Wednesday, May 6, 2020

Work for something Free Essays

â€Å"Hannah Paramour, on keeping Strengths from Running Amok â€Å"The New York Time Business Day Bryant starts the article by introducing Hannah Paramour , which is the present of Paramour , the digital Agency . The article then goes in to a series of question asked by Bryant to Paramour, the first question asked was where you In leadership roles when you were younger . Paramour answered the question by saying that if you asked her mother or teacher in high school she would know as being a rebel , but always in charge and that everyone in her family is always willing to take on unreasonable mount of responsibility. We will write a custom essay sample on Work for something or any similar topic only for you Order Now Bryant then followed that question up with asking what Paramour study in college at that time she told him she was a classical- piano major because she had studied the Plano her whole life and that she found out in college that while practicing one thing for three hours a day eight hours a day was something new and was a whole other thing. Paramour felt that it didn’t fit her personality and that she had a certain level of skill but it wasn’t what she really wanted to do and she was going to have to figure how to make money so she never graduated and went right to work. Bryant then asked what work she did and was told that she had terrible Jobs for the longest time and they all were Just at an entry- level. Paramour said that when she started working for a life Insurance estate- planning she started to get promoted very fast but still wasn’t happy and was getting the work done but aggressive and there was a lot of passive-aggressive going on, and that it felt weird because she kept getting promoted. Paramour says that once dot- comes came along she got an opportunity with a startup cityscapes. Mom and that it was exciting and new and got to try new things. Paramour also says that she learned a lot about transparency and getting people aligned behind a goal and letting them know what’s going on In the organization. At that time she decided to start her own business and that she didn’t have a great business plan but decided being on her own was safer and that she learned she didn’t want to be with any company that want goin g to deliver what they said they would. Bryant then asked what Paramour has learned about culture as her company has grown she answered saying by asking have you heard the theory that weakness is a strength taken too far. Then said the best examples would be that they allowed dog In the office and at one point they had nine dogs In the office and at one point she Just had clarity no more dogs. She says you do the little things to build culture in a company but you have to be k with saying something may have went too far. Bryant then goes on asking about the hiring, interview process and is Paramour could interview somebody in five minutes what she would asked she answer by saying she’s not the best interviewer because she is very optimistic and she tend to project herself on other to try and sell them. But she always goes through the core values and explain how they were written and responsibility. Paramour then goes on to say if she could interview someone for only five minutes she would ask â€Å"how old where you when you got your first Job â€Å"the reason she says she would ask this is because she would rather have someone that ad to work all throughout college then someone who got scholarship and right to MBA program then she would ask why they left their old Job Just to see if they told the truth. The last question asked by Bryant was what advice would you give to allege student the answer was get a Job, get started because most people don’t know what their passion is Just starting out. Paramour ended with that she had ability to see trends and that she was fast at solving problems and that if it wasn’t right they would fix it but it would be fast. After reading this article I can relate to some of what Paramour is saying , with the whole going to college and realizing what you had plan would change I new for me it would be a little harder with going to school working full time and having two small children and everything that they are involved in. I would of never in a million years think I would change what I was studying until I started to work in the medical field and realized that’s it not what I wanted to do the rest of my life so I switched to something I knew I enjoyed doing when I worked for a big retail company and that was getting to know the business and human resource of the company. I also like how the culture was built with the company do think it’s a little crazy to have dogs in an office let alone nine of them I could see where this could go wrong and could cause a bad work environment. I also had to do interviews when worked for target UT there was a guild line that we had to go by and I don’t think it allowed us to get clear picture of the employee seeking work and I think being direct and straight forward would give you and the employee to have a chance to be honesty with one another and me personal I would rather have an honesty employee over someone that is Just going to tell me what I want to hear. I like the fact that Bryant asked if you only have five minutes what question would you ask in an interview and that Paramour said she would ask how hold the person was when the got there first Job, cause to me it shows a level of determination and responsibility and a lot about a person and that they have goals set for their self and everything wasn’t handed to them. I do agree with the advice Paramour gives at the end of the article and that was to get a Job and get started, because I can say when I was 18-19 1 thought I know what I wanted to do in life but have problem changes my mind about 100 times before I really knew what it was that I wanted to do and what goals to have set for myself. Even to this day I have goals that I have not meet that I have set for myself but that isn’t mean I’m not still working towards them or that I don’t think I can do it also the harder you have to work for something the better work you will do and the more you appreciate things more in life and the better you will be at seeing your full potently and reaching your goal out of life. After reading this article/ interview I was able to take away that its k to change your mind and to make decision based on what’s going to make you happy and to make goals and to Just go for it because you never know what the outcome could be. Also that as long as you can make a decision even if it was wrong as long as you made it fast and could fix it that it wasn’t a big because it shows that things change in life and as long as you can either go with it or adapt to the change and then realize what’s best for you in the long run then go with it cause the outcome could be so rewarding in the end or even be a better one. I feel as this article relates to this class because it talks about her leadership, the culture she built into the company as well as her hiring technique as a manager as well what are some of e important question to ask in an interview . How to cite Work for something, Papers

