William Penn Adair Rodgers Essays - Cherokee Nation, Cherokee People

William Penn Adair Rodgers Will Rogers shaped provided many people with laughter throughout the early 1900's abroad and here in the United States through his many careers he chose. Will Rogers was born on November 4, 1879 in a home his father had built near the Verdigris River bottom lands in the Cooweescoowee District of Indian Territory. His parents were Mary and Clem Rodgers. They named there first son William Penn Adair Rodgers after a distinguished Cherokee, William Penn Adair, who served as his people's delegate in Washington. Will's father had also served with him during the Civil War. When it was time for Will to go to school he was sent to stay with his sister Sallie. Their home was across the river from the Rogers ranch and near Drumgoul, which was soon to be young Will's first school. It was a little one-room log cabin, all Indian school, jsut four miles east of Chelsea. It was often difficult for Clem to be patient with Will. For he was a stubborn little boy. The activities Will enjoyed the most during his childhood were the rides with his father and the days where he spent every idle moment attempting to improve his roping skills. He had quite a few lariat's taken away at school. Will did poorly in school most of the time, mainly because of his lack of interest. All he cared about was roping so that was all he cared to do. His father was constantly sending him to one school or another because he was constantly unsatisfied with Will's progress. One time Will even attended a girl's school, because the president also had a boy Will's age. When Will's mother, Mar y Rodgers, died of typhoid fever when he was ten it left a lonely, lost feeling That persisted long after he was successful and famous. When Will returned abruptly from one of his schools, Scarritt College, this gave his father an occasion for serious thought. He hoped that the strict discipline of Kemper Military Academy would do what his other schools had failed. At first military disipline was a novelty however grew tired of sitting at his desk. So Will asked each of his three sisters for ten dollars and he left school to become a cowboy. He would never again return to school. Will's first encounter with show business would come along as he was trying to get home from Argentina, were he had run out of money and had no way home. He meet the owner of Texas Jack's Wild West Circus and he was offered a roping job. This would launch him into a career that would last him a life-time. His vaudeville debut was a rope-throwing act in New York City in 1905 in which he later achieved wide popularity for the humorous monologues that he accompanied with his rope tricks. After 1914 Will appeared in several of the annual Ziegfeld Follies in New York City. He also acted in many motion pictures and even wrote a series of syndicated newspaper articles. In these he poked fun at the great figures of his time and offered his own philosophies. His film career began in 1918 and was composed of more than 60 short and feature films. After the invention of sound in films, Rogers found a large audience in such pictures as A Connecticut Yankee (1931), Down to Earth (1932), State Fair (1933), David Harum (1934), Life Begins at Forty (1935), ect. Throughout his career many important and well known people would see him perform. Such as artist Edward Borein, humorist Hughes, Lindbergh, President Wilson, Harding, and Coolidge to just name a few.. Whether it was at a wild west show, at New York or Washington D.C., or all around the world. He even became close friends with many of them. He also later wrote articles for the Saturday Day Evening Post. Will's father had also by now changed his ideas on wild west shows. At first he thought they we foolish career for Will to get into. However now he was extremely proud of his son an his accomplishments. As Will grew older it still seemed he would never settle down. This was the main reason for Betty

