Food Safety; Pests and Vectors; Air Quality Essay

Food Safety; Pests and Vectors; Air Quality - Essay Example Among the two approaches stated above; training the restaurant employees seems more practicable and productive. This approach has also been applied at Philadelphia in 2009; Don Sapatkin (2009) explains that they adapted a risk-based approach in which emphasis was given to food worker’s knowledge and behavior. It is very important for them to comprehend as to how contamination is spread and how to prevent it. Frequent inspections by restaurant inspectors also play a crucial role in maintaining a good and healthy standard of food service. Personal hygiene of the workers in the restaurants is mandatory. It is noticed that restaurant owners serve much time on the cleanliness of the kitchens and tables etc. but don’t pay attention if the cooks and workers are washing their hands at regular intervals. The workers should be trained and made aware of the food-borne illnesses they are likely to transmit through their food if they are not hygiene cautious. US Food and Drug Administration (2009) states that there is another very important factor regarding food safety; which is the knowledge of temperatures for cooking specific ingredients .e.g. each portion of cooked chicken must reach a minimal internal temperature of 165F for 15 seconds. They should also be aware as to which food is more prone to develop bacteria and at what temperature they should be cooked to remove them. Workers should be urged to wear head gears whenever they are in contact with food to promote a proactive approach rather than a reactive approach. Another thing that should be monitored is that the temperatures of refrigerators are maintained at a suitable temperature. It is often noticed by inspectors that the air temperature of walk-in refrigerators are kept warm. Question 2: Describe the recommendations you would give the public to prevent further spread of West Nile Virus by mosquitoes. Describe the

Continuous Quality Improvement Research Paper Example | Topics and Well Written Essays - 2250 words

Continuous Quality Improvement - Research Paper Example 2.1.1. Professional model and transformational model. There is difference between professional model used for health services and transformation model. Sollecito and Johnson (2011, p. 424) notes that, the professional model emphasizes ion the organization and its system. The organization is considered supreme. The professional model advocated for individual responsibility in the service delivery. The leaders were professionals and a preserve of the few. There was a lot of autonomy and authority was bestowed upon the administration. Similarly, the professionals had the authority over the customer. Plans were to be followed strictly and goals to be accomplished according to the instructions of the institution. Quality assurance was embraced. The transformational model focuses on cultivating the existing organization and changing the perspective so that the improvement is seen as a continuous process. Transformational model recognizes the participation of all stakeholders to include the professional, the management the health workers and both internal and external clients. Many aspects of the service delivery are considered subject to improvement. The improvements are made continually using scientific methods. The transformational model ensured the responsibility is shared between the individuals, the leaders and the healthcare employees. Employees were trained to become leaders and engaged leadership skills at all levels. The value of the outcome was emphasized to encourage participation and excellent performance. Decision making is shared to include the healthcare worker’s and the patient’s opinion. Unlike in professional model where performance is retrospective, performance in transformational... The transformational model focuses on cultivating the existing organization and changing the perspective so that the improvement is seen as a continuous process. The transformational model recognizes the participation of all stakeholders to include the professional, the management the health workers and both internal and external clients. Many aspects of the service delivery are considered subject to improvement. The improvements are made continually using scientific methods. The transformational model ensured the responsibility is shared between the individuals, the leaders, and the healthcare employees. Employees were trained to become leaders and engaged leadership skills at all levels. The value of the outcome was emphasized to encourage participation and excellent performance. Decision-making is shared to include the healthcare worker’s and the patient’s opinion. Unlike in professional model where performance is retrospective, performance in the transformational mo del is enhanced on an appraisal. Continuous improvement is encouraged as planning is made flexible. The transformational model emphasizes on service that will impress and surpass the anticipation of the patient. The success of work is considered accomplished if the needs of the patients have been addressed satisfactorily or exceedingly. Patients are not the problem; the problem is in the process of delivering the healthcare services. Variation is intended and misappropriation can cause negative outcomes.