Tuesday, May 5, 2020

Personal Religious Experience free essay sample

Experience Ive been attending church for as long as I can remember. The earliest time I remember going to church was when I was in pre-school, and I attended the same church until high school. Sundays were routine, we attended church, went out to eat after with other members of the church, and then went home to watch either football or baseball (sports being my second religion). Skipping church was never an option, nor did I really want to miss it. I had good friends at church, and was genuinely interested in the bible and the stories we read. My parents have been avid Christians since a few years before I was born. Both had been Catholic as children, and both stopped going for different reasons. After my grandma died when my dad was 17, he started questioning how that could happen if there was a God. My mom always believed there was a God, but she didnt agree with how the Catholic church was run and was looking for a change. We will write a custom essay sample on Personal Religious Experience or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page While my dad went into the Navy, my mom started attending different churches. When my dad returned, he went to a Christian church with my mom; they met with a pastor, and became Christians. When I was growing up, my parents decided to not get cable, which meant I spent a lot of time reading. Id often read bible-themed stories, or sometimes read a kids version of the bible. I found the stories to actually be entertaining, and I enjoyed reading them. My parents also enrolled me in a before school day care at a nearby church, where I read more bible stories, memorized scriptures, and met other Christian kids. My church life was at its peak, since I was enjoying church, my Sunday routine, and had friends at my church. We moved from Maine to New Hampshire, and still attended the same church. Then, my parents decided it was too far to drive to every weekend, and we found a new church that was closer. This church was smaller, less people, and not as much of a family as the old one was. There were only two kids my age, and I didnt really have a best friend like I did at my previous church. I began to dislike Sundays, asking to skip it more and more, and even the bible stories lost their magic. The few years I spent at that church seemed empty, almost like I was just going through the motions and not gaining any spiritual knowledge. This led to one of the biggest changes in my life so far. I moved to Florida before my junior year in high school. We tried a few churches out, and settled on one right down the road from our house. They had great music, a passionate youth pastor, and I made a few good friends immediately. It wasnt as great of a church as my first one had been, but it still re-ignited the passion I had for church before. I began attending youth group more frequently, went out with my friends from church, and began reading the bible with more regularity. Although I was finally happy with my church again, my lifestyle had changed. I went to parties during the weekends, had more homework during the week, and had soccer almost every day. This made it harder to find time for church related activities, and most of my best friends didnt attend my church or any church at all. I was closer to God then I had been, but still not at the religious point I had been at when I was younger. Even now, at college, I dont attend church on Sundays, and dont often read the bible. I believe in God, and try to live in a way which glorifies God, but I still dont totally devote myself fully to my faith. When I’m at home for vacations or breaks, it’s hard to find time to visit my church. I’m always out late, and with church being so early in the morning, its hard to motivate myself to attend church. During the school year, I don’t have any friends who go to church, and I don’t know where the nearest church is. I often spend the weekends relaxing from a tough week of schoolwork, so I’m out until four in the morning, and often in no condition to wake up early on a Sunday morning. I prefer to sleep in, watch football, and do homework. I believe Im entering the hardest years to be devoted to your religion, with so many distractions. If I can follow my religion and God through the rest of my college years, I think Ill be living for God for the rest of my life. I’m not sure if I’ll attend church weekly, or make my kids go to church, but I’ll always believe in God and try to live a good life.

