Sociology My Mother Essays - Oklahoma City Metropolitan Area

Sociology My Mother Michael Myers Sociology 11:00 TTH My Brother The social forces of the world today have a tremendous impact on a persons life. Social forces can make you change the way you think, the way you act, and even your personality, especially on early teens. In some cases people dont realize it is changing them. My brother, Beau, attends school in Shawnee, Oklahoma. He is a 4.0 honor student and president of his class. He plays football, basketball, baseball, and wrestles. He is Mr. Popular amongst his fellow classmates, but on February 5, 1999 this would all change. Beau was wrestling at a tournament in Sulfur, Oklahoma on February 5, 1999. He had made it to the championship match later that evening. The match was going well. Beau was ahead 5 to 3 until disaster struck. Billy Thompson, the person my brother was wrestling, had Beau in a headlock. Beau then put his foot behind Billys feet in order to trip him, but Billy held on. My brother landed on the top of his head breaking his neck between the first and second vertebrae. Imminently he was rushed to the nearby hospital in Sulfur. The radiologist said he had a strained neck muscle and sent him home in a soft collar brace. The next day Beau went to the doctor in Shawnee and she imminently referred him to the neurosurgeon in Oklahoma City, Dr. Hisie. Dr. Hisie found the break and scheduled a surgery. The surgery lasted about 4 hours. They took bone off of Beaus him and fused the vertebrae together. After 4 months in a neck restraint, they realized that the fusion did not work. They attempted the same surgery again, but this time putting him in a halo. After another 4 month the fusion had worked. Beau then went through 6 months of physical therapy before he was able to play sports again. Altogether the process took about 2 years. He now is starting practice for the basketball team in Shawnee. After Beau broke his neck, Beau got a lot of sympathy for family and friends. As time grew on, since he couldnt do anything, his friends grew apart from him. They kind of cased him aside and he was left all alone. The once Mr. Popular was not the person who sat at home a grieved for himself. Society cased him out and he felt like the smallest person on the earth. His attitude went down the drain and he went into a state of depression. He never wanted to go outside in fear of being made fun of. He basically went into a shell and almost never came out. This was caused, in part, due to American culture. Our culture, nowadays, loves sports. The next generation is brought up loving sports. Beau grew up loving wrestling knowing the risk and the probiblity of him, or anyone in that matter, of getting injured. Americans love sports weather its football, baseball, hockey, or any American sport. We all know that injuries occur in sports, but yet we still play them due to our culture. Once he g ot the halo off, he started going out with friends again and having fun. Society had excepted him back in and he kind of got back into American culture. Beau was very lucky that this had happened. Many people go into a state of depression and never get out. My brother is the most influential person I have ever known. His will to never let society get the best of him is unmatchable, in my mind. I love my brother with all my heart and I will always look up to him for being so courageous. One more thing I forgot to mention, My brother, Beau, is twelve years old. Bibliography none

THE MODELS OF POLITICS IN THE essays

THE MODELS OF POLITICS IN THE essays Politics, have always existed since the dawn of time, they exist because people argue and disagree, about how they should live, who should govern over whom and how power is distributed or monopolised. We all have different views/beliefs/opinions that we believe to be true and right and the act of reconciling between these differences and bringing these different believes and views together is politics, although this definition itself is political, as there is no true definition of politics for we all see it and define it from different angles and perspectives. This is always a point of debate as it is in politics, which are all about debate. There are 2 main models of politics that are widely known which are in themselves not concrete, politics as a creative compromise and politics as a struggle for power, each have their arguments as to which is viable and productive. This essay will briefly explain and analyse both models of politics while referencing champions of each model with historical background of where each model originated. The next step will be to decide and choose which model is most workable explanation while looking and relating it to an example from the world today. In conclusion it will objectively analyse the chosen model and close the argument. Politics stem from society; it sees politics as a humane and courageous activity. It links politics to society and argues that society needs order and security and this is hard to achieve due to the fact that society is consists of many groups with different ideals, ideologies and opinions which leads to argument and often conflict, this model tells us that politics comes to prevent this, in creative compromise politics are about the bringing together of many opinions and views and reaching a compromise that benefits all. ...For politics represent at least some tolerance of differing truths... Bernard Crick, in defence of politics. It is also about the sha...

