The Role of a Guardian

Guardianship is a legal relationship between a competent adult and a person over the age of 18 and whose disability causes them to make irrational decisions. The incompetent person is called the ward. The disability may he caused by mental illness, developmental disability, accident, or other causes. A developmental disability or mental illness is not, alone by itself enough reason to call someone incompetent. Even advanced stages of alcoholism is reason enough to find a guardian or some other kind of court intervention in that persons life. Competency has to do with a person's ability to make an ‘informed decision', or, with the risk of arm that they may experience due to their inability to provide for themselves or control their business. The court has the right to make the guardian last indefinitely. The only way to end it is to have the court end it. The only way that they do that is where the child reaches the age of majority and then they don't need a guardian or if the incapacitated person dies. The incapacitated person could also get better and then they wouldn't need a guardian any more In the relationship between the guardian and the ward, the guardian is given the right to make decisions on behalf of the person with a disability. When a guardian is appointed, the ourt gives the guardian the authority to exercise certain legal rights in the wards best interest. The courts, when giving rights to a guardian, take them away from the ward. Because guardianship involves such a serious deprivation of rights and dignity, the law requires that guardianship be executed only when other, less restrictive alternatives have proven not to work. If less restrictive forms of protection are not enough to protect a person from the risk of harm, then guardianship should be sought on behalf of the incapacitated person. A guardian's authority is limited to those areas of decision making for which there is vidence to indicate that a person is incapacitated. Some incapacitated people are able to make responsible decisions in some, but not all, areas of their lives. In these situations guardianship may be limited by the court to only those areas in which the incapacitated person is unable to make responsible decisions. Some individuals require a guardian who has responsibility for both the person and the estate. The primary responsibility of the guardian with duties pertaining to the ward is to provide consent for issues such as medical treatment and living situation. A uardian of the estate is responsible for managing some or all of the property and/or income of There are three different kinds of guardianship. The first kind is the most common type and that is plenary guardianship. Plenary guardianship or complete guardianship is when the ward has very little capacity and the guardian makes all the important decisions. People found to be totally without capacity or understanding to make personal decisions or manage financial affairs, are given plenary guardians. In determining a need for person guardianship, two prominent issues are medical decision making and residential placement. If a person is unable to give informed medical consent or is unable to live independently in an appropriate residence, person guardianship should be Estate guardianship is necessary where a person, due to some disability, cannot manage financial affairs. However, courts rarely appoint plenary estate guardians where estate assets are minimal. Bill paying assistance and money management assistance programs should also be considered before you seek an estate guardian. Small estate amounts can be collected and disbursed, without resort to estate administration. Some courts encourage the use of small estate ffidavits and court-supervised deposits of wards' funds as alternatives to estate guardianship. However, as stated before, many judges rarely appoint estate guardians in small or minimal Perhaps the least understood and least used form of guardianship applies where a person lacks some, but not all of the capacity to make personal decisions or handle an estate, the appointment of a limited guardian is not a finding of legal incompetence. Limited guardianship is intended to be less severe and more individualized than plenary guardianship. Although guardianship is supposed to be used only to the extent necessary by a person's ctual mental, physical and social limitations, courts tend to create plenary guardianship rather than limited guardianship, even where limited guardianship may arguably be more appropriate. One reason for the bias toward plenary guardianship is that the creation of an appropriate limited guardianship is complicated when compared to plenary guardianship. A physician must clearly state between things a person can and cannot do and must clearly describe these things to the court. The court must then determine which of these rights will be taken from the person with disability, considering the consequences for each. The limited guardianship must be understandable to the guardian, ward and other parties that may depend on the document. Not all guardianship practitioners, medical practitioners and courts are able to make an appropriate, The following are some better alternatives, which should be considered before pursuing guardianship. Representative or Protective Payee is a person who is appointed to manage Social Security, Veterans' Administration, Retirement, Welfare Assistance or other state or Federal benefits or entitlement program payments on behalf of an individual. Conservatorship is a oluntary proceeding in which a person (the conservatee) asks the Court to appoint a specific individual (the conservator) to manage his or her estate. The court must find the ward incapable of managing his or her financial affairs, but capable of making the decision to have a conservator appointed to do so these actions. Power of Attorney is a contract between two individuals where one party gives to the other the authority to make any number of decisions (e. g. medical, placement, financial) on his or her behalf. The person giving the power of attorney must be mentally competent to enter into the contract as learned in this class. If the contract is made and the six essential elements of a contract are met, the power of attorney remains in effect even if the principal becomes mentally incapacitated. Here is a case where some kind of guardianship or another court related act would have to take place. A person with Alzheimer's disease often loses all short-term memory and gradually loses even long-term memory. That person cannot make responsible decisions such as remembering to take medication or remembering to pay bills. If that person did not execute a power of attorney while he or she still had the legal capacity to do so, the only way for a family ember to take over bill payments or seek medical assistance for the disabled person is to execute a guardianship through court intervention. In conclusion there are very many things you have to consider before you try to become a legal guardian. You must first think of what is in the best interests of the ward. Then, if you can, you should try to find some better, less restricting options, for him or her. Being a guardian to a child or a mentally disabled person is a big responsibility and should not be taken lightly. There are businesses and law firms, which can help you, research and become a guardian.