Wednesday, April 1, 2020

9 Tips for Creating a Successful Birthday

9 Tips for Creating a Successful Birthday Saturday was my 46th birthday and I have been reflecting on what makes a successful birthday. We all have birthdays, and, sadly I think, sometimes we ignore them. I hope these tips inspire you to pay attention to your special day and milk it for all it’s worth! Do have a party. And make it easy on yourself. It’s so easy to get lazy and not throw a birthday party. But birthdays are a once-a-year opportunity to have a party that’s exactly the way you want it! If you don’t like asking people to celebrate you, that’s a perfect reason to bite the bullet and start inviting!In the past I have hosted people at my apartment for my birthday, but there’s so much work preparing and (ugh) cleaning up. I now prefer to invite my friends to lunch or dinner at a restaurant. I keep the guest list to 9 so we can all see, hear and interact with each other. We order what we want and the food magically appears! And someone else does the cleanup. Make the conversations special. I always like to spend some time at my party with attention on things that matter to me. A birthday gathering, or any conversation on my birthday, is an opportunity to reflect on the past year and vision for the year ahead. Some years, I’ve asked each of my guests to appreciate me for something and I have appreciated them for what I see as their gifts and strengths. Other years, I ask them to come up with questions like, â€Å"What was your favorite movie this year?† â€Å"What’s the scariest thing that happened to you this year?† and â€Å"What was your most romantic moment this year?† and I answer them. This year, the focus was on the future. I shared my vision for my business, my relationships and myself. I shared some of my struggles too, connecting on a deeper level than typical party conversation. For me, that made for a successful birthday party. Stay late at your party. Don’t leave your own party until the last guest has left. Two years ago, we closed down the Daisy Cupcakery and were awarded with free cupcakes! This year, one guest arrived as some others were already leaving. You never know what will happen at the 11th hour. Give gifts. Many party invitations come with the quip, â€Å"Your presence is your present.† I agree. I do not expect gifts for my birthday. But I love to GIVE them! Last year I gave strawberries to the server at the restaurant where I held my party. This year I offered lettuce from my garden to all my guests. I felt joy that I could give something to the people I care about! Often, giving gifts is much more gratifying than receiving them. Use your gift wish list. Sometimes people want to give you a gift, and I like to keep a list of things I want just for that purpose. You can use your Amazon Wish List or keep a file in Evernote or on your computer. When someone asks, you’ll have suggestions at the ready! (This tip came in handy when my mom asked me what I wanted for my birthday.) Answer the phone. This might be obvious, but the phone will be ringing for YOU! Answer it, even if you can only talk for a couple of minutes, and soak in the happy birthday wishes and songs. Connect with the people you love! Engage on Facebook and LinkedIn. Set your Facebook settings so people can post on your timeline, and â€Å"Like† all the birthday greetings you receive! Say â€Å"Thank you† to as many people as you can. You might start up a welcome conversation with a long-lost friend! On LinkedIn, thank everyone who wishes you a happy birthday. Some of them might become clients or even employers! Celebrate for the whole month! This tip came from my friend and fellow resume writer Kristin Johnson. Chances are that all your friends and family will not be able to show up for your official birthday party, so create multiple opportunities to connect and celebrate! Why make your birthday about just one day? In Kristin’s family, she gets a month, her partner gets a month, and each of her kids gets a dedicated month! Be proud. Whatever your age, be proud of having reached this point in your life! Count your blessings and your accomplishments, however big or small. If you’re not satisfied with something, now is a great time to create a plan to change it! I am happy to say I did all nine of these things for my birthday this year, and I feel very satisfied with the experience! What are your tips for making your birthday a success? I’d love to hear about your special rituals and family traditions!