SSAT Test Dates Complete Guide to Choosing (2017, 2018)

SSAT Test Dates Complete Guide to Choosing (2017, 2018) SAT / ACT Prep Online Guides and Tips When are the upcoming SSAT test dates? How often is this test administered?Students hoping to attend private schools often need to take the SSAT, and since this test is only given a few times a year, it’s important to know SSAT test dates so you can register early enough to ensure you get a spot. In this guide, we have a chart of the upcoming SSAT test dates which makes it easy to see when you can take the test and when you need to register. We also give tips on test fees, explain what to expect on test day, and give advice on when you should take the SSAT. When Are Upcoming SSAT Test Dates? The SSAT is administered eight times during a school year (August 1 - July 31).Middle and Upper versions of the test (for students in grades 5 through 11) are given on every test date, but the Elementary-level SSAT (for students in grades 3 and 4) isn’t administered on the October or November dates. Below is a chart of recent and upcoming SSAT dates and the registration deadlines for each.You should register for the SSAT at least three weeks before the exam date to avoid late fees.You can register for the SSAT up to three days before the exam, but you’ll end up paying $45 to $85 in late fees, depending on how late you register. SSAT Exam Date Regular Registration Deadline Late Registration Begins ($45 fee) Rush Registration Begins ($85 fee) Last Day for Registration Oct. 14, 2017* Sep. 23, 2017 Sep. 24, 2017 Oct. 1, 2017 Oct. 11, 2017 Nov. 11, 2017* Oct. 21, 2017 Oct. 22, 2017 Oct. 29, 2017 Nov. 8, 2017 Dec. 9, 2017 Nov. 18, 2017 Nov. 19, 2017 Nov. 26, 2017 Dec. 6, 2017 Jan. 6, 2018 Dec. 16, 2017 Dec. 17, 2017 Dec. 24, 2017 Jan. 3, 2018 Feb. 3, 2018 Jan. 13, 2018 Jan. 14, 2018 Jan. 21, 2018 Jan. 31, 2018 March 3, 2018 Feb. 10, 2018 Feb. 11, 2018 Feb. 18, 2018 Feb. 28, 2018 April 21, 2018 March 31, 2018 April 1, 2018 April 8, 2018 April 18, 2018 June 9, 2018 May 19, 2018 May 20, 2018 May 27, 2018 June 6, 2018 * No Elementary-Level SSAT testing on these dates If your student needs additional testing accommodations or needs to take the SSAT on a Sunday due to religious reasons, you can apply for testing accommodations.You’ll need to apply at least four weeks before the desired test date and have any requested materials submitted at least two weeks before the test date. What to Expect on SSAT Test Day Once you figure out your SSAT test date, there’s still more work to do! In this section we discuss all the info you need to be prepared on exam day. Where Are SSAT Exams Usually Held? SSAT exams are typically held at private schools and sometimes designated test centers.When you register for the SSAT, you’ll see a list of test center locations nearest to you, with the closest location at the top of the list. What Happens on Test Day? Most exams begin at 9:00AM, but you should double-check your admission ticket to be sure this is the case for the exam you register for.Be sure to arrive at the testing location at least 30 minutes early.The Elementary-Level test is about 110 minutes long, while the Middle and Upper-Level SSATs are about 170 minutes long. The Elementary-Level test includes one break, while the Middle and Upper-Level tests have two breaks. To learn more about what the SSAT tests and the types of questions you can expect, check out our in-depth guide to the SSAT. What Should You Bring to the SSAT? On test day remember to bring the following: Your SSAT admission ticket Sharpened #2 pencils An eraser That’s all