Strategies to Reduced Diabetes Appointments

Strategies to Reduced Diabetes Appointments 1 Introduction The aim of this project is to reduce the number of appointments that those on the diabetes register need to attend by offering a â€Å"one stop shop† for both retinal screening and diabetic review. The surgery I work in is demographically situated in one of the most deprived areas in the UK and typically the patients attending are those who make poor lifestyle choices and fail to attend appointments, they may be classed as hard to reach, homeless and vulnerable patients with complex needs. Aims and Objectives My intention was to improve on the number of diabetic patients attending their appointment for retinal screening and for their annual diabetic review in order to capture them and integrate them into local services for diabetes care. Objectives involved improving communication with the diabetic retinal screening service, an audit and inspection of available rooms at the GP surgery to allow for retinal screening to be performed at the surgery, and the development of a patient letter and protocol to promote a consistent approach for patients to be recalled and reviewed. This change in practice would enable the surgery’s hard to reach and vulnerable patients to attend for one appointment where they could receive their retinal screening and their diabetic review at the same appointment. Background Information The most serious complication affecting the eye for people with diabetes is the development of diabetic retinopathy. A delicate network of blood vessels supplies the retina with blood. Diabetes affects these tiny blood vessels of the eye and if they become blocked or leak then the retina, and possibly the vision can be affected. The Royal National Institute of Blind People (RNIB) estimate that forty percent of people with type 1 diabetes and 20 per cent with type 2 diabetes will develop some sort of diabetic retinopathy. Diabetic retinopathy progresses with time but may not cause symptoms until it is quite advanced and close to affecting the person’s sight. The duration of diabetes is the most important factor that predicts whether a person develops diabetic retinopathy as well as poor glycaemic control. The United Kingdom Prospective Diabetes Study (UKPDS 1998) and the Diabetes Control and Complications Trial (DCCT 1993) showed that improved glycaemic control reduced the development and progression of retinopathy. This demonstrates that glycaemic control is significant in reducing a person’s risk of developing diabetic retinopathy and by combining the retinal screening with the diabetic review, it was anticipated that improved glycaemic control could be discussed at an appropriate time as most people would consider maintaining their eyesight as significant. A study by Jones, Hepburn, Man, Ridout and Gable (2011) demonstrated that diabetes care in the community is not always flexible enough to accommodate the needs of vulnerable people with complex needs however, type 2 diabetes mellitus (T2DM) complications are often avoidable through adequate care and therefore there has been an increase in programmes to improve the quality of routine care received by people with T2DM (Stribbling 2013). The importance of targeting non-attenders is significant in order to attempt to reduce complications. Diabetes is associated cardiac and cerebrovascular disease, as well as small vessel disease that can result in blindness and renal failure (Fowler 2008). Good glycaemic management reduces the risks of complications, why is why it is important to make every effort to reach the non-attenders (Thomas 2012). Socio-economic deprivation is one of the main reasons people are unable to attend appointments for health care. Deprivation is strongly associated with the development of diabetes and the complications associated with it. People on a low income may not be able to access public transport, they may not class their own health as priority and those who have substance misuse issues may use their money to buy illicit drugs instead of using the money to buy healthier food or for getting to and from appointments. Research by Mitchell, Malone and Doebbeling (2009) demonstrated that individuals with substance misuse disorders and mental health problems were significantly less likely to receive retinal screening or foot sensory examination even though those with a mental disorder had significantly more out-patient visits. This researched concluded that there was strong evidence to support inequalities in medical care for those people with a mental health problem or a substance misuse disorder even though the nature of these diagnoses increased the risk of them developing T2DM and complications from it. In consideration of the practice population where I work, there are a high proportion of people with mental health issues, drug misusers and a few homeless people. I also work in a deprived area which alerts me to acknowledging the problems these people face on a day to day basis and realising that health is not top of their daily agenda. It has highlighted that the evidence is present to facilitate a change in practice to allow for improved access to health care and to perform as many health assessments as possible in one session. Overview of audit The audit undertaken earlier in the year was performed by analysing the number of people with diabetes attending appointments for annual retinal screening (see appendix 1). I then divided the results down further to encompass age groups and gender. The middle age range had the highest number of non-attenders and more males than females failed to attend their appointment. The number of people attending for retinal screening was considerably