Learning Team Reflection Essay Example for Free

Learning Team Reflection Essay Alan Litchman and Laura B. Trust, Co-Presidents of Finagle a Bagel, own a bagel business in Boston (Parrino, Kidwell, Bates, 2012). Alan and Laura met in business school and after gaining business experience in other industries they purchased the bagel business with the intent of growing it as much as possible. They have two primary target markets: 1) retail stores and 2) wholesale accounts with large institutions. In this paper, we will briefly discuss a few of the strategies they used to manage their working capital. The owners of Finagle a Bagel were tired of working for other people so they decided to buy one new business. They have used several financial concepts to manage the financial accountability of their small business. They have controlled costs from the beginning of the process to the delivery of the product, as well as the administrative costs. Other items that have been highlighted are the management of cash flow, payback, and the schedule of cash entries, which has allowed the company to pay its debts. They have established a good relationship with the banks in order to negotiate the time frame for payments and rate. Suppliers are also a key success factor for the company, as the payment terms are negotiated to match the flow cash. The company’s focus is to maintain its financial management so that the business may grow and return large profits. The Finagle a Bagel also has a policy of recognizing the hard work of their employees. The owners believe that managers and employees are responsible for the success of the company. Together, the company is growing in a sustainable and financially healthy way. According to Alan Litchman, when making any investment, first one has to understand what the demand for the new product is going to be, and what kind of product can be made with the new equipment (Parrino, Kidwell, ba tes, 2012). Alongside his wife, Mr. Litchman explained how important it is to understand the company’s performance and opportunities to better apply capital investment in the company. They both explained, in their own words, the importance of setting up strategies and planning before putting a new product on the market. The couple also spoke about debt. Laura Trust said that debt is ‘a necessary evil’ and sometimes taking debt has its benefits if compared to finding capital through other means, such as pursuing a partner (Parrino, Kidwell, Bates, 2012). In this case they did not want to take a venture capital partner because the owners wanted to have authority  when making business decisions, thus avoiding ‘working for someone else’ (Parrino, Kidwell, Bates, 2012). This shows that the owners prefer a business structure like a sole proprietorship. Lastly, the fact that interest rates have been dropping for small business also supported their decision to take on debt to invest in the company. The couple is very educated when making business decisions, as they understand that even when a company has financial resources, the business gains more by obtaining financial resources from banks with small interest rates, while allowing the resources they have to generate dividends with higher interest rates. This is generally called borrowing ‘cheap money’ (Investopedia, 2014). Finally, credit is also discussed. They mentioned trade credit, which is the amount of time given to pay back vendors for the products bought. The longer the term, the better, as it allows time to receive revenue before having to pay the debt. This is another very important recommendation on how to properly use cash flow and avoid taking on debt. Overall, Alan Litchman and Laura B. Trust demonstrate a thorough understanding of how to manage their capital so that their small business continues to grow and increase their net profits, despite economic challenges in the community and the country. References Investopedia. (2014). Cheap Money. Retrieved from http://www.investopedia.com/terms/c/cheap-money.asp Parrino, R., Kidwell, D., Bates, T. (2012) Fundamentals of Corporate Finance, (2nd Ed) John Wiley Sons Inc.