you’ll need during the test! When Should You Take the SSAT? The most important factor for deciding when to take the SSAT is the admissions deadline of the school(s) you’re applying to.Scores are sent about two weeks after the SSAT exam dates, so be sure to choose an exam date that’s at least two weeks before the admission deadline. If possible, you may want to choose a test date later in the school year so your child has time to learn more and possibly score higher on the SSAT.Remember, the SSAT you register for is the one for the grade your child is currently in, not the grade they’ll be entering next year. Recap: Choosing SSAT Dates It’s important to know SSAT test locations and dates well before exam day so that you can register in time and meet the deadlines of the school(s) you’re applying to.The SSAT is administered eight times a year, typically at private schools. SSAT Testing dates are pretty consistent, so you can predict future test dates based on the upcoming SSAT dates in our chart.Most SSAT tests begin at 9AM and last between two and three hours. You should pick your test date primarily on the application deadlines of the schools you’re applying to. SSAT test dates later in the year may give your child time to learn more material and earn a higher score. What's Next? Want to learn more about what's covered on the Elementary, Middle, and Upper-level tests? Then be sure to readour complete guide to the SSAT. Looking for free materials to use for SSAT practice? We've gathered links to the best free SSAT practice tests here. Now you know when the SSAT is offered, but how do you register?Learn all the info you need to know in our step-by-step guide to SSAT registration. Want to improve your SAT score by 160 points or your ACT score by 4 points?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:

Statistical Parameters of the Company ABC Essay - 3

Statistical Parameters of the Company ABC - Essay Example As the paper stresses, sales in the second quarter in every year decreased with respect to the first quarter; however, it kept growing in q3, and q4. This implies the seasonal influence on sales of this product. Nevertheless, the general trend of sales per year demonstrates growth, which is also confirmed by the mean and median values displayed in Table 1 and Figure 3. Percentile and Quartile Comparison of Sales. The data set consists of 20 values. The company achieved 25 percentile in the fourth quarter of 2000; 50 percentile in the second quarter of year 2003, and 75 percentile in the third quarter of 2003. The study reveals that it took 14 quarters to achieve first 50 percentile while the company achieved the second 50 percentile in 6 quarters. The growth should be considered as fast starting from the year 2003. In this year, the company achieved 17% growth in the third quarter with respect to second quarter. The sample data set consists of 30 values and it shows a trend of sales through five years. The aforementioned section provided an analysis of past trend, which are displayed in tables and graphs. This section focuses on the evaluation of quarterly sales for the next two years based on the history of previous sales. The future sales prediction is performed using regression analysis and time series technique. Regression Analysis. Regression analysis prediction is based on the interdependency of two variables; one is independent and the other is dependent. In this study, sales are the dependent variables that follow a seasonal trend, which is displayed in Figure 5. The seasonal trend in this analysis is considered as independent variable.