Student Nurse Assessment

Student Nurse Assessment Free Online Research Papers Assessment This assignment will describe the assessment of a client that the student nurse has worked with and show how a holistic approach to the assessment process was used and the importance for this. Reference to the academic theory that support and are the reasons behind the student’s actions will be made throughout. The nursing process contains four stages based around the individual: The first and most important stage of the nursing process is assessment where good communication skills are essential to the nurse to allow her to identify problems with the client; actual and potential, physical and psychological (Kenworthy et al 2001). One of the most important nursing skills is the ability to assess the client as this is the first stage in the nursing process and is vital to obtain the information that will allow the nurse to plan and implement nursing care and evaluate their effectiveness (Smeltzer Bare 2003). The client’s details have been changed to maintain client confidentiality in accordance with the NMC Code of Professional Conduct 2004. â€Å"Anastasia Beaverhausen†, aged 78, was admitted to hospital for treatment of a fractured neck of femur. Shortly after Anastasia’s arrival to the ward, the nurse assessed the client’s blood pressure, pulse, temperature, respiratory rate and oxygenation levels (SP02). This gives the nursing team a baseline to monitor Anastasias future observations against to determine any progress or deterioration of the client’s health. The wards assessment model was loosely based around the Roper, Logan and Tierney, and was used to begin the first stage of the nursing process. This wards model used the 12 activities of daily living designed by Roper et al which are maintaining a safe environment, communication, breathing, eating and drinking, elimination, washing and dressing, thermoregulation, mobility, working and playing, expressing sexuality, sleeping, death and dying (Holland 2005) with the added assessment of skin/pressure areas. The assessment interview allows the nurse-patient relationship to be established on the basis of mutual concern for the patient’s well being. However, the interview must have a structure and contain a beginning and an ending, and should progress logically, ensuring meaning to the participants (Mallet Dougherty 2000). The nurse began by introducing herself to the client and explaining what she was going to do. In accordance with the NMC 2004 where it states that nurses must promote and protect dignity of clients, the nurse pulled the curtains around the client’s bed space to promote the client’s privacy. A private room would have been a better place to undertake the assessment, as other patients could potentially still overhear, however this was not available and the situation was dealt with to the best of the nurse’s ability. The nurse informally chatted to the client to begin to build a relationship with her. She did this to help make the client feel at ease with her and therefore feel able to express her feelings and concerns as some problems may not be disclosed by the client and may only be identified when the nurse-client relationship develops and the client feels able to trust the nurse (Mallet Dougherty 2000). To do this, the nurse positioned herself near to the client and used warm body language and eye contact. At this early stage of interaction, both verbal and non-verbal communication skills are extremely important, as any relationship comes about through communication (Nolan 2003). To enable the nurse to identify any interrelated problems, a holistic approach to the assessment was required. The term comes from the Greek word ‘holos’, meaning ‘whole’. By applying the holistic approach to health care, the nurse takes places emphasis on the whole person, taking into account the physical, emotional, intellectual, spiritual and cultural background and needs of the individual rather than simply treating the symptoms of their illness (Kenworthy et al 2001). And upon review of the many nursing theories currently in use, it is clear that they all take into account the whole person (George 1995). Early on in their conversation, it was established that Anastasia was very concerned about her dog that had been left at home with no-one to look after it. She was extremely worried about this and the nurse noted that this was a holistic need of the client that needed to be addressed. This emphasizes the importance of a holistic approach, because although it was not a symptom of the client’s injury, it was causing her to feel anxious and distressed. To gain Anastasia’s trust and her acceptance of her treatment plan, the nurse had to address this issue so the nurse asked the client if there was anyone that she could contact on her behalf and if Anastasia would be happy for this person to take care of her dog. The client remembered that her neighbour, who was a close friend, had a key to her house and that it would put her mind at rest if she knew she could care for the dog. For the purpose of this essay, the focal point will be on three of the activities of daily living that relate most to the client. For Anastasia, these were Eating and Drinking, Mobility and Skin / Pressure Areas. These were chosen because nutritional weakness and injury may also result in loss of muscle, and possibly decrease the client’s mobility and increase the likeliness of pressure sores and therefore increase recovery time. Through building a relationship with Anastasia, the nurse was mostly able to complete the assessment without asking too direct questions and therefore creating a feeling of formality for Anastasia, as clients may be reluctant to offer information around having a fall for fear of being put in a home or the need for a walking aid (Delorito 2002). During their discussion the client explained that her injury was the result of a fall after she slipped on some ice while out walking. Through talking to Anastasia about her previous medical history and reading the clients notes, the nurse saw that there had been no record of any previous slips or falls. It is important to ask the client if she has had any previous slips or falls, as a history of these is one of the most common risk factors for future falls (Delorito 2002). It was reported to the nurse by the client that she was a very active and social lady and she hoped to return to her normal life as soon as possible. The nurse was able to gain a picture of Anastasias mobility through their interaction, and noted that she usually walked unaided, had no stairs at home as she lived in a bungalow and took her dog for daily