Social Bond Theory and Deviant Behaviour

Social Bond Theory and Deviant Behaviour Social Bonds and Deviance Deviance is a term used to describe behavior that goes against the established social and cultural norms. The concept of deviance is complex because norms vary considerably across groups, times, and places. Essentially, individuals commit deviant behavior when society defines it as such. Within the field of criminology, a number of theories exist that attempt to explain why some people engage in deviant behavior, while others abstain from it. One of these theories is Travis Hirschi’s, social bond theory, which eventually becomes the blueprint for subsequent control theories. This paper will analyze aspects of social control theory and social bonds, for the purpose of seeing if they can deter deviant behavior. Social control theory focuses on how the lack of close relationships with others can free individuals from social constraints, which in turn allows them to engage in delinquency. Unlike most criminology theories that claim to explain why people offend, control theories of fer the justification for why people obey the rules (Cartwright, 2013). Social control theories focus primarily on external factors and the processes by which rules become effective. Followers of this theory believe that deviance and crime occur because of inadequate constraints. This theory also examines the lack of control a person has in relation to society and explains how deviant behavior occurs in proportion to the strength of one’s social bonding. For the most part, social control theory assumes a shared value or belief in social norms. Therefore, even those who break laws or violate social norms, share the general belief that those rules should be followed (Cartwright, 2013). Thus, the essence of social control theory is explaining conformity and the process through which people are socialized to obey the rules. The first mentions of social control theory can be found in the works of some of the Enlightenment thinkers and can be traced to the Chicago School (Cartwright, 2011, p. 207). For example, Thomas Hobbes, an English social philosopher who wrote about external restraints and the role of government in preventing deviance, can be seen as one of the roots of this theory. Hobbes argued that humans had an inherent tendency toward evil and were constrained only through social contracts and agreements with people. More often though, the origin of social control theory is connected to Emile Durkheim, who is a French sociologist and is considered as the founder of sociology. Durkheim views crime and deviance as social facts that are present in all societies and even considered crime as â€Å"normal† (Cartwright, 2013). Durkheim thought that, â€Å"social controls were necessary if individuals were to understand the boundaries between acceptable and unacceptable behavior† (Cartwrig ht, 2011, p. 207). In his view, crime serves the function of identifying boundaries for behavior, which are recognized collectively in communities and reinforced by negative societal reaction. As a result, social order is maintained to avoid disapproved association with deviant acts. Eventually, Durkheim’s theory of integration and regulation becomes the basis for Travis Hirschi’s social bonding theory, in which criminal behavior is accounted as a result of weakening social bonds. Although Hirschi was not the first to propose a social control theory, his research published in the, â€Å"Causes of Delinquency† (1969), established him as the leading social control theorist. However, it is important to note that his social bonding theory exists, for the most part, as a result of the work done by his social control theory predecessors (Hirschi, 1969, p. 212). Terence Thornberry elaborated upon Hirschi’s control theory and Durkheim’s view of crime in society, in order to create a more accurate model for describing delinquency. He agreed with Hirschi that all humans are born with deviant motivation and that if social constraints are absent, people will naturally engage in deviant behavior. However, Thornberry argues that the weakening of social controls would not necessarily result in delinquency. In other words, according to Thornberry’s interactional theory, the absence or weakening of social control is a necessary, but not a sufficient condition for delinquent involvement (Cartwright, 2011, p. 229). Laub and Sampson’s turning points theory was also rooted in Durkheim’s views, Hirschi’s social bond theory and Thornberry’s interactional theory. Laub and Sampson’s theory concluded that some social events may change delinquents from a path of crime and this event is called a turning point. Closer to the present time, Bouffard and Petkovsek conducted a study which explores the process through which social bonds work to restrain offending criminal behavior. This was primarily based on Hirschi’s social bonding theory and looks at the decision to drive drunk. All of the above mentioned theorists are intricately connected through their theories, which are based on some aspect of their respective predecessors, and their view that all individuals are bonded to society. Hirschi’s, social bond theory, looks at how delinquency is the result of weak or broken bonds between the individual and society. He states that there are four aspects of the bond, and