Saturday, March 7, 2020

Automotive Airbag History and Invention

Automotive Airbag History and Invention Like seatbelts, airbags are a type of  automobile safety restraint system designed to mitigate injury in the event of an accident. These gas-inflated cushions, built into the steering wheel, dashboard, door, roof, and/or seat of your car, use a crash sensor to trigger a rapid expansion of nitrogen gas contained inside a cushion that pops out on impact to put a protective barrier between passengers and hard surfaces. Types of Airbags The two main types of airbags are designed for front impact and side impact. Advanced frontal airbag systems automatically determine if and with what level of power the driver-side frontal airbag and the passenger-side frontal airbag will inflate. The appropriate level of power is based on the readings of sensor inputs that can typically detect occupant size, seat position, seat belt use of the occupant, and severity of the crash. Side-impact airbags (SABs) are inflatable devices designed to help protect the head and/or chest in the event of a serious crash involving impact with the side of a vehicle. There are three main types of SABs: chest (or torso) SABs, head SABs, and head/chest combination (or combo) SABs. The History of the Airbag At the dawn of the airbag industry, Allen Breed held the  patent (U.S. #5,071,161) to the only crash-sensing technology available at the time. Breed had invented a sensor and safety system in 1968. It was the worlds first electromechanical automotive airbag system. However, rudimentary patents for airbag predecessors date back to the 1950s. Patent applications were submitted by German Walter Linderer and American John Hetrick as early as 1951. Linderers airbag (German patent #896312) was based on a compressed air system, either released by bumper contact or by the driver. Hetrick received a patent in 1953 (U.S. #2,649,311) for what he called a safety cushion assembly for automotive vehicles, also based on compressed air. Later research during the 1960s proved that compressed air was not capable of inflating the airbags quickly enough to be effective. In 1964, Japanese automobile engineer Yasuzaburou Kobori  was developing an airbag safety net system that employed an explosive device to trigger airbag inflation, for which he was awarded patents in 14 countries. Sadly, Kobori  died in 1975 before seeing his ideas put into practical or widespread use. Airbags Are Introduced Commercially In 1971, the Ford Motor Company built an experimental airbag fleet. General Motors installed airbags in a fleet of 1973 Chevrolet Impalas- for government use only. The 1973 Oldsmobile Toronado was the first car with a passenger airbag sold to the public. General Motors later offered an option of driver-side airbags in full-sized Oldsmobiles and Buicks in 1975 and 1976, respectively. Cadillacs became available with driver and passenger airbags options during those years as well. General Motors, which had marketed its airbags as the Air Cushion Restraint System, discontinued the ACRS option for the 1977  model year, citing a lack of consumer interest. Ford and GM subsequently spent years  lobbying  against airbag requirements, arguing that the devices were simply not viable. Eventually, however, the automobile giants realized that the airbag was here to stay. Ford began offering them again as an option on their 1984 Tempo. While Chrysler made a driver-side airbag standard for its 1988–1989 models, it wasn’t until the early 1990s that airbags found their way into the majority of American cars. In 1994, TRW began production of the first gas-inflated airbag. Airbags have been mandatory in all new cars since 1998.