walks. The nurse also made a visual assessment and saw that the client was able to move positions in bed reasonably well which would therefore aid keeping her pre ssure areas in tact but she seemed to be in pain by doing so. To enable the nurse to assess how much pain Anastasia was in, she asked her to describe her pain on a scale of one to ten, with ten being the worst and zero being no pain at all. The client reported six on this scale and the nurse noted that this could hinder her movement while on bed rest and potentially lead to pressure sores. The nurse explained to Anastasia that she would have to remain on bed rest until the fracture had been stabilized and informed her as to how and why pressure sores form and that she could potentially be at risk, and for this reason, the nurse would need to carry out a Waterlow Assessment. Thus is in accordance with the NMC 2004 where it states that nurses must recognise and act to minimize the risk to clients. The Waterlow assessment is a tool used to determine the risk status of the client, and professional judgment must still be used. It allows clients to be classified according to their risk of developing a pressure sore under the categories of weight for height, continence, skin type, mobility, sex and age, appetite, and special risks such as tissue malnutrition, neurological deficit, major surgery or trauma and medication. To complete the weight for height score with, a body mass index (BMI) calculation must be carried out. This is a measure which takes into account the client’s height and weight to measure their body fat and can alert nurses to possible health risks for the client; the higher the BMI, the bigger the risk is of developing further health problems such as diabetes, high blood pressure and heart disease (Lee Neiman 2002). As the nurse was unable to measure and weigh Anastasia, she used information provided by the client to calculate her BMI. The nurse also asked to look at the client’s pressure areas to see if there was any evidence of any sores, either healing or beginning and noted that there were none. As part of the assessment process, the nurse also needed to assess Anastasias nutritional status. Nutritional assessment is a crucial part of nursing care (Horan 2000) as this would help the nurse to identify if the client was undernourished, the possible reasons for this, and to provide a baseline for any future care given (Gibson 2005). Because a good diet is essential to the healing process it is vital to know if the client was getting the proper nutritional intake. The nurse needed to take the clients diet history, including food frequency, habits, preferences, meal patterns, and possible religious restrictions (Lee Neiman 2002). To do this, the nurse spoke to the client about what she would usually eat at home and asked her open questions beginning with how and why, for example, creating a much greater chance of the client feeling able to express their feelings rather than simply answering â€Å"yes† or â€Å"no† (Nolan 2003). This extra information given by the client enables the nurse to gain a more comprehensive picture of Anastasias eating and drinking habits. The client became upset and reported that she had had a loss of appetite over the past two months since her husband had passed away. This was also why she was so anxious about her dog and hoped to return to her normal routine and social activities as quickly as possible as she feels that this helps her to cope with her loss. The nurse also noted, through a visual assessment of the client that her skin was dry, indicating dehydration. This was verified when the nurse asked Anastasia what she would normally have to drink in a day, including alcohol, as the client reported that she drinks only two to three cups of tea per day and drinks a glass of cherry on special occasions only, enabling the nurse to confirm her belief that the client also had an insufficient fluid intake as clients should be encouraged to drink 2-3 litres of water per day (Gibson 2005). As part of the nutritional assessment, Anastasia was also asked if she had any dentures, was taking any vitamins, minerals or supplements, and if she had any food allergies, to which the client explained that she had a full set of dentures, took no supplements, but was wheat intolerant and found this hard to cope with, which also influenced her eating habits as she cant eat the simple snacks she would like to because she is no longer cooking regular meals. The nurses visual assessment, and noted that the clients clothes and rings seemed a little loose, indicating a recent weight loss (Lee Neiman 2002). The nurse also noted that a lack of sufficient nutrients could have influenced the clients fall if she was weakened by a poor diet, as vitamin D is an essential nutrient for bone health and a major cause of its insufficiency is poor nutrition (Gennari 2001). While speaking to Anastasia the nurse made notes that she could refer to later. This was done to allow the client-nurse interaction to continue a little smoother than if the nurse was to repeatedly stop to document and to create a more relaxed atmosphere. After the assessment, the nurse used her notes to record and document all her findings clearly and legibly onto the clients assessment form, promoting effective communication between other health professionals and in accordance with the NMC Code of Professional Conduct 2004. CONCLUSION It has been established that the assessment is probably the most important stage of the nursing process because if it is done without care or inaccurately it will affect the planning, implementation and evaluation stages and possibly the clients care. Perhaps the most important factors to the assessment process are good communication and good documentation. A good assessment is dependant on the relationship between the nurse and the client and the most important aspect of all nursing activities are those that promote professional, compassionate, human to human interaction (Weber Kelley 2003). Good documentation remains in line with the NMC Code of Professional Conduct 2004 as it promotes better communication, consistency, continuity, efficiency, and professionalism within the nursing team (Wood 2003). Research Papers on Student Nurse AssessmentThree Concepts of PsychodynamicThe Project Managment Office SystemResearch Process Part OneArguments for Physician-Assisted Suicide (PAS)Moral and Ethical Issues in Hiring New EmployeesIncorporating Risk and Uncertainty Factor in CapitalStandardized TestingThe Relationship Between Delinquency and Drug UseRelationship between Media Coverage and Social andRiordan Manufacturing Production Plan