CPOE Case Study Essay

1. Provide a brief overview of the case (one paragraph or less). What is this case about? -This case study talks about Emory Clinic implementing a computerized provider order entry system and describes the changes the clinic went through. The case study also talks about how the system affected the hospital and the healthcare works when implementing to system. It discusses people’s reaction to the system and the advantages and problems that arise when the system was being implemented. 2. What is the purpose of a CPOE system? -The purpose of a CPOE system is it was designed to reduce, or, whatever possible, eliminate handwritten orders. Some of the advantages of the CPOE system over the handwritten process are that they are less likely subject to errors, free of handwriting identification problems, less subject to errors, and provide â€Å"real time† decision support. 3. How might a CPOE system change work flow in a medical setting? What type of business process reengineering (BPR) occurred at Emory as part of this project? -The type of business process reengineering that occurred during the implementation of the CPOE system was the shift in the workload. According to the case study, the CPOE system was an overall positive in the workforce as it reduced errors in a medical setting. Instead of handing off orders to intermediaries, they can just directly enter an order to the system for others to see. There was a natural shift in workload from nurses, pharmacists, social workers, ward clerks, and other healthcare providers to physicians. Doctors were left with a higher workload due to the change of the process and the case study states that they hate it. The CPOE system created a new workplace dynamic in which the doctors responsibility for order entry was not always clearly defined. On the other hand, some other healthcare works got less of a workload. For example pharmacist Tony Ottaviano stated that his workload was reduced freeing up more time for him to actually doing what pharmacists are supposed to do instead of sitting and entering orders 4. At Emory, what were the goals of CPOE implementation? (Why was a decision made to do this?) -The goals of implementing the CPOE system was to reduce human error. The advantages listed on page 14, listed all the reasons why it should be implemented. In the case study, they stated that there were more positives  than negatives about the implementation. Overall the system made operations move at a quicker pace and helped most healthcare workers made less errors in a medical setting. 5. Access YouTube and view videos from at least three other healthcare organizations that have implemented CPOE systems. Identify the three organizations and summarize their implementation efforts. – Adventist healthcare system http://www.youtube.com/watch?v=8tfLoWVAeHc Organizational change Processing the system Training their employees Stabilization optimization – Crouse Hospital http://www.youtube.com/watch?v=OeziLJU_ZGw Talked about enhancements of the system such as safety Mandatory rollout with more enhancements and improvements Explain why it is an advantage and essential Expanded to most units in hospital with enhancements and improvements -Floyd Medical Care http://www.youtube.com/watch?v=J9vPoQ65PiE Personal training Explained why CPOE will make things easier 6. After reading the case and viewing the YouTube videos, identify who you think the stakeholders are in a CPOE implementation effort. Identify at least 10 different types of stakeholders. 1. IT department 2. Trainers 3. Hospitals 4. CPOE creator 5. patients 6. Physicians 7. Pharmacist 8. Nurses 9. EMT 10. Socials workers 7. Next identify what you think critical steps are in a CPOE implementation effort. What do you see as being critical aspects of the project that can either lead to success or failure? – In implementing the CPOE system,  critical steps for implementing it successfully should be to think about each patient’s needs. The system is for the healthcare workers to use but depending on how this system is utilized could directly effect a patient’s medical procedures. I also think proper training is a critical step. This refers back to the patients being affected if not utilized correctly. 8. In hindsight, what changes can you recommend for the CPOE system implementation process at Emory that might have reduced issues? I expect you to draw on materials either from your real work experience or from information provided in the course so far. 5 points will be deducted from the score for students who answer â€Å"nothing† to this question. I expect more critical thinking than that. -Some of the problems that existed at Emory were â€Å"post-op ordering process†, no gatekeeper, and an increase in lab orders. Some solutions I would recommend to solving some of the listed issues would be increasing the staff count. Having a low staff count with each individual having multiple duties can be tough. Having a higher staff count with a more segregation of duties would prevent a lot of issues from occurring (such as one person just verifying information). Also a big recommendation would be more training. Training can be very costly to an organization but it is better to have effective training than to endanger a patient’s life and having a law suit on their hands. In my real world experience, I currently work at sonic and there is no budget that goes into training. New employees are placed on the floor when they are hired and are told to just observe and other workers are to give advice and show them what to do. This is very inefficient because this makes each worker different as they may have their own way of doing an assigned task. Training should be implemented so that each worker does the same amount of work and work is fair.