Thursday, February 20, 2020

Leadership Essay Example | Topics and Well Written Essays - 4500 words - 6

Leadership - Essay Example nes to be a pervasive element that nurtures optimal capacity of an individual to understand the perception of the followers and lead them to achieve their optimal goals in both personal and professional career (Riggio & Harvey, 2011). In this regard, it is quite evident that the conception of leadership often requires an experiential learning to gain adequate understanding about the significance and role of leadership in human development. The essay critically reflects and appraises the perception of leadership in relation to streamlining potentials of individual leaders. To understand the conception and role of the potentials to garner effective leadership style, the discussion of the essay evaluates the perception of applied leadership theory in the context of evidence-based, inquisitive, reflective and in a critical approach. Throughout the discussion, the analysis sections of the essay portray the influence of leadership approaches and practice on the followers along with their perception within a particular organisation or group. The leadership approaches have long been witnessed to provide a major contribution to the organisations by improving performance and achieving competitive advantages over others. In this regard, the applied leadership has been witnessing to obtain pervasive values and significance for the leaders to accumulate wider attention of the followers and enhance their performance for a shared organisational vision. In relation to the growing phenomenon in the global business environment, leaders apply various approaches of leadership practices accordingly (Northouse, 2009). Few of the major approaches of the leadership practices applied in the organisations have been critically evaluated in the following discussions. The application of the leadership practices depends on various aspects as stated and discussed hereunder. The concept of leadership has been widely recognized as the notion of competence, which tends to influence a group

Tuesday, February 4, 2020

Nature Writing Essay Example | Topics and Well Written Essays - 1250 words

Nature Writing - Essay Example The following paper will examine the descriptions of nature in Aldo Leopold’s work as they are deeply moving and spiritually satisfying, but how it is his humility about the inability of language to capture the true depth of the beauty of nature that provides the best reasons for conserving the natural world. The book begins by saying â€Å"There are some who can live without wild things and some who cannot. These essays are the delights and dilemmas of one who cannot† (Leopold 21). Written by Leopold on March 4, 1948, this statement puts in two sentences the nature of his existence within this world and how he was challenged by it. His essays develop a strong argument for conservationism, providing the roots through which the conservation movement was able to take hold. A seminal work on providing context for the concepts that supported the need for conserving the natural world, the descriptions and challenges presented are engaging no matter what level of kinship one feels for nature. There is a passage in his March section which describes the activities of woodcocks in April and May of each year. Leopold missed the ‘dance’ that he describes for the first two years that they lived in the area. After those first two years, however, he describes a ritual of the evening that would begin exactly one minute later each night for those two months. He writes â€Å"It is unfortunate, perhaps, that no matter how intently one studies the hundred little dramas of the woods and meadows, one can never learn all the salient facts about any one of them† (Leopold 41). The use of the concept of data as a way to engage the reader provides human context for the understanding of nature that he creates. When Leopold discusses the woodcocks, he frames their rituals in terms of human understandings. He puts them on a clock that shifts by one minute later every day. He places them in the calendar for performing this ritual through April and May of ea ch year. He creates data that is placed into context in terms that human beings understand. However, the woodcocks likely have no understanding of months or minutes. They follow the cues that nature has provided. It is through modeling that Leopold is able to provide the reader a way in which to relate the natural world to the human world. In his August essay, â€Å"The Green Pasture†, Leopold compares the artist to the work of the river as it carves out color and texture onto the sandbar (233). Unlike the human artist whose work lasts for generations to observe, the river paints its work so that only a moment of it exists and in that moment the human memory is all that will preserve it. He uses the model of the painter as the structure in which he interprets the work of the river. As he uses the metaphor of the painter in order to describe what he has observed about the changing imagery. Even in the beauty of the essay as it defines the way in which the river impacts on its environment, he has only created an illusion about its nature. In his essay â€Å"Marshland Elegy†, Leopold seemed to experience the way in which the ancient nature of the land was connected to the present in a way that was not linear. The past as it is reflected in the lives of the cranes means that the human interpretation of time may not be as accurate as that of nature. The cyclical nature of life and death as it continues to nourish and feed an