Atomic Bomb 5

Atomic Bomb 5 Essay On the morning of August 6, 1945, the first Atomic Bomb in history was dropped on the Japanese city of Hiroshima. Three days later, a second bomb was dropped on Nagasaki. Soon after, on August 14, 1945, the Japanese abruptly surrendered, abandoning their ancient customs regarding honor in war. The fact that only two bombs were able to bring an entire country to its knees is a true testament to the awesome power they held. There is nothing in modern warfare that can compete with the devastating effects of nuclear weapons. At the beginning of World War II, the Japanese were a major threat to the Asian World. On December 7, 1941, when they decided to attack Pearl Harbor (a US naval base in Hawaii), it was evident that their intentions were not limited to Asia. The United States entered World War II as a result of this attack. The war continued for six long years, and involved most of the major World Powers. During this time, there were many battles between the United States and Japan, i ncluding one of the bloodiest battles of World War II, which took place at Okinawa. If allowed to expand, Japan posed a serious threat to the allies. During the war, one of the most brilliant scientists in history, Albert Einstein, hypothesized that if the true power of the atom were released in a weapon, the results would be devastating. This was soon confirmed by a large portion of the scientific community. Whoever possessed such a weapon would be in complete power. Many government officials felt that such a weapon could put an end to the war. For this reason, in 1942, the United States decided to pursue the atomic bomb. Later that year, Franklin D. Roosevelt began the Manhattan Project. The Manhattan Project was a massive engineering enterprise aimed at the ultimate goal of creating an atomic bomb. At one time it employed over 129,000 workers. The United States was the only nation in the world with the capacity to work on such a high level. Though it cost approximately $2 billion dollars, many officials who knew about the Top Secret project felt it was well worth it- if the Atomic Bomb proved useful. Another major expense of the United States government was the development of the B-29, a bomber plane specifically designed for dropping Atomic Bombs. The estimated cost of this project is $3 billion dollars, bringing the total cost of the new atomic weapon to $5 billion dollars (approx. $50 billion 1998 dollars). If the Atomic Bomb failed, not only would many people lose their jobs, but the outcome of the war might have changed. For this reason, the Manhattan Project employed many of the top scientific minds of the world. Unbeknownst to the Allies, the Germans decided not to pursue an atomic weapon. They felt it was more important to spend the money on troops and machinery, and thought that they would have won the war before they were able to obtain an atomic weapon. They were also unaware of the top-secret Manhattan Project. The Japanese conducted small research on the possibility of building a bomb, but never fully pursued it. If the Germans had decided to build a bomb, and obtained it before the United States, they most certainly would have used it against the Allies. This is why it was so crucial for the U.S. to complete the Manhattan Project as quickly as possible. A German victory would have resulted in a history that is completely different from that which took place. If the Axis Powers had developed the Atomic Bomb, they would have been unstoppable. A nuclear weapon harnesses the power of the atom with a process known as an Uncontrollable Fission Reaction. In this process, a neutron (a subatomic particle found in the nucleus of atoms) is bombarded with the nucleus of a radioactive atom, such as Uranium or Plutonium. This causes the nucleus of the radioactive atom to become unstable, and split into two new atoms. To stabilize the new atoms, more neutrons are released, which move on to bombard with another radioactive nucleus. READ: A critique of a jazz concert Essay The energy released comes from the binding energy (the energy required to keep the nucleus together) .

