areas. It can be career, health, spiritual, emotional, time or financial. As an example, one can be successful in one’s career but not emotionally. Of course, this list isn’t exhaustive – so you can add areas that are relevant to you. To find your own definition of success you need to dig deep within yourself and question your values in life. What are your strengths andweaknesses? What are the things that are important to you? By answering these questions you can then come closer to your own definition of success. Be aware that this can be a long process. You may not get the answers so quickly. But it is alright. Define your measure of success, one at a time. Let’s take your career as an example. What would your definition of success be for your career? To make the managerial level by a specified time? Then dig deep to see what are your own strengths and weaknesses. Which would help you achieve it. Which of your weakness is a barrier, and does it go against your values? For me, I value time with my family. However, my work requires me to work late nights and long hours. I will need to adjust my own definition of success. Which would take priority? 2. It Is A Journey When defining your success, remember this important thing. Success is a journey. It has multiple peaks and not one ultimate pinnacle. One success builds on another. Setbacks and mistake will also help you build success. At different periods of your life, success is defined differently. In our career, at a more junior level, your success can be defined by exceeding your job requirements or getting a promotion. Or success can be defined in a few respects. They can be: 1. Your relationship with your boss; 2. Your relationship with your peers; 3. Your dealing with other departments; and 4. Your learning curve. You may add other areas as you move up the corporate ladder. One of my definitions of success in my career at this point – is the number of staff I mentor to higher levels within my industry. When they achieve a certain level of skills and knowledge and are respected by clients, business partners and industry peers – I have achieved some amount of success as far as my career is concerned. Therapists Spill: My Definition of Success By MARGARITA TARTAKOVSKY, M.S. In the fall, clinician Joyce Marter and her husband hosted their friends for a dinner party at their Chicago home. Among the couples — all in their 40s with school-aged kids — conversation turned to the adventures of parenting and the tricky stage of adolescence. This sparked a dialogue about how they gauge success. Marter’s knee-jerk reaction was to say that success excludes dicey circumstances such as driving under the influence or dropping out of school. â€Å"Thankfully, I quickly regrouped from this position of fear-based and judgmental thinking and realized I do not truly believe any of those experiences or other life challenges mean somebody has failed or is not successful,† she said. Hardships make us human and give us the opportunity to grow, she said. None of us is perfect or remains unscathed in life. Marter’s guests offered myriad definitions, everything from education to prosperity to resiliency to health to happiness. So what is succes s? What does being a success look like? Below, Marter and other clinicians spill their views on success. According to Marter, also owner of the counseling practice Urban Balance, success is authenticity and mindfulness. Success is to live life openly, authentically, and lovingly in a way that is aligned with the highest good of self and others. Furthermore, when one is mindfully rooted in the present moment and engaged in relationships and work that promote a loving growth of human consciousness, one is joyous and prosperous. And so, this is my wish for myself, my children and for all humankind. Christina G. Hibbert, Psy.D, a clinical psychologist and postpartummental health expert, summarized success in three words: faith, love and joy. To be successful in my work means that I am able to touch others’ lives, to help them know they are not alone, and to impart some bit of joy or wisdom that will leave them better than before. To be successful in my family means to love — to listen, to say I’m sorry when I’m wrong, to encourage, uplift, and to always strive to give the best of my time, talents, and heart. To be successful as a human being means to continually examine myself, my motives, and my works; to connect spiritually, listen to what my Creator has in mind for me, and trust the process — to be open to learning and improving, and willing to share myself and serve gladly. I guess overall, for me, success = faith, love, and joy (my three-word motto) — striving to do and be my personal best in work, family, and as a human being, forgiving myself when I’m not, picking myself back up, and diligently pressing forward again. For Deborah Serani, Psy.D, a clinical psychologist and author of the book Living with Depression, success lies in the everyday, in the journey from setting a goal to realizing it. For me, success is when I set a realistic goal, enjoy the journey as it unfolds and dwell in the momentary satisfaction when it all comes together. From cooking a new recipe, to learning a new yoga pose or taking a challenge that stretches my comfort zone, it’s the entire experience that offers me a sense of well-being. Success can be found in little things and big things. The key is to enjoy the ride once you set out on your material or existential destination. Ryan Howes, Ph.D, a clinical psychologist and author of the blog â€Å"In Therapy,† also prefers to focus on the flight, instead of the landing. I try (really, really try!) to view life as a journey rather than a series of goals to be attained. I always feel less stressed and better able to focus on today when I’m in that mindset. With that framework, I try to view success as something to which I aspire rather than a goal with a finish line. For me, success is achieving a healthy balance between the most important areas of my life. These include family and social relationships, occupational pursuits, hobbies, diet, exercise, rest, my spiritual life, and the continued pursuit of self-understanding. I don’t think I’ve achieved this balance yet, as I only seem to maintain focus on one or two areas at a time. I may never find a way to keep all these plates spinning at once, but I will try for the rest of my life! Jeffrey Sumber, M.A., a psychotherapist, author and teacher, described success as a triumph over trials and fear. Success is overcoming challenges internal and external that at one time felt impossible or overbearing but with hard work and discipline I was able to rise above the fear or anxiety. For most people success is a shifting concept, which transforms over time. It’s been for John Duffy, Ph.D, a clinical psychologist and author of the book The Available Parent: Radical Optimism for Raising Teens and Tweens. Today, his view includes being of service to others and being satisfied with his life. My definition of success has shifted greatly over the years. I used to think I had to accomplish something that others deemed â€Å"great† in order to consider myself successful. Today, I find