Monday, January 27, 2020

Reflect on the physical and social factors of vulnerability

Reflect on the physical and social factors of vulnerability I have recently undertaken a student nurse placement in a community hospital in North Wales. I was mainly employed on the care of the older person ward. This ward dealt with older people awaiting or recovering from surgery or awaiting re-housing into care facilities or their own modified house. Many of the patients could be considered vulnerable. Normal aging, illness and life experiences had increased the vulnerability of many of the patients and the coping skills of many had been severely diminished. In this essay, I will examine one of the patients I came into contact with regularly. In accordance with the Nursing and Midwifery Code of Conduct (NMC 2008) all names and placement details will be concealed, and I will refer to the patient as Mr. A at all times. I will discuss Mr. As medical conditions and how and why these medical conditions have led Mr. A to be regarded as vulnerable, covering physical, social, psychological and environmental factors. Mr. A was a 67 year old gentleman who was morbidly obese. He had a BMI of over 40  kg/m2 and was bed bound. He also suffered with Aspergers Syndrome which is a type of autism mainly affecting social and communication skills. Both of these in addition with being an older person would have led to him to be vulnerable in various aspects. Vulnerability  is the susceptibility to physical or emotional injury or attack. Vulnerability refers to a persons state of being liable to succumb to  manipulation,  persuasion  or  temptation. (Bankoff, et al. 2004). A vulnerable adult is one who due to Age, Physical injury, Disability, Disease or Emotional or Developmental disorders is unlikely to be able to provide for their own basic necessities of life; they may also have an increased risk of harm or injury. This would include, but is not necessarily limited to adults who reside in long-term care facilities such as nursing homes, adult family homes, boarding homes, assisted living facilities or those who receive health care or other assistance in providing for the basic necessities of life while residing in their own home. Roper, Logan and Tierney(1980) published a nursing model outlining 12 activities of daily living that are crucial to a person basic needs, some of which are essential such as breathing, eating and drinking and others which enhance the quality of life such as work and play and expressing sexuality. When an individual becomes old, frail, ill and immobile they may be dependent on others to help them with the 12 ADLs. This can result in people feeling vulnerable. Fernandez LS et al (2002) states that impaired physical mobility, diminished sensory awareness, chronic health conditions, and social and economic limitations can result in vulnerability of the elderly to disasters such as falls or accidents. Frail elderly with serious physical, cognitive, economic, and psycho-social problems are at especially high risk. Mr. A was 67 and according to the Geriatric Pharmacology Research Group in Newcastle upon Tyne, The frail elderly are individuals, over 65 years of age, dependent on others for activities of daily living, and often in institutional care. As with Mr. A, he was 67 years old and was reliant on carers for many if not all of the Activities of Daily Living. He was also in institutional care for pressure sores. Due to all of these points Mr. A would be classed as frail elderly. Mr As problem with weight was the main cause of his hospitalisation, he stated he had weight consistently put on more and more weight over the years. He felt very responsible for his weight gain but was reluctant to do anything about it even though he was classed as morbidly obese. Obesity  is a  medical condition  in which excess  body fat  has accumulated to the extent that it may have an adverse effect on health, leading to reduced  life expectancy  and/or increased health problems.  Body mass index  (BMI), a measurement which compares  weight  and height, defines people as  overweight  when their BMI is between 25  kg/m2  and 30  kg/m2, and obese when it is greater than 30  kg/m2. Mr. As obesity led him to be largely bedbound and incapable of maintaining his health, his home or personal hygiene. When Mr A was living in his own home district nurses would regularly come in to tend to his pressure sores. Pressure sores are  lesions  to the skin caused by many factors such as unrelieved  pressure and friction. These pressure sores were the result of Mr A being unable to move so constantly having to stay in the same position and thus having unrelieved pressure on different parts of his body. As Mr. A was bedbound he could not tend to his own housekeeping and his house became so untidy the district nurses found it too hard care for him in the chaotic surroundings so referred him to a community hospital. While he was in a community hospital a council funded cleaning team organized his house in order for him to be discharged back to a manageable house. Another reason that district nurses were finding Mr. A hard to manage was that he suffered from Aspergers Syndrome and would often be aggressive with the district nurses. Aspergers syndrome  is a type of autism that is characterized by difficulties in social interaction, along with restricted and repetitive patterns of behaviour and interests. It differs from other autisms as sufferers linguistic  and  cognitive development are often fine and develop well. The exact  cause of Aspergers  is unknown.  