Neglect contributed to death of patient at community hospital

16 August 2012 | By Sarah Calkin

      A patient who choked to death at a hospital run by Somerset Partnership Foundation Trust had been neglected by staff, a coroner has ruled.

      Parkinson’s sufferer Diana Mansfield, 78, was struggling to swallow during her stay at Frome Community Hospital in September 2011. On 3 September she choked and died. East Somerset coroner Tony Williams found ..ART1... primary cause of death was ....ART2... acute upper airway obstruction and dysphagia, ...ART3... common side effect of Parkinson’s.

      Following the inquest in July he identified failings made in the nursing care received by Ms Mansfield and recorded a verdict of accidental death aggravated by neglect.

      The Care Quality Commission visited the 28-bed hospital earlier this year in response to concerns about care and welfare of patients and staffing levels arising from Ms Mansfield’s death.

      Inspectors judged the hospital was meeting standards overall. .....CONECTIVO.... it raised minor concerns about staffing levels, noting the ward had a sickness absence rate of nearly 10 per cent and cover was not always available for absent staff for a whole shift.

      The full staffing establishment on the 12-bed ward where Ms Mansfield stayed was three registered nurses and four healthcare assistants on the early shift and five staff - usually two nurses and three HCAs - on the late shift. Some nurses complained this was not always adequate to meet the needs of patients and said it was sometimes a struggle to complete all their tasks. 

Neglect contributed to death of patient at community hospital

16 August 2012 | By Sarah Calkin

      A patient who choked to death at a hospital run by Somerset Partnership Foundation Trust had been neglected by staff, a coroner has ruled.

      Parkinson’s sufferer Diana Mansfield, 78, was struggling to swallow during her stay at Frome Community Hospital in September 2011. On 3 September she choked and died. East Somerset coroner Tony Williams found ..ART1... primary cause of death was ....ART2... acute upper airway obstruction and dysphagia, ...ART3... common side effect of Parkinson’s.

      Following the inquest in July he identified failings made in the nursing care received by Ms Mansfield and recorded a verdict of accidental death aggravated by neglect.

      The Care Quality Commission visited the 28-bed hospital earlier this year in response to concerns about care and welfare of patients and staffing levels arising from Ms Mansfield’s death.

      Inspectors judged the hospital was meeting standards overall. .....CONECTIVO.... it raised minor concerns about staffing levels, noting the ward had a sickness absence rate of nearly 10 per cent and cover was not always available for absent staff for a whole shift.

      The full staffing establishment on the 12-bed ward where Ms Mansfield stayed was three registered nurses and four healthcare assistants on the early shift and five staff - usually two nurses and three HCAs - on the late shift. Some nurses complained this was not always adequate to meet the needs of patients and said it was sometimes a struggle to complete all their tasks. 

Neglect contributed to death of patient at community hospital

16 August 2012 | By Sarah Calkin

      A patient who choked to death at a hospital run by Somerset Partnership Foundation Trust had been neglected by staff, a coroner has ruled.

      Parkinson’s sufferer Diana Mansfield, 78, was struggling to swallow during her stay at Frome Community Hospital in September 2011. On 3 September she choked and died. East Somerset coroner Tony Williams found ..ART1... primary cause of death was ....ART2... acute upper airway obstruction and dysphagia, ...ART3... common side effect of Parkinson’s.

      Following the inquest in July he identified failings made in the nursing care received by Ms Mansfield and recorded a verdict of accidental death aggravated by neglect.

      The Care Quality Commission visited the 28-bed hospital earlier this year in response to concerns about care and welfare of patients and staffing levels arising from Ms Mansfield’s death.

      Inspectors judged the hospital was meeting standards overall. .....CONECTIVO.... it raised minor concerns about staffing levels, noting the ward had a sickness absence rate of nearly 10 per cent and cover was not always available for absent staff for a whole shift.

      The full staffing establishment on the 12-bed ward where Ms Mansfield stayed was three registered nurses and four healthcare assistants on the early shift and five staff - usually two nurses and three HCAs - on the late shift. Some nurses complained this was not always adequate to meet the needs of patients and said it was sometimes a struggle to complete all their tasks. 