their relationship between each other, that affect our connection to society (Cartwright, 2011). These four are: attachment, commitment, involvement in conventional activities, and lastly belief in wider social values. Hirschi defines attachment to others as the degree to which we admire others and feel affection for and identify with them. Forming secure bonds to other human beings, foster traits like empathy and respect. If a person is able to experience empathy, that person will be far less likely to engage in criminal acts that would result in someone being harmed. Attachment is especially important when it comes to the person’s parental figures. According to Hirschi, other attachments, such as school, also play a tremendous role in conventional society (Hirschi, 1969, p. 215). Next i s commitment, which can be described as the personal investment of an individual, in things such as educational or career goals, and the perceived losses suffered by involvement in deviant behavior. A person is far less likely to commit deviant behavior when they have invested too much energy and time into pursuing a goal. A sense of commitment is a grounding force that gives individuals a reason to conform to socially accepted norms and goals (Hirschi, 1969, p. 216-217). Involvement refers to the level of one’s participation in social activities such as volunteering, jobs, or attending church. There is an inverse correlation between the amount of time an individual participates in conventional activities and the amount of time they have to deviate. Therefore, involvement in activities serves to both further an individual’s bonds to others and leaves the individual with limited time to be involved in deviant activities. Finally, belief refers to an individual’s trust in society’s moral system. The individual must believe that the rules and laws are necessary and should be obeyed. A lack of belief in the system can cause individuals to be more likely to engage in deviant behavior (Hirschi, 1969, p. 217-219). Hirschi views these four aspects of social control as highly interrelated and together they form the foundation of the social bonding theory. Thornberry’s Interactional theory attempts to combine social structure, social control, and social learning theories. He began with aspects of Hirschi’s version of control theory and Ronald Akers’s social learning theory, in order to create a more integrated theory to explain delinquent behavior. He called his theory, â€Å"interactional† because it was based on the premise that crime and deviance is the outcome of interactions between an individual and his or her environment (Thornberry, 1987, p. 232-233). Thornberry selected three concepts from Hirschi’s theory (attachment to parents, commitment to school, and belief in conventional values) and two from Akers’s theory (association with delinquent peers and delinquent values) (Cartwright, 2011). The significance of this theory is that it examines the developmental changes across three stage of adolescence: early, middle, and late adolescence. During childhood and early adolescence, attachmen t to the family is the most important determinant of whether a youth will adjust to society’s rules and be shielded from delinquency (Thornberry, 1987, p. 242-243). By mid-adolescence, the family is replaced by the world of friends, school and youth culture. In adulthood, a person’s behavioural choices are shaped by their place in conventional society and in their own family. Additionally, this theory asserts that at different ages, different influences become more important for the individual (Thornberry, 1987, p. 246, 248). This theory further states that individuals with weak social bonds will form other bonds with delinquents who share the same values. Laub and Sampson developed a theory of age-graded informal social control. They predicted that those who have more social capital, quality marital bonds, and stable employment in adulthood are more likely to abstain from committing more crime, through what the authors refer to as turning points. The key component of this theory is that delinquency and crime have an inverse relationship with an individuals bond to society (Cartwright, 2011). As an extension of Hirschi’s social bond theory, Laub and Sampson discussed the concept of attachment and commitment. The most notable difference between age-graded informal social control theory and social control theory is that the former acknowledges that crime is not â€Å"necessarily stable over the life course† and that criminals can change into â€Å"normal, law-abiding adults† (Cartwright, 2011, p. 258). Laub and Sampson find that attachments or social bonds in adulthood increase some individuals social capital, leadin g to desistance from most types of deviant behavior. Furthermore, they found that antisocial behavior in childhood has a strong likelihood of continuing through adulthood across a variety of life domains. So, individuals who become attached to other people will increase their self-control and, constraints in the form of job or marriage can prevent those with low self-control from offending (Laub and Sampsons, 1993, p. 269-270). Laub and Sampson argue that the start of a criminal career occurs early in life, but emphasize that even with an established criminal career; delinquency can be interrupted during the life