There is no single treatment but interventions are used to improve sufferers symptoms and functions. The main treatment used is  behavioural therapy, focusing on the specific insufficiency of the patient. These tend to consist of poor communication skills, obsessive or repetitive routines, and physical clumsiness.  Most individuals improve over time, but difficulties with communication, social adjustment and  independent living  can exist and continue into adulthood.  Some people with Aspergers syndrome may become angry and aggressive, either to themselves or to other people. Sometimes when a person with Aspergers feels angry, they cannot easily pause and think of alternative strategies to resolve the situation. The rapidity and intensity of anger, often in response to a relatively trivial event, can be extreme and can get so intense, they may go into a blind rage and unable to see the signals indicating that it would be appropriate to stop. (Attwood, 2006). At the community hospital Mr. A would often get aggressive or rude when more than one nurse would be in the room. If he felt he wasnt being listened to not being involved enough he would become very agitated and start shouting. The nurses took this into account and made sure Mr. A was involved at all times with anything going on in his room. I feel this condition may have led Mr. A to inadvertently isolate himself from people and people to him. When people do not understand something they can take a negative approach to it. Mr. As outbursts would have offended some people and cause them to detach themselves. This would quite possibly be due to the fact they did not understand or know about the condition and fear of the unknown leads to negativity in some cases. (Campbell, 2006) A person who is vulnerable to isolation or social pressure may be considered as suffering from social vulnerability. When people become isolated due to illness or reduced mobility they may find it difficult to access essential services. Mr. A had a job translating books from various foreign languages into English. He did this from his laptop every day and when he was transferred to hospital he left his laptop at home. This made his feel low all the time as he said he had no purpose to his day. The nursing staff through Multi Disciplinary Team meetings reviewed his situation and decided to let him have his laptop delivered to the hospital along with internet connection and had his mail transferred, this all to allow him to continue to work which elevated his mood greatly for the remainder of his stay. He reported he was much happier at the community hospital now that he could continue with his day to day life. Mr. A also said he felt isolated due to his obesity. As people age, they often become more vulnerable, their social circumstances particularly impact their health. As with Mr A, due to his obesity he was confined to his bed and this impacted on his social circumstances. It limited anything he wanted to do socially, for example, he could not venture out of the house, and could only find small ways of interacting with society. One of these ways was through his online job; this allowed him to interact through the internet without having to leave his bed. This had both a positive and negative side. Although it allowed Mr. A to interact with people, all be it virtually, which was important in developing his social skills it did however mean he did not have to move and so made little effort in changing his lifestyle. Mr. As lifestyle choices were undoubtedly the main cause of his hospitalization. He refused to try to diet at the hospital and stated he had always been this way, never wanting to diet. Family members would bring in unhealthy food for him; they were advised against doing this but made no attempt to stop. A dietician came to evaluate Mr. A and a plan was made but not stuck to by Mr. A. He was also offered physiotherapy in the form of help to start doing small movements with his arms and legs daily but he declined. This weight problem made him vulnerable to all sorts of illnesses; one in particular that was being managed at the hospital was his pressure sores. In hospital a special bed was required to accommodate his weight and relieve his pressure sores, along with bariatric chairs, wheelchairs and hoists. Mr. As weight and inability to move made him physically vulnerable. Many of the elderly are admitted to hospital due to something caused by a physical vulnerability. A physical vulnerability is when a person has an increased risk of injury. E.g. easily brakes bones, has reduced strength, reduced movement or dexterity. Many of the patients in the community hospital were there as a result of such vulnerability and had suffered injuries resulting from falls. Some had reduced mobility which meant they needed assistance in performing one or more daily tasks such as getting in and out of bed, preparing meals and eating them, doing housework, dressing, and performing personal hygiene. According to Holden and Smeeding sixteen