higher than anticipated, and in comparison to those attending for other areas of their diabetes care, which identified an opportunity in modifying appointments. The audit highlighted that patient’s rank their eyesight as very important compared to other aspects of their diabetes review and I considered how I could change this behaviour and allow for the patients diabetic review to be performed at the same time as retinal screening. This recognised that there needs to be a more robust system in place as this type of complication can only be detected by a detailed examination of the eye at attendance of the retinal screening programme. Attendance issues may be improved upon by combining appointments and therefore, in conclusion, communication between departments needs to be more effective ensuring that diabetic patients can be recalled for both review and screening and a protocol for patients who do not attend needs implementing. Action plan My initial action was to ensure that the diabetes register at the practice was up to date and that all patients over the age of twelve years had been referred to the screening service. I performed this audit by reviewing the diabetic register on Systmone including any new patients and systematically checking through the patients computerised notes to establish whether referrals had indeed been made and read coded onto the computer. For patients who had not been referred for retinal screening, a referral form was completed and faxed over to the screening service. Local diabetic eye screening services need to be informed of everyone who is newly diagnosed as well as those people with diabetes who have moved into the area or changed GP practice. Once this was complete, I contacted the retinal screening service via email to ask whether it would be a feasible option for them to batch appoint several of the surgeries patients together on the same morning or afternoon to allow for sufficient patients to make it cost effective for a full session. The retinal screening took place at a different GP surgery and I therefore needed to contact the practice manager to request permission for the use of a room in order to be able to review the patients at the same time as the retinal screening appointment. This would mean I would have to travel and see patients at the other surgery and it was recognised that both cost effectiveness and productiveness would be improved by consulting with several patients within one session. Unfortunately, rooms were very limited at the other surgery and therefore this option was taken out of the equation as it was not possible to agree a solution. I reconsidered the idea and emailed the screening service again to ask the standards and measurements needed for a room for retinal screening. I was informed that the room needed to be at least three metres in length with a desk and two chairs, a computer, and access to an electricity supply to extend to the car park where the screening van would be located. My surgery often hires vacant rooms out to other services and therefore, I discussed this with the centre manager who approved an inspection by the retinal screening service to establish whether the surgery had a suitable room. This was arranged for the screening service to attend the surgery and review all of the available rooms. Two gentlemen from the screening service attended the surgery together with the screening vehicle to inspect the rooms available and to establish whether it would be feasible to park, connect to an electrical supply and be allocated a suitable room for screening purposes. They were shown around the majority of the rooms within the surgery and decided that one of the rooms at the front of the building was suitable; the screening van could be parked at the front of the building allowing suitable access to an electrical point. We therefore had an agreement with the retinal screening service for them to perform the screening procedure within the patient’s own surgery. It was agreed that a nominated person from the retinal screening service would send, via email, a list of patients whom they were inviting for screening, directly to the practice, six weeks in advance of the appointment. This would allow time for the practice to invite the patients to attend for any blood tests needed prior to their diabetic review. The surgery would then send a letter to each patient informing them that their diabetic review would be performed immediately after their retinal screening. For the appointment system to be robust, an educational session was delivered to other nurses and reception staff to inform them of the change in practice and the reasons behind this change. This was to attempt to engage all staff to work effectively in this process and to discuss any problems or ideas. Appointment length for the diabetes review was agreed to be thirty minute duration. There was a discussion featuring the implication for the Quality and Outcomes Framework (QoF) figures, and consequently monetary reward for the practice, and that retinal screening is an annual procedure. Patients are sent a leaflet regarding screening with their retinopathy screening appointment. Following this, a prototype patient letter was devised for the practice to allow for consistency in appointing patients. The letter included the patient’s appointment time and date for their retinal screening and their diabetic review. The letter also advised patients of the risks of complications from diabetes and the importance of attendance. The letter was produced (see appendix 2) and this was evaluated and discussed at the next patient participation group which is only small but includes one person with diabetes. Following approval of the appointment