Oswestry Mutual Insurance Essay Example | Topics and Well Written Essays - 3500 words - 1

Oswestry Mutual Insurance - Essay Example are   thought   to   be   above   industry   average   cost   per   policy.   The   result   has   been   Omi   financial   solvency,   but   only   barely.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In   1991,   the   company   decision-making   process   was   highly   centralized.   The   growth   experienced   by   OMI   in   the   mid   to   late   1980’s   and   the   need   to   become   more   responsive   to   the   dynamics   of   the   industry,   top   management   decided   to   change   the   operating   structure.   In   1991,   they   reorganized   into   6   sectional-regional   profit   centers.   The   branch   offices   remained   at   68,   each   branch   office   reports   to   a   specific   sectional   profit   centre   and   sectional   office.   The   sectional   office   is   responsible   for   approving   all   policies   written   and   claims   filed   through   both   branch   offices   and   the   independent   agents   locat ed   in   that   region.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The head   office’s   is   suppose   to   establish   overall   corporate   policy   and   provide   support   to   6   sectional   offices.   The   head   office   in   Oswestry   and   the   sectional   offices   were   organized   on   a   functional   basis.   The   functional   units   in   all   locations   are:   Premium   Audit,   Underwriting,   Sales,   Claims/Losses,   Finance,   Human   Resources,   Loss   Monitoring   and   Support.   However,   even   though   the   operational   structure   was   decentralized,   most   of   the   information   services   still   remain   centralized   in   the   head   office,   which   includes   related   planning,   control,   budget   authority   and   decision- making   stays   at   the   head   office.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Computers   were   used,   at   first,   for   financial   and   statistical   report   production:   standard   MIS   reports   included,   profit/loss,   operations,   claim   data,   loss   ratios,   and  

The Sociological Imagination

The Sociological Imagination Diet is increasingly being viewed as a key component of health, and food and related topics have become of great interest to health professionals and sociologists. Sociological Imagination What C. Wright Mills called the sociological imagination is the recognition that what happens in an individuals life and may appear purely personal has social consequences that actually reflect much wider public issues. Human behaviour and biography shapes society, and vise-versa and one cannot be properly understood without the other. If a sociologist was trying to understand two friends having coffee for example then they would examine it as social interaction, as acceptable drug taking, and as part of a complex mix of social and economic processes. They might also assess the fact that coffee is produced by the poor but drunk mainly by the better off, they would examine the history of coffee drinking. (Giddens, 2001). This paper will examine why it may be the case that diet is increasingly being viewed as a key component of health, and food and related topics have become of great interest to health professionals and sociologists. It will begin with a brief explanation of sociologys interests and will then examine why diet, food and related topics have generated such interest. Finally, the paper will investigate this question through the use of the sociological imagination. The study of society became an important feature of academic life in the nineteenth century. It is generally acknowledged that the founding fathers of sociology are Marx, Durkheim, and Weber. Auguste Comte was also an important figure and actually coined the term sociology Sociologists study peoples lives and try to understand the nature of reality through people. One of the reasons that diet has become of increasing significance within social science discourse is due to the fact that sociologists regard the ways in which people eat, and also what they eat, as a social practice. Giddens (2001) argues that in all societies eating and drinking are most often accompanied by social interaction, celebrations and rituals and this makes them of interest to sociologists. Recognisable changes in eating habits are also of interest to sociologists because these changes signify other changes in the social structure. Choosing to eat a particular food can play a part in shaping the market for that kind of food. This then affects the lives of those who produce it, some of whom may live on the other side of the world. Sociologists have long argued that the medical establishment operates on a bio-medical model of health which holds that disease is located in the person and health can be restored through appropriate medical treatment. Sociologists, on the other hand, argue that health and illness are socially and culturally defined and they, along with many health professionals, believe that human beings make choices which affect their health and well-being. Improvements in health during the late nineteenth and early twentieth centuries were the result of higher standards of public hygiene. Clean drinking water and the effective disposal of sewage helped reduce the number of deaths from infectious diseases, the infant mortality rate also dropped (Bilton et al, 1996). The gap between rich and poor, or the connections between social class and other factors such as health have been of sociological concern since Marx’s work on capitalism. Those people who belong to higher social classes tend to have better life chances, be more healthy, and live longer than those lower down the social scale. The