success in happiness, kindness, and helpfulness. I find success in loving, connected, available relationships, in my family and elsewhere in my life, including my relationship with myself. In order to feel fully successful, I feel I need to continue to find new ways to reach out to others and give of myself. Finally, I don’t think I could ever feel successful without a degree of happiness, contentment and humor. Success has many faces. The definition just depends on who you ask. And that’s the magic of success: You get to figure out what it looks like for you. Subject: Mentoring tips on definition of success In the next message to the electronic community I will ask participants how they define â€Å"success† for themselves. Here are examples of how this question was answered by a group of successful teens and adults with disabilities. These responses might provide some inspiration as you interact with the teens in our community. To me, having a successful life is being able to do things independently for myself and not always have someone there to do things for me. It’s achieving my goals on my own terms and at my own pace. (high school student with a mobility impairment) Success is a relative term. If you achieve what you want to and are happy, then I think that is success. It could be applied to life in general or to individual tasks in life. (college student with a mobility impairment) My definition of success is achieving personal goals, whatever they may be. Some goals are considered small by some people and enormous by others. What matters is that they are personal; each individual has his/her own formula for personal success. (college student who is deaf) I remember what my high school voice teacher told the class as we prepared for our senior solo. She said, â€Å"Success comes in CANS, and failure comes in CAN’TS.† (speech language pathologist who is blind) Succeeding is accomplishing my dreams. However slowly I am moving toward that, to some degree I am succeeding. (high school student who is blind) Even though you might not have obtained that set goal, you are successful if you tried your best. (college student with a brain injury) To me, success is being able to do whatever it takes to lead a productive life. (young person who is blind) Success? That’s an easy one. BE HAPPY. (high school student with a learning disability) What’s Your Definition of Success? ————————————————- Success is a tricky sucker to define, isn’t it? Society as a whole tends to judge success by status and material wealth, but I think we both know that’s utter bollocks. I’ve worked with some fabulously wealthy yet unhappy people and you cannot ever really define an unhappy person as a successful one. My Definition Of Success If asked me for my definition of success it would simply have been, â€Å"somebody who is happy†. As happiness is at the top of everybody’s wish list, then by default it must define an element of success when an individual achieves it. Last week I was working through the core values process with client, Courtney Townley. One of the most crucial elements of a value elicitation is understanding what the client means by the words they give me. Too many values are open to interpretation and may mean different things to different people. So to presume that just because I think success equals happiness that other people must think the same is arrogant and stupid, which isn’t a good combination for a Life Coach. One of Courtney’s values was unsurprisingly enough ‘success’. I asked her what she meant by the word and she was really struggling to come up with an answer. We did the values exercise anyway, but I asked her to think about what success meant to her and to e-mail me the answer so I could get a better understanding of what we were aiming for. Her response was awesome and makes my job very worthwhile. I immediately asked her if I could include it in a blog post and she graciously agreed. Courtney’s Definition Of Success â€Å"Tim, You probably thought I forgot my homework assignment? I didn’t. I chewed on the question all week: †what does success mean to me?† I wrestled with the question a lot, found it intriguing and much more complex than I initially though it would be. First, I answered the question that success to me is living a balanced life full of happiness, but as I dug deeper I didn’t like that answer so much for two reasons. 1. I do believe that happiness is ultimately a choice regardless of the situation. 2. Some of the most rewarding/successful experiences of my life happened at a time when my life was completely unbalanced. So I chewed and chewed some more. Finally I was able to digest this better: I define success as listening to that subtle voice within, what I perceive to be my truth talking, and obeying by saying YES†¦ despite the sacrifice, hard work or difficulty that may result. I feel most successful when I honor my authenticity (which is probably why is it one of my top values). On the other hand, I feel most unsuccessful when I am a slave to someone else’s agenda or working to build someone else’s dream rather than my own†¦which is probably why I have been self-employed for the past 8 years. I feel most successful when I am honest about who I am (the good, the bad and the ugly)†¦.talented and powerful and at the same time fearful and imperfect, and charging forward without getting too caught up in any one characteristic of myself, and without being too attached to the outcome of what I set out to do. I do it because my heart told me to do it, I don’t do it because I am certain of where it will lead me, which is exhilarating and terrifying at the same time. You said to me last week that everyone has fear, but because some people have confronted their fear more often, it seems that it is more natural for them to move into action without getting paralyzed by the fear. That was a huge â€Å"Ah-Ha† moment for me†¦..success is making a HABIT out of acknowledging the fear and resistance, but moving forward despite it. Success is saying YES to my journey, YES to my life’s adventure, YES to my heart’s song and knowing full well that does not mean it will always be comfortable, balanced, easy or pain free, but I do know it will be RICH and REWARDING and SIGNIFICANT beyond measure for me. I know if it is all of those things for me, my truth will also touch others, which will build even more success! To feel successful I know I need (based an my history of success) to dig both feet in deeply to my endeavors, be fully committed to my choices and finish what I start. Hope that gives you a little insight:) Courtney† Is she kidding me? It gave me a huge amount of insight into what makes Courtney tick. It’s one of the most important answers that you can figure out. Right now. How do you personally define success? For you. Take into account all of your current responsibilities, your strengths, your trials, your season of life and your dreams†¦ Whether it is defining your success as a parent or a business owner or anything in-between, I think we could avoid so much heartache, disappointment, sense of failure and the chronic epidemic of comparisons if we realistically answered this one question for ourselves.