letter, a protocol (see appendix 3) was formulated to encompass all stages of the appointment process and ensure consistency. Results The educational session took place and was attended by the practice nurses, reception and administration staff within the surgery. This was performed by discussion to allow for interaction of all staff members. The GP was unable to attend and this was discussed with her at another time. Feedback was positive and it was judged by the staff members to facilitate an improvement in patient care and improvement in appointment attendance. No problems were foreseen although it was recognised that if a patient failed to attend, it was mean a large portion of clinic time had been wasted. This time could be used to attempt to contact the patient by telephone to discuss diabetes care if necessary via a telephone consultation. The â€Å"one stop shop† was perceived as a significant initiative in improving appointment attendance by the patient participation group. It was seen as something that would benefit patients rather than benefitting the surgery. As a representative group of patients, they highly recommended the implementation of the change in practice. This was seen as a successful challenge within the practice considering our patient population. At the time of writing, I am awaiting the initial list of patients from the retinal screening service in order to be able to appoint people into this new project. Discussion Equality of access should be a priority for all NHS services (DoH 2008). Vulnerable people with complex needs should still be entitled to quality health care as it is these patients who may lack the knowledge, skills and support to manage their condition (Thomas (2012). Reflecting on the patients I care for, there is a high incidence of vulnerable people, substance misusers, and homeless, those on a low income or out of work, mental health and learning disability issues. These are often hard to target patients who repeatedly fail to attend appointments. The Quality and Outcomes Framework (QoF) rewards surgeries for achieving set outcomes for diabetes however surgeries such as the one where I am employed, often miss out on vital funds. This is not through the absence of working extremely hard to reach the targets but through patients not attending their appointments. Deprivation is strongly associated with the risk of developing diabetes and its complications. Diabetes UK (2006) reported that people living in derived areas were two and a half times more likely to develop type two diabetes. This was further reported by Diabetes UK (2009) who added that people in the most deprived areas are twice as likely to develop complications of diabetes compared to those in the least deprived areas. Around 500 people a year experience loss of vision due to diabetic retinopathy and maculopathy at a level where it could be registered as a disability (Health and Social Care Information Centre (HSCIC) 2014). Diabetic patients are also at risk of developing cataracts or glaucoma. Diabetes UK (2013) in their mission statement declare the key points are Diabetic retinopathy is the most common cause of sight loss in the working age population All people with any type of diabetes are at risk of developing retinopathy. Those most at risk are those who have had diabetes for a long time and/or who have poorly controlled diabetes and hypertension The NHS Diabetic Eye Screening Programme aims to reduce the risk of sight loss among people with diabetes by the early detection and treatment Screening is offered annually to all people with diabetes aged 12 and over A study by Waqar, Bullen, Chant, Salman, Vaidya and Ling (2009) into the cost implications of non-attendance at a retinal screening programme demonstrated an association between non-attendance and socioeconomic deprivation. The study divided the results down further into first and second did not attend (DNA) appointments. They discovered that sending out repeat reminders to patients resulted in a significant reduction in non-attendance rates. In the area where the study was performed on a total of 22,651 people, they declared the total cost by lost earnings from missed appointments to be almost eighty thousand pounds. Therefore failure of attendance at retinal screening appointments impacts enormously on Trust budgets. Having the knowledge that DNA rates increase within areas of deprivation indicates that people in these areas need different ways of encouraging them to attend appointments. This group of patients needs targeting more aggressively and may need further reminders of their appointments. My vision for the patients that are registered with my practice is one that will encourage attendance by providing a service that will encompass the majority of components needed for a full diabetic review within one session. My feelings are that this will improve patient attendance as the patients will not have to attend multiple appointments or visit another surgery for their retinal screening. This will reduce time constraints and patients expenses should they need to use public or private transport. People leading chaotic lives tend to focus their day very differently to others and by generating one appointment instead of two may support these people to make an effort to attend one session. I consider the strength of this change in practice focuses on the idea of only one appointment. This appears to be confirmed by the reaction of other members of staff and the patient participation group. I remain optimistic that this will improve patient attendance and therefore patient care and improved health outcomes with a reduction in complication rates. The ability for retinal screening to be performed at my practice was paramount to this change in practice and continuing effective communication between the surgery and the retinal screening service must be maintained. I do not feel there is a particular weakness with the method, however the only drawback I can foresee is that if patients continue to DNA the new appointment then it will lead to a large amount of wasted appointment time. I anticipate that the audit next year will highlight an increase in uptake of appointments. If attendance for retinal screening remains at the level that occurred during the audit, this should reflect upon the attendance for diabetic reviews also. If successful, this may be a model of care that other practices may wish to replicate should they have available facilities at their surgery to accommodate the retinal screening service. Student number DDNL04004