better off people are, the more inclined they are to eat well and healthily (Giddens, 2001). In the Third World, vaccination programmes are not as effective as they should be because people do not have enough to eat. Being well fed is the best way of preventing disease that there is and this is one reason why diet is of concern to health professionals and sociologists. Increasingly it has also become a factor in government policy making. The Black Report of 1980 was commissioned by the Conservative Government to investigate class inequalities in health (Townsend et al 1988).. Margaret Thatcher was unhappy with the findings which carried an enormous cos t factor for the government (Giddens, 2001). Her Government introduced marketisation into the health service thus producing a model of providers and purchasers of care. During the past twenty years there have been significant changes in policy making because of concerns over the costs of public health. Governments have tended to focus on public health campaigns such as healthy eating programmes in an attempt to get people to take more responsibility for their health and to save public money. Thus some of the focus that health practitioners and sociologists place on diet and food is as a result of, or in response to, changing Government policies and the production of Government White Papers such as the 1992 Health of the Nation paper. In the nineteenth century a large number of deaths were a result of what has been called the disease of poverty (Browne, 1998:443) because most of those who died were poor and badly nourished. In the twentieth century the diseases of poverty have been replaced by what have been called the diseases of affluence, where people eat too much of the wrong things, for example foods that are high in fat and cholesterol, and smoke and drink too much (Browne, 1998). It is linked to over-consumption in other areas because as people earn more money they are able to afford more but these consumption patterns are not only detrimental to individuals but also to our environment. More than two thirds of the world are starving and have a shortfall in their crop supplies and an increasing population. Yet in the Western world where population growth is much slower there are often huge surpluses of grain (Giddens, 2001). Some large companies have seen a market here for genetically modified foods. They sa y that the introduction of gm foods could transform the world’s food supplies. Lifestyle choices like exercise and diet are regarded as a key factor in whether a person is ill or healthy. In modern industrialised societies the problem is not caused by too little food, but too much food that is not good for us. So we have new forms of illness such as obesity, stomach ulcers, diabetes and heart disease where more people suffer from chronic illness than they may have done in the past. These diseases are largely preventable but in recent years there has been increased public concern over the food supply. Scares such as CJD and BSE in beef along with a number of outbreaks of food poisoning have caused considerable concern and some health professionals have blamed asthma on poor diet. Cancer has also been linked in a government report (1997) to the type of food that people eat. The branding and marketing of junk food has been highly successful. Huge multi-national companies such as MacDonalds are not just selling fast food, they are selling a life-style that is attra ctive to many young people. Sociologically it’s interesting if only for the resulting standardisation, the recognisable brand. You can find a MacDonalds in almost every country in the world and know, at least to some extent, what you are going to get. In Britain we eat a much more processed diet where food often has colourings flavourings and preservatives that are harmful to health, and produce what has beome a medicalised condition of hyperactivity in children. Although some health professionals recommend a change in diet the medical establishment has tried to ‘cure’ it with a drug called Ritalin rather than drawing attention to the social causes (Giddens, 2001). Why do we eat unhealthy foods? The foods that are good for us, such as organic fruit and vegetables and wholemeal bread are more expensive than mass produced processed food. Multi-national firms control the food market and they are more concerned with making a profit than anything else. Healthy foods are also a money spinners and the health food industry makes a huge profit on vitamins and food supplements. As Browne (1998) argues health itself has become big business, companies sell it and at the same time they continue to produce the types of food that contribute to health problems, disease, and death. Conclusion Through the use of the sociological imagination this paper has investigated why sociologists and health professionals have taken such an interest in diet as a key component of health and in food and related subjects. There appear to be a number of explanations, not least the increasing inequalities in healthcare provision and the continuing differences in life chances between rich and poor. The marketisation of health has also generated a number of government policies that focus on personal responsibility, personal choice, and healthy eating programmes. Sociologists have always been interested in the power differentials at work in society. Bilton et al (1996) contend that the medical profession have had considerable power in controlling definitions of health and illness. Public concern with health, diet, and debates about food will continue to be of interest to sociologists because they argue that these things are socially and culturally produced and it is becoming increasingly more evident that these discourses are closely allied with major economic and political interests.