Neglect contributed to death of patient at community hospital

16 August 2012 | By Sarah Calkin

      A patient who choked to death at a hospital run by Somerset Partnership Foundation Trust had been neglected by staff, a coroner has ruled.

      Parkinson’s sufferer Diana Mansfield, 78, was struggling to swallow during her stay at Frome Community Hospital in September 2011. On 3 September she choked and died. East Somerset coroner Tony Williams found ..ART1... primary cause of death was ....ART2... acute upper airway obstruction and dysphagia, ...ART3... common side effect of Parkinson’s.

      Following the inquest in July he identified failings made in the nursing care received by Ms Mansfield and recorded a verdict of accidental death aggravated by neglect.

      The Care Quality Commission visited the 28-bed hospital earlier this year in response to concerns about care and welfare of patients and staffing levels arising from Ms Mansfield’s death.

      Inspectors judged the hospital was meeting standards overall. .....CONECTIVO.... it raised minor concerns about staffing levels, noting the ward had a sickness absence rate of nearly 10 per cent and cover was not always available for absent staff for a whole shift.

      The full staffing establishment on the 12-bed ward where Ms Mansfield stayed was three registered nurses and four healthcare assistants on the early shift and five staff - usually two nurses and three HCAs - on the late shift. Some nurses complained this was not always adequate to meet the needs of patients and said it was sometimes a struggle to complete all their tasks. 

The Great Wall of China

Walls and wall building have played a very important role in Chinese culture. These people, from the dim mists of prehistory have been wallconscious; from the Neolithic period – when barriers were used - to the Communist Revolution, walls were an essential part of any village. Not only towns and villages; the houses and the temples within them were somehow walled, and the houses also had no windows overlooking the street, thus giving the feeling of wandering around a huge maze. The name for “city” in Chinese (ch’eng) means wall, and over these walled cities, villages, houses and temples presides the god of walls and mounts, whose duties were, and still are, to protect and be responsible for the welfare of the inhabitants. Thus a great and extremely laborious task such as constructing a wall, which was supposed to run throughout the country, must not have seemed such an absurdity. 

However, it is indeed a common mistake to perceive the Great Wall as a single architectural structure, and it would also be erroneous to assume that it was built during a single dynasty. For the building of the wall connected the various dynasties, and each of these dynasties somehow contributed to the refurbishing and the construction of a wall, whose foundations had been laid many centuries ago. It was during the fourth and third century B.C. that each warring state started building walls to protect their kingdoms, both against one another and against the northern nomads. Especially three of these states: the Ch’in, the Chao and the Yen, corresponding respectively to the modern provinces of Shensi, Shanzi and Hopei, over and above building walls that surrounded their kingdoms, also laid the foundations on which Ch’in Shih Huang Di would build his first continuous Great Wall. 

The role that the Great Wall played in the growth of Chinese economy was an important one. Throughout the centuries many settlements were established along the new border. The garrison troops were instructed to reclaim wasteland and to plant crops on it, roads and canals were built, to mention just a few of the works carried out. All these undertakings greatly helped to increase the country’s trade and cultural exchanges with many remote areas and also with the southern, central and western parts of Asia – the formation of the Silk Route. Builders, garrisons, artisans, farmers and peasants left behind a trail of objects, including inscribed tablets, household articles, and written work, which have become extremely valuable archaeological evidence to the study of defence institutions of the Great Wall and the everyday life of these people who lived and died along the wall

The Great Wall of China

Walls and wall building have played a very important role in Chinese culture. These people, from the dim mists of prehistory have been wallconscious; from the Neolithic period – when barriers were used - to the Communist Revolution, walls were an essential part of any village. Not only towns and villages; the houses and the temples within them were somehow walled, and the houses also had no windows overlooking the street, thus giving the feeling of wandering around a huge maze. The name for “city” in Chinese (ch’eng) means wall, and over these walled cities, villages, houses and temples presides the god of walls and mounts, whose duties were, and still are, to protect and be responsible for the welfare of the inhabitants. Thus a great and extremely laborious task such as constructing a wall, which was supposed to run throughout the country, must not have seemed such an absurdity. 