Genres Of Literature Essay

Genres of literature are important to learn about. The two main categories separating the different genres of literature are fiction and nonfiction. There are several genres of literature that fall under the nonfiction category. Nonfiction sits in direct opposition to fiction. Examples from both the fiction and nonfiction genres of literature are explained in detail below. This detailed genres of literature list is a great resource to share with any scholars. Types of Nonfiction: Narrative Nonfiction is information based on fact that is presented in a format which tells a story. Essays are a short literary composition that reflects the author’s outlook or point. A short literary composition on a particular theme or subject, usually in prose and generally analytic, speculative, or interpretative. A Biography is a written account of another person’s life. An Autobiography gives the history of a person’s life, written or told by that person. Often written in Narrative form of their person’s life. Speech is the faculty or power of speaking; oral communication; ability to express one’s thoughts and emotions by speech, sounds, and gesture. Read more:  How to write a reflection essay. Generally delivered in the form of an address or discourse. Finally there is the general genre of Nonfiction. This is Informational text dealing with an actual, real-life subject. This genre of literature offers opinions or conjectures on facts and reality. This includes biographies, history, essays, speech, and narrative nonfiction. Nonfiction opposes fiction and is distinguished from those fiction genres of literature like poetry and drama which is the next section we will discuss. Genres of Fiction: Drama is the genre of literature that’s subject for compositions is dramatic art in the way it is represented. This genre is stories composed in verse or prose, usually for theatrical performance, where conflicts and emotion are expressed through dialogue and action. Poetry is verse and rhythmic writing with imagery that evokes an emotional response from the reader. The art of poetry is rhythmical in composition, written or spoken. This genre of literature is for exciting pleasure by beautiful, imaginative, or elevated thoughts. Fantasy is the forming of mental images with strange or other worldly settings or characters; fiction which invites suspension of reality. Humor is the faculty of perceiving what is amusing or comical. Fiction full of fun, fancy, and excitement which meant to entertain. This genre of literature can actually be seen and contained within all genres. A Fable is a story about supernatural or extraordinary people Usually in the form of narration that demonstrates a useful truth. In Fables, animals often speak as humans that are legendary and supernatural tales. Fairy Tales or wonder tales are a kind of folktale or fable. Sometimes the stories are about fairies or other magical creatures, usually for children. Science Fiction is a story based on impact of potential science, either actual or  imagined. Science fiction is one of the genres of literature that is set in the future or on other planets. Short Story is fiction of such briefness that is not able to support any subplots. Realistic Fiction is a story that can actually happen and is true to real life. Folklore are songs, stories, myths, and proverbs of a person of â€Å"folk† that was handed down by word of mouth. Folklore is a genre of literature that is widely held, but false and based on unsubstantiated beliefs. Historical Fiction is a story with fictional characters and events in a historical setting. Horror is an overwhelming and painful feeling caused by literature that is frightfully shocking, terrifying, or revolting. Fiction in which events evoke a feeling of dread in both the characters and the reader. A Tall Tale is a humorous story with blatant exaggerations, swaggering heroes who do the impossible with an here of nonchalance. Legend is a story that sometimes of a national or folk hero. Legend is based on fact but also includes imaginative material. Mystery is a genre of fiction that deals with the solution of a crime or the unraveling of secrets. Anything that is kept secret or remains unexplained or unknown. Mythology is a type of legend or traditional narrative. This is often based in part on historical events, that reveals human behavior and natural phenomena by its symbolism; often pertaining to the actions of the gods. A body of myths, as that of a particular people or that relating to a particular person. Fiction in Verse is full-length novels with plot, subplots, themes, with major and minor characters. Fiction of verse is one of the genres of literature in which the narrative is usually presented in blank verse form. The genre of Fiction can be defined as narrative literary works whose content is  produced by the imagination and is