Why Gun Control Is Bad

Gun Control Argumentative Essay All guns have the potential to be dangerous and should be handled with care. Guns have been part of American life for as long as people can remember. For most people guns are perceived as very dangerous and harmful. However, that is not true; guns can be dangerous, but only if they are in the wrong hands. Owning a gun is right that every American should be able to take pride in having. Guns are used for self-defense, hunting, law enforcement and other uses. The right to own a gun is protected in the 2nd constitutional amendment.Therefore, banning guns from being owned or purchased is wrong and unconstitutional. Gun control in the United States should be abolished. It is true that almost 100,000 people are injured or killed by guns in the United States every year (Scalia). However, 3. 5 million people in the United States have conceal-to-carry and owners permits for their guns (Stearns). These injuries are mostly accidental and only about 17 percent of those are criminal (Scalia). Clearly, most of the guns owned in America are used for self defense and are not meant for harm. Over 100 million people in the United States own guns solely for self-defense (Stearns).Cliff Stearns said in Laws Permitting Concealed Guns Ensure Public Safety, â€Å"Found in a study by the U. S. Department of Justice, 64 percent of convicted felons said they had been scared off or â€Å"shot off† by a victim carrying a concealed gun† (Stearns). This clearly proves that allowing concealed weapons decreases crime and helps protect people. Therefore, the pros of concealed weapons outweigh it’s cons. One argument is that thousands of illegal firearms are sold and distributed throughout the United States every year; this is a reason why some suggest banning guns completely.On the contrary, over $100 million in United States government revenue is generated by legal gun and ammunition sales every year (Weir 156). Although there are many guns sold illegally, the almost all of gun and ammunition sales are legal (Weir 128). Also, if total gun control was allowed, it would prohibit Americans from hunting. Some Americans hunt solely to feed their families. As William Weir said in A Well Regulated Militia, â€Å"The sales of gun and ammunition help stimulate the economy† (Weir 203). Clearly the matter of illegal gun sales would only increase and create more problems if total gun control was allowed.Also, the United States government would lose an important source of revenue by banning guns. Finally, sieges of illegal gun and ammunition stashes by law enforcement are sold legally for a beneficial profit. The right to bear arms is protected by the 2nd Constitutional amendment. Having said this, all gun bans should be constitutional, however they are not. Somehow lawmakers find a way to work around the 2nd amendment and enforce gun bans. For example, the District of Columbia has a rather strict gun ban (Scalia).This is e specially ironic because it is the nation’s capital, where freedom should be at its highest. However, in D. C. it is illegal to possess a handgun in your home (Scalia). Antonin Scalia wrote this about D. C. ’s gun ban in The Right to Own a Gun Is Guaranteed by the Constitution, â€Å"The District’s total ban on handgun possession in the home amounts to a prohibition of an entire class of â€Å"arms† that Americans choose for lawful self-defense† (Scalia). This ban, like other gun bans, directly defies the 2nd amendment to the Constitution.There is also a trigger lock policy in D. C. which is also partially prohibiting guns (Scalia). This trigger lock policy is unconstitutional also. The policy prohibits the gun to be used for self defense. This ban and trigger lock policy, along with others, are unconstitutional and wrong. Gun control in the United States should be abolished. Some people in the United States believe that gun control is necessary. H owever, it is clear that gun control is wrong and unconstitutional. Gun control directly violates the 2nd constitutionally amendment and should not be allowed.Allowing concealed guns not only brings in revenue for the government, but, it also keeps the public safe. Over 100 million people in the United States own guns solely for the purpose of self-defense. Those people deserve to be able to have and keep that right as a citizen of the United States. It is the right of the American people to make the choice on whether to own a gun or not. The positive effects that guns have on people outweigh the negative effects. However it should be noted that, all guns have the potential to be dangerous and should be handled with care.

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