However, it is indeed a common mistake to perceive the Great Wall as a single architectural structure, and it would also be erroneous to assume that it was built during a single dynasty. For the building of the wall connected the various dynasties, and each of these dynasties somehow contributed to the refurbishing and the construction of a wall, whose foundations had been laid many centuries ago. It was during the fourth and third century B.C. that each warring state started building walls to protect their kingdoms, both against one another and against the northern nomads. Especially three of these states: the Ch’in, the Chao and the Yen, corresponding respectively to the modern provinces of Shensi, Shanzi and Hopei, over and above building walls that surrounded their kingdoms, also laid the foundations on which Ch’in Shih Huang Di would build his first continuous Great Wall. 

The role that the Great Wall played in the growth of Chinese economy was an important one. Throughout the centuries many settlements were established along the new border. The garrison troops were instructed to reclaim wasteland and to plant crops on it, roads and canals were built, to mention just a few of the works carried out. All these undertakings greatly helped to increase the country’s trade and cultural exchanges with many remote areas and also with the southern, central and western parts of Asia – the formation of the Silk Route. Builders, garrisons, artisans, farmers and peasants left behind a trail of objects, including inscribed tablets, household articles, and written work, which have become extremely valuable archaeological evidence to the study of defence institutions of the Great Wall and the everyday life of these people who lived and died along the wall

The Great Wall of China

Walls and wall building have played a very important role in Chinese culture. These people, from the dim mists of prehistory have been wallconscious; from the Neolithic period – when barriers were used - to the Communist Revolution, walls were an essential part of any village. Not only towns and villages; the houses and the temples within them were somehow walled, and the houses also had no windows overlooking the street, thus giving the feeling of wandering around a huge maze. The name for “city” in Chinese (ch’eng) means wall, and over these walled cities, villages, houses and temples presides the god of walls and mounts, whose duties were, and still are, to protect and be responsible for the welfare of the inhabitants. Thus a great and extremely laborious task such as constructing a wall, which was supposed to run throughout the country, must not have seemed such an absurdity. 

However, it is indeed a common mistake to perceive the Great Wall as a single architectural structure, and it would also be erroneous to assume that it was built during a single dynasty. For the building of the wall connected the various dynasties, and each of these dynasties somehow contributed to the refurbishing and the construction of a wall, whose foundations had been laid many centuries ago. It was during the fourth and third century B.C. that each warring state started building walls to protect their kingdoms, both against one another and against the northern nomads. Especially three of these states: the Ch’in, the Chao and the Yen, corresponding respectively to the modern provinces of Shensi, Shanzi and Hopei, over and above building walls that surrounded their kingdoms, also laid the foundations on which Ch’in Shih Huang Di would build his first continuous Great Wall. 

The role that the Great Wall played in the growth of Chinese economy was an important one. Throughout the centuries many settlements were established along the new border. The garrison troops were instructed to reclaim wasteland and to plant crops on it, roads and canals were built, to mention just a few of the works carried out. All these undertakings greatly helped to increase the country’s trade and cultural exchanges with many remote areas and also with the southern, central and western parts of Asia – the formation of the Silk Route. Builders, garrisons, artisans, farmers and peasants left behind a trail of objects, including inscribed tablets, household articles, and written work, which have become extremely valuable archaeological evidence to the study of defence institutions of the Great Wall and the everyday life of these people who lived and died along the wall

Read the text below entitled “Brazil's big challenge ahead of Rio 2016” so as to answer question:

Brazil´s big challenge ahead of Rio 2016

Source: www.guardian.com.uk (Adapted)

Aug 26th, 2012

    Many Brazilians watched the closing ceremony of the London Olympics with trepidation. “Do you think we will be able to manage anything more than a couple of carnival fl oats, some football and traffi c jams?” mused one of my friends.

    It is a few years since I have heard such expressions of national self-doubt. When I fi rst arrived in Brazil, almost 10 years ago, the country had just elected its fi rst leftwing president, Luiz Inácio “Lula” da Silva. Both the currency and stock exchange were in freefall as investors took fright.