Car Insurance Database

This task is related to creation and update of database which is going to contain the data of an insurance company. The database is developed in MS-Access. In order to create the database in MS-Access, the first step is to create the database from file menu of the MS-Access and provide any suitable name (e. g. the name chosen for this project is vechicle_insurance). The next step is to use the query option and execute the queries one by one (the queries are available in this document).All the queries provided in the document are compatible with MS-Access. Six tables are created by the Data Definition Language (DDL) query and the data is inserted into the table by the insert query or Data Modification Language (DML). In addition to DDL & DML, browse, search and update queries are also provided in this document. In the following section, Data dictionary is provided which is a mapping of the fields with the data type.The Entity-relationship (ER) diagram is provided on a separate documen t which shows the relationship amongst all six table tables and how they are connected to each other. In the ER diagram, Id is primary key for each table. All the tables are normalized to 3rd form of the normalization. Data Dictionary There are six tables in vehicle insurance database. Each table contains certain number of fields. Each field gives the information of related table.

Early Childhood Research and Practice

From the heading I am able to see that the journal is going to be about â€Å"Learning Stories and Children’s Powerful Mathematics. † There are three authors in total who were part of the publishing of the journal, they are Bob Perry, Sue Dockett and Elspeth Harley. It is possible to find out a great deal of information about the authors, for example what university they attended, their current job roles and what they are interested in researching. The journal was published in the Early Childhood Research Practice, and it can only be found here. The journal has been peer reviewed. From reading the title and the abstract, I have learnt that â€Å"The approaches to teaching and learning mathematics in Australian preschools and schools can be quite different. † It is believed that different cultures are taught in different ways, however I would have to disagree with this statement, as schools today have multicultural classes, therefore every child has an equal opportunity and is taught the core subjects in the same way. The introduction made it clear that there is often conflict between this increase in formality and the play-based, child-centred philosophies of prior-to-school settings (Thomson, Rowe, Underwood, & Peck, 2005). They key to the research was to investigate young children’s mathematical experiences. The article was set out under numerous headings, separating key information into paragraphs. With-in the articles there are also tables showing how maths can be linked with play and whether it is a successful way of teaching the younger generation. Two of the authors of this paper worked with a small group of early childhood educators for two days in 2005 and two days in 2006. This paper reports how the powerful mathematical ideas and the developmental learning outcomes were brought together by a group of practicing early childhood educators into a numeracy matrix that encouraged the educators to plan, implement, and assess their practices. It also considers the use of learning stories by the early childhood educators to assess the mathematics learning of preschool children. Their list bears many similarities to other such lists (see, for example, Greenes, Ginsburg, & Balfanz, 2004; National Council of Teachers of Mathematics, 2000). Learning Stories are qualitative snapshots, recorded as structured written narratives, often with accompanying photographs that document and communicate the context and complexity of children’s learning (Carr, 2001). Luke has been given the opportunity, through the provision of time, materials, and space, to â€Å"participate purposefully in spatial tasks† and to â€Å"demonstrate flexibility and to make choices. The article was easy to follow and fulfilled all of its set aims. Through their use of the numeracy matrix, the educators are now able to see how each of the powerful ideas contributes to the DLO. One of them was able to suggest that the work