percent of the elderly need help with at least one of these conditions. Elderly persons subject to two or more of the five they deemed insecure; those facing three or more were considered extremely insecure. Those people who are totally dependent on social services for survival are already economically and socially marginalized and require additional support at all times. Mr. A needed help with all physical activities, he was washed, dressed, fed, and cared for all by nurses and carers. He stated that because he could not do anything for himself he had no quality of life in the community hospital and although he was bedbound at home as well, he did have home comforts and had developed methods of reaching things he needed and wanted, such as a pik-stick. These new surroundings may have made Mr. A feel environmentally Vulnerable. Environmental vulnerability is when a person suffers reduced quality of life caused by external conditions and surroundings. The transfer to the community hospital was a major change of environment for Mr. A as he had to get used to new surroundings, new methods, and new people and as he has limited movement he stated he all the new goings on made him feel rather helpless as all he could do was press the bell and wait if he needed something. This was understandable and it was explained to Mr A in great detail the goings on, routines and layout of the hospital to try and overcome his worries. Brubaker (1987) tells of how having a major lifestyle change such as having to come to hospital for a long period of time can make the patient feel as though there dignity is being taken away from them. This was noticeable with Mr. A. When he was first admitted to hospital, he resisted being washed on many occasion. This may have been due to there being many new nurses and carers that he was not used to. He may have felt shy and undignified having to be washed in his hospital bed my many different workers. This was overcome by making sure his door was always closed, windows and curtains shut, nurses and carers would also introduce themselves, ask for consent and talk Mr. A through the procedure, all in order to make him feel more comfortable. This seemed to cease his worries and he started to allow the staff to wash him on a daily basis. One major concern of Mr. As was the time it took from when he pressed the bell in the hospital or the emergency bell in his house to the time a nurse or carer got to him. He would panic during this period and this impacted greatly on his psychological well being leaving him psychologically vulnerable. Psychological Vulnerability is when someone is vulnerable to emotional or behavioural harm. While Mr. A was in the community hospital calming and relaxation techniques were taught to him to try and overcome his anxiety. He was taught deep breathing techniques and stated he found this particularly beneficial. Every time he started to feel anxious and worried he could now use these new techniques which take his mind of the worry and keep him calm. While I was working at the hospital I saw a huge change in Mr. As behaviour in terms of anxiety. He became much less aggressive when having to wait for a nurse.   There were many elderly residents at the community hospital that suffered many different types of psychological vulnerability. Many of the frail elderly who had suffered falls lost their confidence completely. One female patient told me that she did not want to go home as she did not feel she could cope. She did not feel safe in her home but would not want to move to a residential home. This must be a very distressing time and it is hard to reassure patients in this mind set. Through the MDT meetings it was decided that Mr. A would have to go to a residential home as it would not be safe for him to go home. Mr. A felt he would not enjoy being in residential and was completely opposed to the idea. However, three workers from the residential home came to speak to Mr. A, he was taken to view the residential home and his room, the Doctors and Nurses at the community hospital spoke to Mr. A at length and gave him time to voice his questions and concerns. With time Mr. A seemed to come around to the idea and realise it was the best option for him and by the end of my student placement Mr. A told me he was looking forward to moving out of the community hospital and into the residential home. I have outlined Mr. As conditions and how he was affected by physical, psychological, sociological and environmental vulnerability. Over the seven weeks I was in the community hospital alot was done to conquer Mr As vulnerability and re-merge him into society. Community hospitals are designed to reduce the risks to people who are vulnerable to social, physical, environmental and psychological injury. Hospitals have special floors, showers, seats and beds. They have controlled heating, lighting, diets, they encourage interaction between patients and with visitors (at certain times during the day) thus reducing social isolation. Highly trained staff monitor and review patients regularly to ensure they are receiving the best care and the support needed to leave hospital and to prevent their return. This all minimises the risk of patients feeling vulnerable and helps them to have a fast recovery and rehabilitation.