not necessarily based on fact. In fiction something is feigned, invented, or imagined; a made-up story. Basic Parts of Essay Introductory Paragraph The introductory paragraph accomplishes three purposes: it captures the reader’s interest, it suggests the importance of the essay’s topic, and it ends with a thesis sentence. Often, the thesis sentence states a claim that consists of two or more related points. For example, a thesis might read: A college essay has an introductory paragraph, several body paragraphs, and a concluding  paragraph. You are telling the reader what you think are the most important points which need to be addressed in your essay. For this reason, you need to relate the introduction directly to the question or topic. A strong thesis is essential to a good essay, as each paragraph of your essay should be related back to your thesis or else deleted. Thus, the thesis establishes the key foundation for your essay. A strong thesis not only states an idea, but also uses solid examples to back it up. A weak thesis might be: Wikipedia is a powerful resource in many ways. As an alternative, a strong thesis for the same topic would be: Wikipedia is a powerful resource because it allows users with knowledge in a specific area toshare their knowledge, because it allows users to quickly find information about a vast array of topics, and because studies have confirmed that it is as accurate as any other encyclopedia. Then, you could separate your body paragraphs into three sections: one explaining the open-source nature of the project, one explaining the variety and depth of information, and a final one using studies to confirm that Wikipedia is indeed as accurate as other encyclopedias. Tips  Often, writing an introductory paragraph is the most difficult part of writing an essay. Facing a blank page can be daunting. Here are some suggestions for getting started. First, determine the context in which you want to place your topic. In other words, identify an overarching category in which you would place your topic, and then introduce your topic as a case-in-point. For example, if you are writing about dogs, you may begin by speaking about friends, dogs being an example of a very good friend. Alternatively, you can begin with a sentence on selective breeding, dogs being an example of extensive selective breeding. You can also begin with a sentence on means of protection, dogs being an example of a good way to stay safe. The context is the starting point for your introductory paragraph. The topic or thesis sentence is the ending point. Once the starting point and ending point are determined, it will be much easier to connect these points with the narrative of the opening paragraph. A good thesis statement, for example, if you are writing about dogs being very good friends, you could put: A dog is an example of a very good friend because X, Y, and Z. Here, X, Y, and Z would be the topics explained in your body paragraphs. In the format of one such instance, X would be the topic of the second paragraph, Y would be the topic of the third paragraph, and Z would be the topic of the fourth paragraph, followed by a conclusion, in which you would summarize the thesis statement. Example As we travel through our lives, we will identify many people as friends. In truth, most of these individuals are simply acquaintances. They will enter and depart from our existences as matters of mutual convenience. True friends will be there for you always. There is no friend truer than a dog. Identifying a context can help shape the topic or thesis. Here, the writer decided to write about dogs. Then, the writer selected friends as the context, dogs being good examples of friends. This shaped the topic and narrowed the focus to dogs as friends. This would make writing the remainder of the essay much easier because it allows the writer to focus on aspects of dogs that make them good friends. Body Paragraphs Each body paragraph begins with a topic sentence. If the thesis contains multiple points or assertions, each body paragraph should support or justify them, preferably in the order the assertions originally stated in the thesis. Thus, the topic sentence for the first body paragraph will refer to the first point in the thesis sentence and the topic sentence for the second body paragraph will refer to the second point in the thesis sentence. Generally, if the thesis sentence contains three related points, there should be three body paragraphs, though you should base the number of paragraphs on the number of supporting points needed. If the core topic of the essay is the format of college essays, the thesis sentence might read: A college essay has an introductory paragraph, several body paragraphs, and a concluding paragraph. The topic sentence for the first body paragraph might read: The first paragraph of an essay is the introductory paragraph. Sequentially, the topic sentence for the second body paragraph might read: The introductory paragraph is followed by several body paragraphs. And the topic sentence for the third body paragraph might read: The college essay’s final paragraph is its concluding paragraph. Everybody paragraphs uses specific details, such as anecdotes, comparisons and contrasts, definitions, examples, expert opinions, explanations, facts, and statistics to support and develop the claim that its topic sentence makes. Tips When writing an essay for a class assignment, make sure to follow your teacher or professor’s suggestions. Most teachers will reward creativity and thoughtful organization over dogmatic adherence to a prescribed structure. Many will not. If you are not sure how your teacher will respond to a specific structure, ask. Organizing your essay around