course. Specifically, Laub and Sampson found that kids who were involved in deviant behavior, changed for the better because they experienced an event that pulled them out of their criminal lifestyle and into a more conventional pattern of behavior. They refer to these points of interruption as turning points. Such turning points include military service, employment, and ma rriage which create social capital. This social capital then represents investment in society and will restrain deviant behavior (Laub and Sampsons, 1993, p. 272-273). According to this theory, social influences on crime can directly and indirectly, affect trajectories of crime across the entire life course. In Bouffard and Petkovsek’s paper, they tested Hirschi’s social bond theory and the impact social bonds have on crime, specifically focusing on the decision to drive drunk. Their prediction for the outcome of the study is as follows: individuals with lower levels of social bonding will not care about the severity of negative consequences involved in drunk driving behavior and these ratings of severity will decide whether an individual participates in drunk driving (Bouffard and Petkovsek, 2013, p. 5). Each participant in the study was asked questions to test the social control theory. These questions focused on attachment to the family, belief in conventional values, and religious involvement/commitment (Bouffard and Petkovsek, 2013, p. 8). From the results, they found that concepts discussed in Hirschi’s social bond theory, did in fact affect deviant behavior. Those individuals with greater social bonds were found to be less likely to drive drunk, whereas those with less social bonds had a greater likelihood of driving drunk (Bouffard and Petkovsek, 2013, p. 17). The results of this study indicate that the concepts described in Hirschi’s social bond theory actually do have an effect on the deterrence of deviant behavior. Personally, I do believe that aspects of social control theory and social bonds can deter people from engaging in deviant behavior. It is not difficult to believe in any of the aforementioned theories, especially Hirschi’s components of social bond theory (attachment, commitment, involvement in conventional activities, and belief in social values), when there are many accounts of the life stories of major criminals out in the media. Most, if not all, serious crimes (murder, kidnappings, etc) are committed by people who grew up with bad parental figures, and strongly believed that they had no place in conventional society. This tied in with Thornberry’s concept of developmental changes across various stages of adolescence. When these individual do not have a significant attachment to family during their childhood, they have already begun rejecting some of society’s rules. This coupled with Laub and Sampsons assertion that social bonds increase an individualâ€℠¢s social capital which in turn restricts deviant behavior, almost guarantees a path of deviance for that individual. Furthermore, as Bouffard and Petkovesk’s study showed, social bonds really do have an effect on some types of deviant behavior. As previously mentioned, the readings have truly convinced me that social bonds play an integral role in the decision to participate in deviant behavior. References Bouffard, J.A., Petkovsek M.A. (2013): Testing Hirschis integration of social control and rational choice: Are bonds considered in offender decisions? Journal of Crime and Justice, doi: 10.1080/0735648X.2013.814547 Cartwright, B. (2011). Social Control Theory and Developmental Life Course Theories. In B. Cartwright (Ed), Sociological Explanations of Crime and Deviance (pp. 207-209). Boston: Pearson Learning Solutions. Cartwright, B. (2011). A Control Theory of Delinquency. In B. Cartwright (Ed), Sociological Explanations of Crime and Deviance (pp. 211-213). Boston: Pearson Learning Solutions. Cartwright, B. (2011). Turning Points in the Life Course: Why Change Matters to the Study of Crime. In B. Cartwright (Ed), Sociological Explanations of Crime and Deviance (pp. 258-260). Boston: Pearson Learning Solutions. Cartwright, B. (2011). Toward an Interactional Theory of Deviance. In B. Cartwright (Ed), Sociological Explanations of Crime and Deviance (pp. 229-231). Boston: Pearson Learning Solutions. Cartwright, B. (2011). The Origins of Social Control Theory Part 1. Retrieved from online tutorial site: http://media.pearsoncmg.com/pcp/1256315303/tutorial6/tutorial6.html Cartwright, B. (2011). Life Course and Developmental Theories Part 2. Retrieved from online tutorial site: http://media.pearsoncmg.com/pcp/1256315303/tutorial7/tutorial7.html Cartwright, B. (2013). â€Å"Social Control Theories.† Criminology 104 Lecture, retrieved from Simon Fraser University on-line lecture site. Hirschi, T. (1969). A Control Theory of Delinquency. In B. Cartwright (Ed), Sociological Explanations of Crime and Deviance (pp. 214-228). Boston: Pearson Learning Solutions. Laub, J., Samspon, R. (1993). Turning Points in the Life Course: Why Change Matters to the Study of Crime. In B. Cartwright (Ed), Sociological Explanations of Crime and Deviance (pp. 261-282). Boston: Pearson Learning Solutions. Thornberry, T. (1987). Toward an interactional Theory of Delinquency. In B. Cartwright (Ed), Sociological Explanations of Crime and Deviance (pp. 232-257). Boston: Pearson Learning Solutions.