    Lula's fi rst term in offi ce combined cautious economic orthodoxy and some critical social reforms. The minimum wage was raised signifi cantly and an innovative cash transfer called Bolsa Família introduced for poor families. A start was also made in reforming the Brazilian justice system. At the same time the government kept an eye on public spending, ran a primary budget surplus and began to reduce the national debt.

    These days the scenario has been changing. Economic growth stalled last year, choked by a hugely overvalued currency. This year looks even worse, as export demand has been hit by the global recession. While the government's success in reducing its still astronomically high inequality was a spur to domestic demand, economic growth was underpinned by the export of primary commodities such as soya, coffee and iron ore.

Read the text below entitled “Brazil's big challenge ahead of Rio 2016” so as to answer question:

Brazil´s big challenge ahead of Rio 2016

Source: www.guardian.com.uk (Adapted)

Aug 26th, 2012

    Many Brazilians watched the closing ceremony of the London Olympics with trepidation. “Do you think we will be able to manage anything more than a couple of carnival fl oats, some football and traffi c jams?” mused one of my friends.

    It is a few years since I have heard such expressions of national self-doubt. When I fi rst arrived in Brazil, almost 10 years ago, the country had just elected its fi rst leftwing president, Luiz Inácio “Lula” da Silva. Both the currency and stock exchange were in freefall as investors took fright.

    Lula's fi rst term in offi ce combined cautious economic orthodoxy and some critical social reforms. The minimum wage was raised signifi cantly and an innovative cash transfer called Bolsa Família introduced for poor families. A start was also made in reforming the Brazilian justice system. At the same time the government kept an eye on public spending, ran a primary budget surplus and began to reduce the national debt.

    These days the scenario has been changing. Economic growth stalled last year, choked by a hugely overvalued currency. This year looks even worse, as export demand has been hit by the global recession. While the government's success in reducing its still astronomically high inequality was a spur to domestic demand, economic growth was underpinned by the export of primary commodities such as soya, coffee and iron ore.

Read the text below entitled “Facing headwinds, Dilma changes course” so as to answer question:

Facing headwinds, Dilma changes course

Source: www.economist.com (Adapted)

Aug 18th, 2012 

    The government announces plans to privatise infrastructure, and disappoints striking bureaucrats. In recent years Brazil's government has been able to avoid tough spending choices. Faster economic growth and falling tax evasion have translated into steadily rising revenues, allowing the federal government to hire more workers and pay them more, as well as to boost pensions and social transfers. But the fat times are over. In 2011 economic growth was only 2.7%; this year 2% looks optimistic. Tax revenues are rising only a little faster than infl ation. The government can no longer satisfy everyone.

The noisiest demands come from public-sector workers. Teachers at federal universities have been on strike for three months; they have recently been joined by federal police, tax offi cials and staff at some regulatory agencies. The strikers'demands would swell the government's salary bill by up to 50%; infl ation is running at 5.2%.

Reality Television

    Reality television is a genre of television programming which, it is claimed, presents unscripted dramatic or humorous situations, documents actual events, and features ordinary people rather than professional actors. It could be described as a form of artificial or "heightened" documentary. Although the genre has existed in some form or another since the early years of television, the current explosion of popularity dates from around 2000.

    Reality television covers a wide range of television programming formats, from game or quiz shows which resemble the frantic, often demeaning programmes produced in Japan in the 1980s and 1990s (a modern example is Gaki no tsukai), to surveillance- or voyeurism- focused productions such as Big Brother.

    Critics say that the term "reality television" is somewhat of a misnomer and that such shows frequently portray a modified and highly influenced form of reality, with participants put in exotic locations or abnormal situations, sometimes coached to act in certain ways by off-screen handlers, and with events on screen manipulated through editing and other post-production techniques.

    Part of reality television's appeal is due to its ability to place ordinary people in extraordinary situations. For example, on the ABC show, The Bachelor, an eligible male dates a dozen women simultaneously, travelling on extraordinary dates to scenic locales. Reality television also has the potential to turn its participants into national celebrities, outwardly in talent and performance programs such as Pop Idol, though frequently Survivor and Big Brother participants also reach some degree of celebrity.