with the numeracy matrix had helped them see how the DLOs were the capstones to all that they were trying to do in all learning areas The purpose of this paper w as to introduce the numeracy matrix, which has been developed as part of the Southern Numeracy Initiative in South Australia. Subjective evidence from the participants in the Southern Numeracy Initiative suggest that the use of the numeracy matrix and the thinking behind it have had positive effects on the pedagogical practices of the early childhood educators involved. However some educators disagreed with this and the source can’t be trusted. The article gave a to the point review of what they were trying to achieve and also gave references so if you wanted to further your knowledge on the topic or similar reports then you could do so. Unlike previous articles, this one did not relate to anything that I have previously read. It interested me as I believe that maths is over looked and there is a great amount of ways in linking it in with everyday play and practice; however some educators do not do that. With Australia now putting this â€Å"matrix† into place others may follow suit and see the positive outcomes.

The Importance of Market Segmentation Essay Example | Topics and Well Written Essays - 1500 words

The Importance of Market Segmentation - Essay Example It’s a financial situation where if your advertising is all over the place, without proper focus, you will spend much more money in areas you where you don’t need to. It affects the return in investment (ROI) negatively. The reason why anyone is in business is to make money and reduce losses on all levels (Boone, Kurtz 1999, p. 229). There are two types of products in marketing: consumer products that the general public buy, and business products which are created for the needs of other businesses. A good example would be a company that buys rubber to create tires. Tires can be purchased for the family car (consumer) or tires can be purchased by a car manufacturing plant to put on their automobiles (business). The marketing will be different for both groups with the first group getting literature that says what a great ride one will experience while driving with these tires. That is business to consumer marketing. The other group produces literature which outlines all t he technical details such as available tire sizes, rubber density, tread patterns, testing results and other statistical information that most consumers could care less about. This type of literature is business to business marketing ((Boone, Kurtz 1999, p. 229). ... Four common bases in segmentation are geographic, demographic, psychographic and product-related groupings. The next step is the strategic issue of which segment should be selected, and the following conditions should be met: One where the maximum differential in competitive strategy can be developed; Capable of being isolated out so competitive advantage is preserved; Must be valid even though imitated (Jain, 1997, p. 117). Geographic Segmentation Geographic segmentation deals with location of population most interested and likely to purchase a certain product or service because of where they live. Much of this can be determined through census and job growth data over several year or decades to view qualified patterns that match the criteria for the marketing direction of a product or service (Boone, Kurtz 1999, p. 232). The United States government currently classifies urban data using three specific categories: the Metropolitan Statistical Area (MSA) which is a freestanding centra l urban area of 50,000 or more in population, with 100,000 in total MSA; the Consolidated Metropolitan Statistical Area (CMSA) which incorporates the largest cities in the U.S. and must include two or more MSA; and the Primary Metropolitan Statistical Area (PMSA) which covers urban counties with social and economic ties to CMSAs. Other factors in geographical segmentation are climate, local food habits, and also determining where competitors are located and how they will affect the market plan. The Geographic Information System (GIS) as one can find on Google Maps, is one example of finding where your competitors are (Boone, Kurtz 1999, p. 234). Demographic Segmentation The study of demographics relates to age, sex, income, education, occupation, household size, all of which