Person Centred Care MDT Essay

This essay will discuss the concept of person centred care, why ser-vice users are at the centre of any decisions made. The importance of this when developing a plan of care to an individual with dementia within a community care setting with limited mobility. What the structure of the mutli disciplinary is when involved in delivering a package of care and how the different roles involved contribute to the positive outcomes Principles of care as stated by the Royal College of Nursing (2013) outlines guidelines what service users should expect from the nurs-ing profession, whether you are a nurse, health care assistant, community nurse, a service user, family member. You are given the information of what to expect when you are in contact with any of the services or who actually are providing a service. Within the community sector this is important as it gives carers a guideline on how to deliver the best possible care and how they should conduct themselves when dealing with vulnerable people. The Royal College of nursing (2013) outlines 8 principles of care they consist of; that all health care assistants, nurses treat all service users with dignity, respect, show understanding of the service users needs. To be non judgemental in the care being provided, whilst showing compassion and sensitivity. Read more:  Person Centred Care Essay All nurses and health care assistants take responsibility for their actions in the care they are providing whilst also being answerable for any action and decision that they take. To manage and assess risk to ensure the safety of the service user and others. To promote the care that is being given putting the service user at the centre of that care, whilst also involving any family members. To ensure that the service user is fully informed of any treatment, to enable them to make an informed choice. All health care assistant and nurses are in the front line for communicating any changes of the service user, recording such things, communicating with other members on the care being provided, whilst maintaining confidentiality. Have up to date knowledge and skills in order to deliver the highest possible level of care to everyone. Work closely with other profes-sionals to ensure that continuity of care is followed to have the best possible outcome for the service user and the staff team . To develop themselves, to encourage and highlight to other professionals the importance of updating knowledge and skills. Many people have different definitions on what Person centred care approaches mean to each individual profession and what their  roles involve when implementing person centred care. The Health Foun-dation 2014 suggests that more person centered care is needed, so that people are supported to make informed decisions about manag-ing their own health and care. In order for this to happen changes in behavior and mindset from patients and clinicians supported by a service that has patients at the heart of it. Policies and practice guidelines need to support patients and clinicians to take on new roles and relationships. Ford 2012 wrote an article on what the value of patient care is this was described as the 6 C’s which stand for care, compassion, com-petence, communication, courage and commitment. Brooker (2007) states that by providing a supportive environment for interaction, whilst taking into account that all human life is mainly grounded by relationships. Within the community environment People suffering from dementia requires and need a fulfilling social environment which enables them to have opportunities for growth within the environment that compensa tes for their impairments. Brooker focuses on the actual diagnosis and how best to help service user to maintain a social connection within a safe environment with the help of staff who understands their condition. Whilst the article that Ford had written expands the key points on how professionals should take into consideration and act when looking after people and communicating with them also. Tuchman’s theory (1965) suggests that in order for a positive outcome to happen then 4 stages of process would need to be worked through within a group situation. These stages are forming, storming, norming and performing. Person centred care was first used in relation to people with demen-tia by a Professor called Tim Kitwood who founded the Bradford de-mentia Group in the 1980’s. His aim was to steer away from the medical diagnosis of dementia and to help those living with the ill-ness to live and be treated as an individual. To acknowledge that these people did have a voice even though in the medical eyes they were slowly losing their own mind. He wrote about the Enriched Model (1997) which detailed opportunities to maximise the well being of a person suffering from dementia whilst enha ncing their daily living of the other elements that affect the person. For example people suffering from dementia have many challenges to deal with. They have the gradual memory loss but also lose the interaction with others, communication becomes repetitive and in the past, how to eat, drink, co ordination, coping with mood changes, general daily  living skills become more difficult to complete along with depression. Buijssen 2005 suggests that depression is a main factor with dementia due to lots of feelings of helplessness and anxiety which can cause the service user to have challenging out bursts. To enable a person to remain in their home safely and independently other people will be involved. This depends on how advanced the dementia is, otherwise the service user would be placed within a residential or nursing home. Maureen Guirdham (1995) suggests that by practising empathy when communicating with a service