the thesis sentence should begin with arranging the supporting elements to justify the assertion put forth in the thesis sentence. Not all thesis sentences will, or should, lay out each of the points you will cover in your essay. In the example introductory paragraph on dogs, the thesis sentence reads, â€Å"There is no friend truer than a dog. † Here, it is the task of the body paragraphs to justify or prove the truth of this assertion, as the writer did not specify what points they would cover. The writer may next ask what characteristics dogs have that make them true friends. Each characteristic may be the topic of a body paragraph. Loyalty, companionship, protection, and assistance are all terms that the writer could apply to dogs as friends. Note that if the writer puts dogs in a different context, for example, working dogs, the thesis might be different, and they would be focusing on other aspects of dogs. It is often effective to end a body paragraph with a sentence that rationalizes its presence in the essay. Ending a body paragraph without some sense of closure may cause the thought to sound incomplete. Each body paragraph is something like a miniature essay in that they each need an introductory sentence that sounds important and interesting, and that they each need a good closing sentence in order to produce a smooth transition between one point and the next. Body paragraphs can be long or short. It depends on the idea you want to develop in your paragraph. Depending on the specific  style of the essay, you may be able use very short paragraphs to signal a change of subject or to explain how the rest of the essay is organized. Do not spend too long on any one point. Providing extensive background may interest some readers, but others would find it tiresome. Keep in mind that the main importance of an essay is to provide basic background on a subject and, hopefully, to spark enough interest to induce further reading. Example A true friend will be there for you whenever you need them. Any dog owner will say that there is nobody that will stick with you through thick and thin as much as a dog. My own dog can barely contain her joy when I come home from a hard day. Regardless of my mood, and my attitude towards her, she is always happy when I am home, and that is usually enough to make me feel better about everything. True friends will help you when you are in need. Whether it is to protect their owner against some sort of threat or to help a blind person walk across the street, dogs are the most reliable companion a person could have. Few villains would attack a person walking a dog at night, and statistics show that homes with dogs are among the least likely to be broken into. The above example is a bit free-flowing and the writer intended it to be persuasive. The second paragraph combines various attributes of dogs including protection and companionship. Here is when doing a little research can also help. Imagine how much more effective the last statement would be if the writer cited some specific statistics and backed them up with a reliable reference. Concluding Paragraph The concluding paragraph usually restates the thesis and leaves the reader something about the topic to think about. If appropriate, it may also issue a call to act, inviting the reader to take a specific  course of action with regard to the points that the essay presented. Aristotle suggested that speakers and, by extension, writers should tell their audience what they are going to say, say it, and then tell them what they have said. The three-part essay model, consisting of an introductory paragraph, several body paragraphs, and a concluding paragraph, follows this strategy. Tips As with all writing, it is important to know your audience. All writing is persuasive, and if you write with your audience in mind, it will make your argument much more persuasive to that particular audience. When writing for a class assignment, the audience is your teacher. Depending on the assignment, the point of the essay may have nothing to do with the assigned topic. In most class assignments, the purpose is to persuade your teacher that you have a good grasp of grammar and spelling, that you can organize your thoughts in a comprehensive manner, and, perhaps, that you are capable of following instructions and adhering to some dogmatic formula the teacher regards as an essay. It is much easier to persuade your teacher that you have these capabilities if you can make your essay interesting to read at the same time. Place yourself in your teacher’s position and try to imagine reading one formulaic essay after another. If you want yours to stand out, capture your teacher’s attention and make your essay interesting, funny, or compelling. Example It is no accident that many people consider their dogs as part of their family. Just like every other member, dogs contribute to the happiness and well-being of the home, making the burdens of caring for them well worth the effort. Dogs deserve love and respect every bit as much as they love and respect us. After all, what more can a friend be? In the above example, focus shifted slightly and talked about dogs as members of the family. Many would suggest it departs from the logical organization of the rest of the essay, and some teachers may consider it unrelated and take points away. However, contrary to the common wisdom of â€Å"tell them what you are going to say, say it, and then tell them what you have said,† you may find it more interesting and persuasive to shift away from it as the writer did here, and then in the end, return to the core point of the essay. This gives additional effect to what an audience would otherwise  consider a very boring conclusion.

