TCP - People Resourcing and Development Essay Example | Topics and Well Written Essays - 1000 words - 1

TCP - People Resourcing and Development - Essay Example HRM of public sector may be out of control of the costs spent on this and can offer only those rewards that are alternative to the commercial ones. Overell (2003) observes that in such fields as health and education, both push and pull factors are significant, while in governance, extensive use of the agency workforce is mainly caused by internal functional mismanagement, or â€Å"functional turnover† (Torrington et.al. 2008, p. 197). One more factor is merely mentioned with only superficial description: it is systematic change that could have balancing impact on public health sector (Overell 2003). In fact this means that an entire culture of service should be changed. Redman and Wilkinson (2009) are more specific about this situation in public sector (which may also apply to education): â€Å"a healthcare provision has changed from being a citizen’s right to a customer service †¦Ã¢â‚¬  (p.5). Accordingly, health care specialists show less orientation toward work ethics and more self-evaluation in terms of market than they did before. This tendency may be the main factor that forced the authors of the article to unite so different public sector careers as health care and governance in one â€Å"problem†. A 2008 review of the agency working in the UK by EMAR (Employment Market Analysis and Research) reveals that the wages of agency workers tend to be the same or lower than those of full time employees (p.7); that, furthermore, 63% of all agency workers chose this type of occupation because there were no other employment opportunities, and it was only below a third of them that actually did not want a permanent job (p. 13); and that 50% of agency workers â€Å"would accept their temporary job on a permanent basis† (p. 16). This means that working for agencies is actually not a privilege, as suggested by the article, but rather a necessity for good many workers. At the same time, according to the EMAR report,

The Efficacy of non-invasive ventilation in the acute exacerbation of Research Paper

The Efficacy of non-invasive ventilation in the acute exacerbation of COPD Patient - Research Paper Example Chronic Obstructive Pulmonary Disease best known as COPD, is actually a group of lung diseases that together block airflow to the lungs making it hard to breathe. The two most common diseases that constitute this disease are chronic bronchitis, inflammation of the bronchial tract mucosal lining, and emphysema, gradual destruction of the alveoli at the end of the bronchioles (Huang and Ghio et al., 2012). These may also be accompanied by asthma. Chronic bronchitis causes coughing and sputum production, which may scar and damage the airways. Alveoli damage by emphysema reduce oxygen uptake thus causing breathing problems for the patient. The combination of the destruction these two diseases cause irreversible damage to the pulmonary system, but the good thing is that there is treatment available that can help reduce the symptoms of the disease. One of them is through non invasive ventilation, otherwise known as NIV in short. This paper will be looking at this form of therapy and its ef ficiency in the treatment of COPD. It will discuss its use and advantages it the clinical setting. Being a pulmonary disease, its symptoms are generally ignored or just taken in passing for something else. COPD can cause breathlessness/dyspnea, coughing, excessive production of mucus/phlegm and fatigue. Some of these symptoms, breathlessness and fatigue, are hard to point out or see because they are sensations that are experienced by the patient and do not manifest physically (Barnes, 2009). Only the person experiencing the symptom can describe them and talk about how badly they make them feel as opposed to the production of sputum and coughing which manifest physically. Unfortunately, once these symptoms, among others begin to manifest the patient may discard them as simply smoker’s cough or fatigue from being unfit. These are to be considered as signs