History of Pennsylvania Essay Example | Topics and Well Written Essays - 1500 words

History of Pennsylvania - Essay Example Prior to the entry of the Europeans into the new territories, the state was home to indigenous Indian tribes of Algonquian and Iroquoian linguistic origins like the Delawares, Shawnees, Susquehannocks, Eries and other unidentified tribes.2 During 1638-1655, it was the The Swedes who made settlements in Wilmington, Delaware area. The Dutch followed when they seized from the Swedes important trading posts in 1655. In 1664, the English assumed authority over the area gaining much control of the Delaware region in the name of the Duke of York.3 In the ensuing sections of the paper, the relevant periods in Pennsylvanian history would be discussed. The discourse will also focus on the founding of the State and how it shaped the future Pennsylvania. Pennsylvania, as mentioned earlier was the site of a major event in US history, the Declaration of Independence. In the months before the declaration, the state struggled with opponents to autonomy because gaining autonomy would mean the disruption of political and economic life as the Pennsylvanians knew and a death knell to the new State Constitution. Archeologists thought that the first inhabitants of the land that would later be known as Pennsylvania were inhabited by paleo-Indians who were nomadic and hunter-gatherers, and preferred to live in groups of twenty to thirty.4 Archeological evidences indicated that the early inhabitant used stone impediments. The Meadowcroft Rockshelter archeological site in Pennsylvania revealed that there were inhabitants in the area as early as 16,000 years ago.5 Before the first Europeans set foot on Pennsylvania, the Lenni Lenape or Delawares lived in the northern and southern parts of the Delaware Valley.6 On the west, the northern Susquehanna Valley was home to Iroquoian-speaking tribes.7 The Susquehannocks, on the other hand occupied the Lancaster Valley and conducted trade along the Great Minguas Path.8 By the time the Europeans arrived,

The Concept of Literacy to Prospective Teachers Essay

The Concept of Literacy to Prospective Teachers - Essay Example This begins with children who come into the classroom from different backgrounds, learning methods and special needs that should be enhanced. Each of these requires different formats for teaching literacy while helping children with their specific characteristics that are within the classroom. By developing this, there is the ability to create deeper understanding and knowledge that is a part of the education of children while enhancing learning abilities by meeting children with the culture which they understand. The development that is created from this becomes easier while allowing all students from diverse backgrounds to have their needs met with literacy (Flint, 2007). The second point which would be made would expand on the idea of reaching cultures into developing and working with specific tools for students. Language development is one that is based on creating skills and working with children to develop these with the use of scenarios and circumstances. Both oral and reading skills are developed specifically by helping to create the right learning environment so the skills are continuously practised and developed in a way that ensures all children are able to develop the right approach to reading and writing. This means that the environment in the classroom needs to be established in a manner that allows children to understand and develop their literacy skills over time and with continued support from the environment and teaching that is available. Using this as a foundation invites in cultural diversity and enhances the needs each child has (Flint, 2007). The third relevant point that would be used with teachers would be from the different ways in which children can be introduced to practising skills while boosting the diversity of the classroom.