The Misconception of a Role Model and the Relation to an Athlete

A role model: a noun, meaning a person whose behaviour, example, or success is or can be emulated by others, especially by younger people. An athlete: also a noun, a person who is trained in exercises or contents involving physical agility, stamina, or strength; a participant in a sport, exercise, or game requiring physical skill. Two entirely different words, and two very different definitions, yet one must wonder; could it be that these terms may in fact be very closely related? Thus bringing us to the much debated issue of whether or not athletes can be positive role models. Over the years, this has proved to be an extremely opinionated issue for many. The truth is, an athlete is simply â€Å"a person†, and if we have people who are our role models, then yes, athletes, being people, can be positive role models too. However in today’s society there is a huge misconception surrounding the term â€Å"role model† and therefore there are many mixed opinions regarding this topic. Firstly, could it be that our expectations of athletes that are perhaps too high, thus preventing us from seeing the â€Å"positive-ness† in them. Secondly, in such a materialistic world, people often forget the difference between what they want and what they need, and therefore if the world wants to see prefect role models, with money, talent, and beauty, then they will look for that in people like athletes, because quite frankly, people are constantly in search of that â€Å"good life† concept. Lastly, there is a reason why the word role comes before model. Our role models are only models in a certain role, or as one may say forte. Athletes are role models in our society, however only in the role of an athlete, and we often forget that. Consequently we may need to re think our definition of a role model before we determine whether or not athletes can be considered positive influences on our society. Today, when a high-status athlete is accused of a serious offence or of cheating the game, of course it is news and newsworthy! Take Michael Phelps for example; no matter how many world records he breaks in the future, there will always be someone there to bring up the pact that he smoked marijuana at a party once. He wasn’t even in competition season, or training that day, ut he did it. He did something that many of us have done, yet because he is Michael Phelps, everything changes. We cannot consider ourselves perfect, because we make mistakes all the time, so maybe we need to allow these athletes to try and fail at the â€Å"non-athletic† human qualities, because in the end, they are simply human and, like us, they often make mistakes too. We have these silent requests for athletes. We force them into be coming our role models; we force them into achieving excellence in the athletic world. Therefore, the mere fact that athletes are constantly accomplishing this excellence, although they are under great pressure, is evidence not of the failure of professional sports in society but of their triumph. We should be proud of Michael Phelps, because he is a positive role model, regardless of whether or not he smoked once upon a time, that just shows us that this man has the talent and ability to maintain athletic success, and the events of a normal humane life, at the same time. We should be proud because the days of baseball players drinking beer during the game or basketball players using drugs prior to the tip-off are long gone; today we find less of the athletes who carelessly fritter away their talent, and more of the athletes who are more admirable and, more superior role models than before. So maybe we are unsuccessful when it comes to recognizing this, and as a result we require even more from them. This could be hy our vision of a role model, when it comes to athletes, is impractical and unreasonable. Furthermore, in such a materialized world as the present, we have forgotten what we need and replaced it with what we want. We used to have a good vision of the â€Å"good life† where all we really needed was the basics, which can be found on Maslow’s Hierarchy of needs. Basics and necessities such as: air, food, shelter, sex, safety, love and belonging, self esteem, and personal fulfilment. Now however, we have become more technologically advanced, and the media has become such a huge influence in our lives which, inevitably, causes us to forget about the basics, and instead fill ourselves with greed, and want. We now feel that in order to have a good life, we must have money, fame, health, and beauty in appearance; all of which we can find in athletes. So now, instead of having role models who are successful, and respect