terror :: essays research papers

The next terrorist that had a great impact on the development of terrorism is Adolf Hitler. This man went down in history for the brutal killings of many Jews. This horrible event was called the Holocaust. This act of violence was made because Hitler wanted every Jew exterminated. Adolf Hitler, murder of millions, master of destruction and organized insanity, did not come into the world as a monster. He was not sent to earth by the devil, nor was he sent by heaven to â€Å"bring order† to Germany, to give the country the autobahn and rescue it from its economic crisis.   Ã‚  Ã‚  Ã‚  Ã‚  On the evening of April 20th, 1889 an innocent child was born in the small town of Braunau Am Inn, Austria. The name of the child was Adolf Hitler. His only boyhood friend, August Kuvizek, recalled Hitler as a shy, reticent young man. He was a audience for Hitler, who often rambled for hours about his hopes and dreams. Sometimes Hitler even gave speeches complete with wild hand gestures to his audience of one.   Ã‚  Ã‚  Ã‚  Ã‚  Adolf Hitler had always been straightforward about his plans for the Jews. His deram of a racially â€Å"pure† empire would tolerate no Jews. He roundup Jews and were herded like cattle and put into concentration camps. These were set up in 1933 to detain without legal procedure Jews, Communists, Gypsies, homosexuals and others. During world war II extermination, or death camps were established for the sole purpose of killing men, women and children. In the most Germany, more that 6 million people, mostly Jews and Poles, were killed in gas chambers.   Ã‚  Ã‚  Ã‚  Ã‚  Auschwitz-Birkenau became the killing center where the largest numbers of European Jews were killed. After an experimental gassing there in September 1941 of 250 malnourished and ill Polish prisoners and 600 Russian POWs, mass murder became a daily routine; more than 1.25 million were killed at Auschwitz-Birkenau, 9 out of 10 were Jews. In addition, Gypsies, Soviet POWs, and ill prisoners of all nationalities died in the gas chambers. Between May 14 and July 8,1944, 437,402 Hungarian Jews were deported to Auschwicz by 48 trains.   Ã‚  Ã‚  Ã‚  Ã‚  The final terrorist that I am going to talk about is one of the most hated people still alive today. Osama Bin Laden is one of the CIA's most wanted men. Even though he is the most famous terrorist today, he is also a hero to many young people in the Arab world.

King Henry I :: essays papers

King Henry I The death of King Henry I in 1135 put Henry II on the path to the throne of England. Henry II lavish youth kept him sheltered from society only allowing him to have a couple friends. One of his life long friends soon became a burden because of differences in opinions about religion. Henry's intelligence and persistency from birth led him to be crowned King of England. The appointment of Thomas Becket to Archbishop by Henry II started the trend of conflict between the two over the separation of church and state. Henry II, the first of the Plantagents was the son of Geoffrey Plantagent and Matilda, daughter of Henry I. In 1152 Henry married Eleanor of Aquitaine, the ex-wife of Louis VII of France. With this marriage, Henry gained considerable amounts of land in France. In 1153 Henry returned to England after his stay in France and forced Stephens to name him the heir of the throne. Henry immediately appointed his long-term friend Thomas Becket, English Chancellor, to be Archbishop of Canterbury. Becket accepted the job of Archbishop in 1162 but he did it with some reluctance. Becket's unkind heart soon became a thorn in Henry's side.(Hay 107) By 1163, Becket had already defied Henry in one of his decisions. He challenged his former friend in his vehement to dismantle the ecclesiastical courts. Becket became an ardent defender of the interests of the church. Becket's hard-nosed attitude towards defending the Church of England showed just how important the church was to England. "The affairs between Henry and Becket became a highly colored by their personal relationships."("Henry II") Their life long friendship was the only thing that kept the two on the same side. Another strong disagreement came between the two on the status of "criminous clerics." These were members of the clergy who had committed civil crimes. The crimes ranged from theft to assault and even murder. This became a total embarrassment to the church. Henry sought to have the members tried in the royal court, as would others who committed such crimes. Becket insisted that they only be tried in the clerical courts. The disagreement became a heated battle between the two. Becket stood firm on his belief that the matter should not be brought to a higher court.