    Some commentators have said that the name "reality television" is an inaccurate description for several styles of program included in the genre. In competition-based programs such as Big Brother and Survivor, and other special-living-environment shows like The Real World, the producers design the format of the show and control the day-to-day activities and the environment, creating a completely fabricated world in which the competition plays out. Producers specifically select the participants, and use carefully designed scenarios, challenges, events, and settings to encourage particular behaviours and conflicts. Mark Burnett, creator of Survivor and other reality shows, has agreed with this assessment, and avoids the word "reality" to describe his shows; he has said, "I tell good stories. It really is not reality TV. It really is unscripted drama."

Reality Television

    Reality television is a genre of television programming which, it is claimed, presents unscripted dramatic or humorous situations, documents actual events, and features ordinary people rather than professional actors. It could be described as a form of artificial or "heightened" documentary. Although the genre has existed in some form or another since the early years of television, the current explosion of popularity dates from around 2000.

    Reality television covers a wide range of television programming formats, from game or quiz shows which resemble the frantic, often demeaning programmes produced in Japan in the 1980s and 1990s (a modern example is Gaki no tsukai), to surveillance- or voyeurism- focused productions such as Big Brother.

    Critics say that the term "reality television" is somewhat of a misnomer and that such shows frequently portray a modified and highly influenced form of reality, with participants put in exotic locations or abnormal situations, sometimes coached to act in certain ways by off-screen handlers, and with events on screen manipulated through editing and other post-production techniques.

    Part of reality television's appeal is due to its ability to place ordinary people in extraordinary situations. For example, on the ABC show, The Bachelor, an eligible male dates a dozen women simultaneously, travelling on extraordinary dates to scenic locales. Reality television also has the potential to turn its participants into national celebrities, outwardly in talent and performance programs such as Pop Idol, though frequently Survivor and Big Brother participants also reach some degree of celebrity.

    Some commentators have said that the name "reality television" is an inaccurate description for several styles of program included in the genre. In competition-based programs such as Big Brother and Survivor, and other special-living-environment shows like The Real World, the producers design the format of the show and control the day-to-day activities and the environment, creating a completely fabricated world in which the competition plays out. Producers specifically select the participants, and use carefully designed scenarios, challenges, events, and settings to encourage particular behaviours and conflicts. Mark Burnett, creator of Survivor and other reality shows, has agreed with this assessment, and avoids the word "reality" to describe his shows; he has said, "I tell good stories. It really is not reality TV. It really is unscripted drama."

Reality Television

    Reality television is a genre of television programming which, it is claimed, presents unscripted dramatic or humorous situations, documents actual events, and features ordinary people rather than professional actors. It could be described as a form of artificial or "heightened" documentary. Although the genre has existed in some form or another since the early years of television, the current explosion of popularity dates from around 2000.

    Reality television covers a wide range of television programming formats, from game or quiz shows which resemble the frantic, often demeaning programmes produced in Japan in the 1980s and 1990s (a modern example is Gaki no tsukai), to surveillance- or voyeurism- focused productions such as Big Brother.

    Critics say that the term "reality television" is somewhat of a misnomer and that such shows frequently portray a modified and highly influenced form of reality, with participants put in exotic locations or abnormal situations, sometimes coached to act in certain ways by off-screen handlers, and with events on screen manipulated through editing and other post-production techniques.

    Part of reality television's appeal is due to its ability to place ordinary people in extraordinary situations. For example, on the ABC show, The Bachelor, an eligible male dates a dozen women simultaneously, travelling on extraordinary dates to scenic locales. Reality television also has the potential to turn its participants into national celebrities, outwardly in talent and performance programs such as Pop Idol, though frequently Survivor and Big Brother participants also reach some degree of celebrity.

    Some commentators have said that the name "reality television" is an inaccurate description for several styles of program included in the genre. In competition-based programs such as Big Brother and Survivor, and other special-living-environment shows like The Real World, the producers design the format of the show and control the day-to-day activities and the environment, creating a completely fabricated world in which the competition plays out. Producers specifically select the participants, and use carefully designed scenarios, challenges, events, and settings to encourage particular behaviours and conflicts. Mark Burnett, creator of Survivor and other reality shows, has agreed with this assessment, and avoids the word "reality" to describe his shows; he has said, "I tell good stories. It really is not reality TV. It really is unscripted drama."