Organization Study :: Essays Papers

Organization Study Case Analysis #3 1.What type or types of power does Anita Rod*censored* appear to rely upon? Based on my observation, Mrs. Anita Rod*censored* heavily relies on Expert, Referent, and Information power. According to the textbook, Expert power is based on the possession of expertise that is invaluable to the company and its employees. From the case discussion, we could see that, due to her diligent work, Anita Rod*censored* is able to possess firsthand information about the company’s products and customers and integrate such information into the final value-added product package the company offers to its customer. For example, Anita is engaged in extensive traveling to potential markets to obtain firsthand information about the market and its customers. Referent power, on the other hand, results from being admired, personally identified with, or liked by others. Anita Rod*censored* is widely liked by her employees and managers. And many of the company’s employees even state that it will be difficult for them to work for other companies after being an employee of Body Shop International. There is no doubt that such kind of loyalty among its employees will enhance the company’s productivity and realization of Anita’s vision. Finally, Information power comes from the access to mission-critical information regarding the operation and growth of the company. As head of the company and possibly the largest stockholder, Anita Rod*censored* actually sets direction for the company’s operation for years to come. 2. Would you consider Anita Rod*censored* to be a transformational leader? Why, or why not? I definitely regard Mrs. Anita Rod*censored* as a transformational leader. Based on the textbook, transformational leaders are leaders who could motivate individuals to perform beyond normal expectations by inspiring subordinates to focus on broader missions that transcend their own immediate self-interestes, to concentrate on intrinsic higher-level goals rather than extrinsic lower-level goals, and to have confidence in their abilities to achieve the extraordinary missions articulated by the leader. In order to be a transformational leader, one has to be charismatic, which means that this leader is able to inspire others and gain respect from them; to recognize what is really significant for the company; and to articulate a clearly defined mission. As for Anita Rod*censored*, she set the vision for the company to be socially and environmentally responsible and to benefit the external environments and its employees as well. On one hand, this vision is strongly supported by the compan y’s employees and customers and represents the future trend, on the other hand, more interestingly, this vision has benefited the company’s business as shown by the strong market growth over the years.