all of Maslow’s basic needs, we have role models who have all the things that we want. We look at these talented athletes, and we pick out the parts of them that we want to have in our â€Å"good life† and we forget the parts of them that we need to have in our â€Å"good life†. We look at their outer selves, and forget about their achievements, and their stories. Therefore, athletes can be positive role models for us, depending on what our image of a â€Å"good life† is. Now at last we look at what a role model is meant to do for us. A role model is not just a model; they are a model of a specific role which is a vital limitation. Like previously stated, none of us are perfect, thus, realistically speaking; none of us are models for others. Parents, principles, community leaders; we should all be modest and hope that the younger generation do not follow in our footsteps entirely. For example, in the future, I would like my children to have my voice, passion for writing and sports, and my sense of love and belonging. However, I would not like them to have my health issues, or patience skills and tolerance when it comes to ignorance. You see, everyone wants to set good examples, we all want to have a good life, filled with our good qualities, not the bad, because then those who follow in our footsteps will be heading in the right direction straight from the beginning. So yes, of course athletes will often fail to model the role that we expect them to model, however we all make mistakes. We cannot expect them to model a role that they are not capable of leading, but nevertheless we can expect them to display good sportsmanship and commitment to fair play. In the end, we must come to realize that the question is not exactly â€Å"Can athletes be positive role models? † but instead, â€Å"What kind of role model do you see athletes as? † Our idea or a role model is distorted. We have such high expectations of them, causing us to treat them as if they were not human. We also need to take into consideration, our thoughts on a â€Å"good life† the difference between what we want to see in our role models, and what we need to see in our role models, because often we are looking at the outer athlete, and not the true inner talent that they might have. Subsequently, we must remember that athletes are models for their own specific roles, and like any role model they can be successful or they can fail at that role. Therefore we must simply judge them based on the vital constriction that comes with their role, and no more than that. We must expect from them only what they are capable of doing. The study and analysis of this issue has brought me to the realization that we have a huge misconception of what a role model is, and whether or not the relation between role model’s and athlete’s can be made.

Negligence at the Workplace - 3583 Words

1. a. b. c. d. 2. a. b. c. d. 3. a. b. c. d. 4. a. b. c. d. 5. a. b. c. d. Mark intentionally pushes Don. Don falls to the ground and breaks his arm. Mark is liable for the injury only if Mark did not intend to break Don’s arm. only if Mark had a bad motive for pushing Don. only if Mark intended to break Don’s arm. if Mark intended to push Don. Jill accuses of Ken of committing an assault. A person commits an assault if he or she creates in another an apprehension or fear of future harm. immediate harm. past harm past, present, or future harm. Alan writes Beth a private letter falsely accusing her of stealing office supplies from their employer, Consolidated Industries, Inc. This is†¦show more content†¦a. Express contracts Implied contracts Quasi contracts Unilateral contracts 19. If an ad to sell a single item gets more than one acceptance, the offeror must sell the item to each party who accepted or be liable for breach of contract. 20. An auction with reserve is one in which the seller cannot withdraw the goods at any time before the auctioneer closes the sale. 21. If an acceptance materially changes an offer, the acceptance may be held to implicitly reject the offer. 22. Janet tries to start her car with no success. She yells in desperation that she would sell the car to anyone for $100. Bill, a passerby, hands Janet $100. Bill’s act constitutes a valid acceptance. constitutes a valid acceptance only if Janet and Bill already know each other. does not constitute a valid acceptance, because $100 is not be a fair price for the car. does not constitute a valid acceptance, because Janet does not seriously intend to sell the car. a. b. c. d. 23. a. b. c. d. Sam announces that he plans to sell his business at a price below its market value. Tina gives Sam a check for the stated amount. 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