Personal Hygiene

Personal hygiene (NHS) The person you care for may be physically or mentally unable to maintain their own personal hygiene. Keeping clean is essential for good health. Poor hygiene can cause skin complaints, unpleasant smells and bacterial or parasitic infections. General hygiene The daily personal hygiene of the person you care for is very important, so make sure: †¢ their hands are washed after they've used the toilet †¢ their genitals and anal area are washed every day †¢ their face is washed daily they're fully bathed or showered at least twice a week †¢ their teeth are brushed twice a day, preferably after each meal. It is also important that they have regular dental checks. Find out more about dental treatment for people with special needs. Washing and bathing For most people, washing is a very private activity. When helping someone to wash or bathe, be sensitive and help maintain their dignity. You'll both probably  feel awkward and embarrassed, especiall y at first. To make bathing as pleasant and comfortable as possible: †¢ use pleasant-smelling shampoo, bubble bath or soap play music that the person you care for likes and is familiar with †¢ if the person is confused, explain what's happening as you go along †¢ be sensitive to the mood of the person Carer's tip from Netbuddy â€Å"If you are caring for someone who won't wash, get involved with activities that are followed by showers, for example, swimming. It may help if they see other people showering. My son only started using the shower and wetting his head because he saw it in a film he was watching†. Personal preference and emotional stateBe aware of  the emotional state of the person you care for when helping them wash. For example, some people can be anxious  about deep bath water. Adaptations, such as seats or recliners,  can help with anxiety. Reassure the person that you won’t let them be hurt. Overhead showers can be frightening to som e people. If you have no bath or there is a good reason for using a shower rather than a bath,  use a hand-held shower unit. Ask the person how they would prefer to be helped and allow them as much independence as you think is safe.If they had a routine before you began caring for them, find out what it was and stick to it as  much as  you can. Find out which shampoo, shower gel or soap they prefer to make the experience more familiar to them. Many people become self-conscious when undressed in front of others. Be sensitive to the situation and approach it in the way you think is  most appropriate. The person you care for may feel isolated if you leave them alone. How you handle this depends on your relationship with them. Have clothes and towels with you so you don’t have to leave them alone in the bathroom if they don't want you to.Safety If the person you're looking after has limited mobility or has  problems balancing, make sure that: †¢ the floor is not sl ippery (dry it if necessary), †¢ the room is a comfortable temperature, †¢ the water is comfortably warm (older people  particularly feel the cold, so bear  this in mind when adjusting the  temperature), †¢ the locks are removed from the door (the person you care for may want privacy, but in an emergency you will need  to get into the bathroom), and †¢ you look out for your own safety, for example by making  sure you can manage  if you have to lift the person in and out of the bath.Toileting Toileting is an important part of personal hygiene, regardless of whether the person you're looking after is continent (able to control their bladder and bowels) or not. Incontinence can create feelings of shame or embarrassment for both the  carer and the person being cared for. Sometimes, they may be in  denial about their incontinence  or refuse to accept help. Reassure them that it’s not their fault and approach the issue in a calm, reassuring way if they're in denial. Bed baths If the person you care for cannot move or has extremely limited mobility, you may have to give them a bed bath.You will need to be extra careful, for your own safety,  when moving or lifting them. Specialist disposable baths are available if  they need a proper immersive bath (to be put fully in the water). Getting help If you're finding it difficult to cope with toileting, washing or general hygiene,  contact your local authority or a local carers organisation (see Services near you, above right). Cleanliness and infection control 12. —(1) The registered person must, so far as reasonably practicable, ensure that— (a) service users; (b) persons employed for the purpose of the carrying on of the regulated activity; and c) others who may be at risk of exposure to a health care associated infection arising from the carrying on of the regulated activity, are protected against identifiable risks of acquiring such an infection by the me ans specified in paragraph (2). (2) The means referred to in paragraph (1) are— (a) the effective operation of systems designed to assess the risk of and to prevent, detect and control the spread of a health care associated infection; (b) where applicable, the provision of appropriate treatment for those who are affected by a health care associated infection; and c) the maintenance of appropriate standards of cleanliness and hygiene in relation to— (i) premises occupied for the purpose of carrying on the regulated activity, (ii) equipment and reusable medical devices used for the purpose of carrying on the regulated activity, and (iii) materials to be used in the treatment of service users where such materials are at risk of being contaminated with a health care associated infection. Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010