user, seeing things from their point of view and not just by a medical point of view can build a positive professional relationship. Some professionals at times use their position to influence a service user to see things from the professional point of view; this can cause a barrier to communication because the service user feels that they are not being treated as an individual. That the professional is using a form of blanket suggestion and solution to their problem. Having a common ground of understanding of what it is to be achieved. Initially within the early stages social workers, mental health nurses, general practitioners, speech and language therapists, mobility spe-cialists, and the NHS. Within a community setting district nurses, general practitioners, and at times the emergency services such as the mobile paramedics and ambulance crew are the main sources of the multi disciplinary team that as carers we would normally work alongside with. Jefferies & Chan 2004 describes how multi disciplinary teams work â€Å"the main mechanism to ensure truly holistic care for patients and a seamless service for patie nts throughout their disease trajectory and across the boundaries of primary, secondary and tertiary care.† Carrier & Kendall 1995 also describes how inter disciplinary teams work â€Å"implying a willingness to share and indeed give up exclusive claims to specialist knowledge and authority, if the needs of the client can be met more effectively by other professional groups.† Not all of these will be involved but people with dementia require different specialists at different times of the diagnosis. Almost everyone is registered with a general practitioner. It is the job of the general practitioners to offer high standards of care to all their patients regardless of their health needs. To establish a continuing and long term relationship, with all their patients including those who are vulnerable (Pritchard 2001). More and more General Practitioners (GP’s) are working  within an extended team of professionals who they can refer to for advice and guidance. General Practitioner’s are the first people who are approached when a family member are feared to have the onset of dementia. GP’s will refer the person to the mental health team to have an assessment to see if there are any concerns to have (Mental Health Act 2005). Once the assessment has been done and the diagnosis had been confirmed then a social worker with the relevant experi ence of mental health issues will be assigned to implement further care decisions. A social worker works with people who have been socially isolated or who are experiencing crisis mentally or physically. Their role is to provide support to enable service users to help themselves. They maintain professional relationships with service users, acting as guides, advocates. Social workers work in a variety of settings within a framework of relevant legislation and procedures, supporting individuals, families and groups within the community. Settings may include the service user’s home or schools, hospitals or the premises of other public sector and voluntary organizations. This could be introducing carers from an agency to help with daily living needs, preparing food (Roper et al 1996) Day centres can be arranged for the person to be able continue interactions with others, by still being around professionals who understands their needs and condition. Dementia tears layer away at a person at each stage of its progression, (Alzheimer’s Society 2014) The World Bank 2011 describes what empowerment means â€Å"Em-powerment is the process of increasing the capacity of individuals or groups to make choices and to transform those choices into desired outcomes. Central to this process is actions which both build individ-ual and collective assets, and improves the efficiency and fairness of the organisation and institutional context which govern the use of these assets.† Mental health nurses work with people suffering from various mental health conditions, they also work alongside their family and careers to offer help and support in dealing with their condition. There work involves helping the patient to recover from their illness or to come to terms with it in order to lead a positive and full life. The nurses may specialize in working with children or older people, or in a specific area such as eating disorders. Mental health nurses often work in multidisciplinary teams, liaising with psychiatrists, psychologists, occupational therapists, GPs, social workers and other health professionals.  As a registered mental health nurse (RMN), they may work with pa-tients in a variety of settings including their own homes, community healthcare centre’s, hospital outpatients departments or specialist units, or secure residential units. Even though each professional has a specific area or expertise communication is always a key factor to delivering the best support and care to a service user and their families. District nurses have a crucial role in the primary health care team by visiting people in their own homes. District nurses also delive r care and support for patients and their families. With the differences in roles bought together as one within meetings or communication the process of care is flawless but in the real world this does not always happen. The Health Foundation (2013) states that they â€Å"See patients as equal partners in planning, developing and assessing care, to make sure it is appropriate for their needs, putting families and patients at the heart of all decisions†. Egan’s (2010) three stage model the skilled helper explains how professionals can help service users to focus their situation. To be able to ask questions and step by step understand the process. The model