Reflective writing

Project module Business project module helped me to critically analyze and reflect upon my skills, build on my strengths and develop my weaker areas. Our module leader, Ms. Catharine Gamekeeper taught us what is reflective thinking? What Is reflective writing? How to reflect our experiences, opinions or events. I have reflected about group assignment that have done In last semester. I have recognized my strengths like, how to collaborate with team members, how to planning and organizing the work. And It helped me to distinguish my weak points as well.Second reflective writing was data gathering techniques for projects. I have written the way that I gathered Information to write a biography about an eminent person. Data gathering process provided the opportunity to enhance the efficiency and effectiveness of the project. I prepared semi structured questions, got the prior approval to record the discussion. I could able to gather more accurate Information and successfully completed tha t task. We have done a group project about nature's secrets. My part was collecting data for do the project. It was methodology part. Got a sample from dents of SLIT for do the questioner.It was a manual customer survey. And used company website as secondary source. Used pie charts for show the results. Analyzed the information based on marketing strategy. We have used product mix, after that we presented the findings and gave the recommendations for the immense problems. We have done our presentation in yesterday. I prioritize the main information at early, because it helps me to deliver my part within given time period. But first group members allocated 10 minutes for delivering their parts, because of that we couldn't finish before the allocated time.Our module leader was not happy about our analyzing part, because we have included only one strategy. We didn't analyze the external stakeholders like competitors and suppliers. There were two lab sessions for teaching us how to make table of contents correctly and how to use various references. But unfortunately I couldn't do it my own because, lack of the computer facilities in the lab.. But I and my friend shared one computer for do that session. That was helped us to successfully complete the report. Lack of facilities have an adverse effects on the performance of the students.As an IT university, dents want more lab facilities, more effective computers for doing their sessions. I have learnt so many important things from this module. Helped me to Improve my communication skills by doing the presentation and all these activities helped me to develop team work and Interpersonal skills, planning and organizing, written and listening skills. Reflective writing By Hashish-Bandanna Catharine Gamekeeper taught us what is reflective thinking? What is reflective group assignment that have done in last semester. I have recognized my strengths work.And it helped me to distinguish my weak points as well. Second reflec tive writing was data gathering techniques for projects. I have written the way that I gathered information to write a biography about an eminent person. Data gathering discussion. I could able to gather more accurate information and successfully company website as secondary source. Used pie charts for show the results. That we couldn't finish before the allocated time. Our module leader was not happy have learnt so many important things from this module. Helped me to improve my develop team work and interpersonal skills, planning and organizing, written and Reflective writing The evening staff went and night staff together with the evening nurse had a port handed over, both in writing and verbally as per the policy to keep a good quality of care they have at work and also the health and safety act 1974. After the handover me and the evening nurse went to see one of the resident who was poorly to have an as correct handover as possible to be able to identify any changes as quick as possible. I was planning to phone the family before 1 1 pm to give an update of the state of their relative.Then I was handed over the keys, as it in only the URN who are allowed the keys according to policy and the Misuse of Drugs Regulations 2006 and Controlled Drugs Supervision of Management and use) as for England. Misuse of Drugs Act 1971. After I have gone around and done a check and answered a few call bells I started preparing to hand out the night time medication. I unlock the door to the drug room and take out the looked trolley which contains the residents drugs. Made sure had clean pots and spoons and straws. All rooms had a jug with fresh water and a suitable container to drink from.NC has standards for medication management which had to follow as well as regulation 13 of the Health and Social Care Act 2008 and my code of conduct. During the drug round I tried not to be too disturbed but did answered call bells during the drug round. For each and every patient checked date and time on mar sheet and double checked it was the right patient and checked the date on the box or blister to see that the medication was not expired. Check the dosage and admit way. Trying to be up to date in my knowledge by reading on MIRA web site. Also checked how the medication had been documented over the day, were they refused?When was the last dose of the same medication he or she has before bed time? Is the resident sitting up properly to be able to swallow the medication? Are there enough water in the jugs? During this time I also checked how the patient were fee ling by talking to them. Were they talking as normal or was their speech slow or different? How is there breathing? Are they warm enough, do they look ill, do they have a temperature? Is the catheter draining? Do they need any PRNG drugs? Constipated or in any pain? Then I signed the mar sheet to confirm that the resident had taken his medication or signed for any refusal or other reasons.When it was time to give the controlled drugs. I called one of the senior staff to come with me to get the drugs in a special locked area assigned for controlled drugs. I took the CD signature book and with the other staff checked the drug for expire date, name, strength admit way, and sign in the book. Then we went to the patient, both of us, and gave the patients its medication. Was an oral administer way so we stayed while she swallowed the medication. ( This is regulated as well by the regulations and guide lines as I had when was handing out the medication.MIRA and ICQ are 2 body which can con trol the management of controlled drugs and to check so all guidelines, legislations and code of conduct are followed. When all the residents had had their medication, I went one more time to check so they were okay. Then I checked with the staff to get a rapport about any issues or problem I should know about and then I took my coffee to do the documentation. Overall documentation was made and I also made sure any general information was documented and brought forward like bath requests, visitors, out goings and appointments.There was 2 kind off drugs which needed to be ordered in the morning so these was written up as well. Documentation is of high importance because it gives evidence of quality and that all legislations and human right are followed as mental capacity act, confidentiality, quality of care and that care plans are followed as well as patient's safety and consent. At my workplace we document in a computer system and have care plans in a person folder in case we canno t access the information on the computer. To easy overview changes in care we have a ay to day based handover sheet as well.ICQ regulates that the documentation is correct done and they have a minimum standards that the nursing home need to apply to. When it was an appropriate time, a senior staff and me checked and counted the controlled drugs (that are not in daily use) and signed that they are correct as I am responsible to do according to Misuse of Drugs Regulations 2006 and Controlled Drugs (Supervision of Management and use) as for England, the ICQ guidelines and code of conduct and NC standards. During the night helped a few residents to the oiled according to the care plan and the manual and handling act and I made sure I had their consent first. Also checked the residents regardless, once an hour, but it always became more often as I checked the other resident at the same time as someone rang the call bell. Some residents needed to be turned regular ( the carnelian will tel l me how ( manual handling)and how often and why). During the shift I also checked so the staff was fine and if they had anything to rapport to me or have had any problems during the shift so far, and so they follow policies and procedures for the workplace and annual handling act and following the care plan.I did this by working with them and checking residents regularly to see if they were turned, dry, offered a drink if awake and had their call bell with in reach. The staff called me because a dressing had come off on a residents foot. I looked in the care plan to see what actions and what dressing they have had applied on the wound and re dressed it and then documented it in the care plan. I had to do a phone call to this patient's family to give an update of how their loved one was progressing.