Culturally Responsive Teaching Summary and Response Research Paper

Culturally Responsive Teaching Summary and Response - Research Paper Example The process of learning is enhanced and all children are learning together. In most situations, children learn more about the global world through the process of learning about different cultures. This is very important because we live in a global world that provides for many cultures who come to the United States to learn and to grow. Many students come to the United States, stay, and make a living. As they enter classrooms at the K-12 and college levels, they are being trained for work; which can require more global knowledge. The aspects of this paper will provide a synopsis of three articles that are research or theory pertaining to CRT. The articles have been chosen from the university library through various academic journals. Summary of Journal Articles Kozleski (2010) begins this discussion in the article that provides information about why CRT is important. Kozleski makes the point that teachers have a responsibility to set aside their biases about certain cultures and provide opportunities for students to interact with one another. These actions, according to Kozleski, will help students stay engaged in their learning. Another important feature of a cultural classroom is that it helps children become engaged in citizenry. For teachers, this means that they begin to negotiate and facilitate instead of lecture and provide orders of what students must do. Teachers who engage in this type of classroom will take into consideration the culture that the children grow up in and will provide them with activities that promote their culture (Kozlewski, 2010). CRT classrooms allow students and teachers to engage in a variety of perspectives that promote activities from many different lenses. As an example, students may study slavery from th e point of the slavers and abolitionists, and then study it from the viewpoint of slave narratives. This action would promote an important piece of the puzzle and create bridges between children and with the teacher. Kozlewski (2010) also promotes the idea of working in communities with children. She states that this takes planning and â€Å"explicit teaching around social interactions† (p. 2) which ultimately creates an environment where all students feel comfortable learning. Another important aspect of

Education of children with disabilities Essay Example | Topics and Well Written Essays - 750 words

Education of children with disabilities - Essay Example They explained how Paraeducators could widen their scope and include the visually impaired students in physical education (17). Schischka, Rawlinson, and Hamilton in their qualitative study addressed the transition of young children with disabilities, from home to school. These also identified the most important factor necessary for a successful transition of children with disabilities (15). Finally, Sartini, Knight, and Collins focused on the importance of formation of social groups in schools so that students with disabilities could be able to socialise with their peers comfortably. They argued that social groups in such scenarios help to address communication needs of children with disabilities (53). Hudson, Browder, and Wakeman reported that since adapting to grade-level text is a challenge to most intellectually disabled children and a challenge for teachers to help them achieve this, this should not be the end of the story, since there are remedies for this situation. They dwel t on different strategies, which educators can employ in their lessons with intellectually disabled children, to help them adapt faster to grade-level text. ... In the case of Hudson, Browder, and Wakeman, because the intellectually disabled children were challenged with adapting to grade-level text, they were often excluded from active learning. Since teachers found this also challenging, they could focus only on those students with good intellectual capacities. Here, then there comes the aspect of seclusion in education. Similarly, Lieberman and Conroy address the factor of seclusion, although in children who are visually impaired, and being secluded from physical education, and not classroom learning like the case of Hudson, Browder, and Wakeman. Lieberman and Conroy in their study investigated the inclusion of visually impaired students in physical education, and found it wanting. They traced this phenomenon to lack of training of Paraeducators on how to include visually impaired children in physical education. They identified education of Paraeducators in this issue, as the best strategy to address the exclusion of these kind of student s from participation in physical education (23-6). Schischka, Rawlinson, and Hamilton identified the fact that transiting from life at home to school-life is challenging to children with disabilities. In their study therefore, they identified one strategy that would help both the parents and educators of the disabled children, as well as the disabled children themselves to experience a smooth transition (15-6). When a disabled child adapts well to school and the learning process, they are able to catch up faster in class, enjoy schooling, and perform better. This is therefore, a strategy, just like the cases of Hudson, Browder, and Wakeman; and Lieberman and Conroy, to help disabled children