helps to empower the person and help them to move toward managing their problems and living more effectively. The Egan’s model enables the user to map out what the issues are that require discussion. To explore all possible solutions and what would best benefit the service user. It enables the professionals to have respect, genuineness to the subject and empathy to the service user. If good active listening skills are re-membered then the outcome will be the best that can be given to the service user. Egan’s model however all stages do not always have to be considered they are adapted to the situation that requires re solving. Another element that is considered is the SMART aspect which stands for specific, measurable, achievable, the mutli disciplinary team this is where individual roles are separated in order to fulfil their part of the plan of care for a service user. The Department of health (2011) outlines specific guidelines when treating someone with Dementia. These guidelines just like the one that the Department of health released and updated in June 2011 are guidelines and are there to help protect vulnerable people. Working within the community I found I was working alongside more people suffering from early stages of dementia and having more insight into how dementia affects the person enabled me to have a better approach to deal with the care that  was being provided. 1000 lives plus 2012 that was written by Davies stated that â€Å"Seeing the patient’s illness as a continuum between treatment and rehabilitation leads naturally to partnership between organisations. Departments across health and social services co-operate to fulfil the patient’s needs, and the relevant providers need to be working together at all stages of care to properly anticipate the next step, particularly the return home after in-patient care† . This report emphasised that even though Esther arriving at a NHS hospital was ok and the staff where very polite and caring. The sys-tem still had failures especially when Esther had to wait five and a half hours to be seen and after being in contact with thirty six people professionals and repeatedly repeating information for someone who could not breath caused a lot of distressed. By establishing some of the professionals roles within the multi dis-ciplinary team and how government legislation and guidelines impact on how care is provided. In the community for someone who has dementia and other physical needs how efficient are the multi disciplinary team? Sometimes available equipment is based on budget from local councils, so as availability of professional bodies. A person I looked after in the community had a diagnosis of dementia. Visiting them daily sometimes four times a day assessing their needs and any changes daily was important to maintain their safety within their home. Any personal care, breakfast, dinner, tea and bed time all had to follow a strict routine. There came a time when this service user was falling a lot so with the reports given by carers to their head office it was decided the social worker should make a visit they managed to get some adaptations put in place. A wheel frame that could be used to carry things on as it had a tray at the top and at the bottom, the social worker also got a waist alarm, similar to the wrist or necklace type alarm that is linked to a call centre. So if this service user fell the belt would activate automatically because the sensor knew it had to be vertical not horizontal. Within the guidelines of the company policy and given the rights of the person to choose to stay at home, every safety measure to reduce risk was taken by all parties. The service user felt at ease with everyday tasks as before they where a problem. The simple things that we take for granted are the things that need to be taken into account for others. (Human rights Act 1998). Jeremy Hughes, Chief Executive at Alzheimer’s Society said: ‘Today’s announcement  shows that by entering your postcode you enter a lottery. Depending on where you live you may be more or less likely to get a timely diagnosis of dementia and access to the support you need. This is simply unacceptable. Wherever you live, you should be entitled to care and support when you have Alz-heimer’s disease or any form of dementia. It is a National Health Service. It is time to stop treating people with dementia as second class citizens.’ (2013) By introducing the appropriate training and having diagnosis’s being given earlier then people will this diagnosis may stop feeling that they are just being a pain to society and that they still have a function within society. The NHS Wales (2010) five year plan included guidelines to em-power the professionals on the front line for example clinical and non clinical staff to lead changes and deliver the highest possible care available. All these proposals of improving the NHS and the services attached to them is a positive sign for change but as we all know changes can only happen if the funding is available which predominantly involves the tax payers. Some changes that will happen will be making primary care trusts and strategic health authorities abolished and replacing them with one organisation such as the clinical commissioning groups. Who will over sea and involve local authorities in a bigger role to handle budgets. How effective these changes will be to improve the entire system will only be seen in a report that will be released sometime in 2015 as stated in the NHS (2010) five year plan. Main reasoning for continual reviews is to establish a better link to all professions to enable the protection of the vulnerable and to have the sufficient resources to enable action to be taken so that the negative cases that are reported do not happen again.