Friday, November 15, 2019

Reflective Writing for Learning Disability Nurse

Reflective Writing for Learning Disability Nurse Summary reflection –Modules 5 9 Working as a learning disability nurse, poses a career fraught with many interesting and often frustrating challenges. However, this is a population that cannot be ignored or slighted medically just because they present with special needs (DOH 2001). Emerson et al. (2001) state that 2.5 – 3% of the population in the UK are among the learning disabled, with 30% of these individuals presenting with categorically severe or profound learning disabilities. Emerson et al. (2001) also tell us that frequently multiple learning disabilities present in the same individual, including physical and/or sensory impairments, physical or sensory disability and/or behavioural difficulties. The five modules presented an opportunity to explore various aspects of this specialty area and reflect on the experience on a module by module basis. The act of revisiting the individual reflection pieces to present the current summary essay allowed for not only intellectually experiencing what I wrote, but it also allowed me to re-experience each situation and gain a new appreciation for the patients I worked with, the teams I took part in, the pros and cons of each situation and what I have learned that will be immediately applicable to a real world work environment. Importance of reflection Driscoll and Teh (2001) tell us that practitioners can gain a stronger understanding about various interventions and protocols used, as well as reviewing the situation specifics of each incident, through the process of reflection. In particular, Foster (1985) stressed the importance of using a journal for purposes of written reflection on nursing practices and procedures in order to help clarify issues and make them more real and visual. Gardiner and Lawley (1995) believe that self awareness, one of the outcomes of nursing reflection, can enable staff to recognise the skills they employ and add meaning to their interactions with peers, team members and clients/patients. There were many positives and negatives I experienced on a module by module basis, but in summary, these will be presented thematically. Achievements Module Five offered the opportunity to gain insight into the lifestyle experienced by those with learning disabilities. Similarly, Module Seven provided much needed and interesting information on the role of special health needs observed in those with special needs. This enabled me to make a difference for a client with diabetes through the development of a health care action plan that included the client’s smoking cessation; something the social worker assigned to the case was no knowledgeable of. It was quite exciting to improve my communication skills throughout the five modules. For example, I was able to improve my rapport with other colleagues and various multidisciplinary healthcare professionals as well as clients as I achieved Module Nine communication based learning objectives. Godsell and Scarbrough (2006) comment communication skills are essential for healthcare practitioners. I believe they are even more critical for those working with the learning disabled. Another example was the ability to communicate effectively myself and help others, such as residential home management, communicate with a specific autistic client experiencing difficulty in choosing daily activities based on his disability. I was able to include this client in the decisions made which is critical to empowering the client with a sense of self. Similarly, during Module Five, I worked with a cerebral palsy client who was screaming due to discomfort; that was her mode of communication, which at th e time I failed to recognise, but upon reflection now know actions as well as words are important modes of communication for those with learning disabilities. Shortcomings In general, a major negative I encountered was feeling I was used as â€Å"the help† rather than as a student nurse during my placement. This limited my ability to contribute and to grow personally and professionally. This was particularly evident during Module Five. Similarly, during Module Eight I was faced with a situation creating a significant amount of stress with no stress management advice or training opportunities from which to learn how to effectively cope. Contrary to Davidson’s (2001) research, there were no in-house stress management training opportunities to take advantage of. There was a sharp discrepancy in Module Nine when reviewing the Valuing People (2001) discourse in relation to people with learning disabilities (PWLD) between what was written in the document and what I experienced at work; whereas the document stresses the rights inherent for all people be extended to PWLD, it was my experience that daily patients and clients were denied access to services due to budgetary measures rather than expressing interest in people’s rights to quality healthcare and a quality standard of life. Gates (2003) tells us those with learning disabilities have rights and should be encouraged to attain respect and reach their potential. Challenges/Learning opportunities One of the main challenges I experienced in the module series, particularly with Module Five, was relating theory to practice. However, through additional research and self motivated learning I was able to bridge the gap. I also experienced a number of personal and professional challenges that I believe helped me become a stronger person and future professional. For example, at the beginning of Module Six, my mentor informed me he would not be available to me. This was very frustrating and upsetting as I knew without the help of a mentor, it would be very difficult to achieve the specific learning objectives outlined. However, I was able to turn this situation into a positive by becoming an active contributor to my own educational process by learning, understanding and solving real life problems (Kaufman, Mann Jennet 2000). Similarly, in Module Nine, I found several of the teaching styles challenging, but that helped to develop my research skills and allow me to make contributions in the group and EBL sessions. This also helped to develop my learning and presentation skills. An additional challenge in Module Nine was situation I encountered when viewing a medication administration concern at work. While I informed my manager of the situation, the team had a negative reaction rather than positive which would have been consistent with concern over patient/client care. Thomas, Mason and Ford (2003) tell us it is difficult for workers to become whistleblowers, especially in situations related to patient/client care or maintaining standards of care. This was an even more difficult challenge for me as I was only a student with limited status in the work environment. This was similar to the situation I found myself in during Module Seven when the community care social worker appeared to be neglecting the client’s diabetes, which is inconsistent with the General Social Care Council (2002) code of practices. I felt I was caught in the middle being a student making suggestions and pointing out care inconsistencies. Through the increased communication skills I developed, I was able to participate with the social worker in the role Gates (2003) identified as a learning disability nurse educator and facilitate changes. In conclusion, through the combined effects of achieving the modules’ learning objectives, reflection on the positive and negative events as well as challenges I encountered throughout modules 5 – 9 have enhanced my skill development of working with the learning disabled, improved my problem solving skills, allowed for improved communicative ability both on interdisciplinary teams as well as working with learning or developmentally challenged persons. The added use of written reflection as a tool will further my ability to transfer these skills into practice in my future placement and allow me to be effective in my nursing capacity on day one of my engagement. References Davidson, J. 2001. Stress management: Minute 10 guide. New York: Macmillan, USA. Department of Health. 2001. Valuing People: A new strategy for learning disability for the 21st century. White Paper CM5086. Great Britain. Driscoll, J Teh, B. 2001. The potential of reflective practice to develop individual orthopaedic nurse practitioner and their practice. Journal of Orthopedic Nursing, 5, 95 – 103. Emerson, E, Hatton, C, Felce, D Murphy, A. 2001. Fundamental facts. London: The Foundation of People with a Learning Disability. Gates, B. 2004. Learning disabilities: Towards inclusion (4th ed). London: Churchill Livingstone. General Social Care Council. 2002. Code of Practice for Social Care Workers and  Code of Practice for Employers of Social Care Workers. [Online]. Retrieved from: http://www.gscc.org.uk/NR/rdonlyres/8E693C62-9B17-48E1-A806-3F6F280354FD/0/CodesofPractice.doc [Accessed 20 September 2008]. Godsell, M Scarbrough, K. 2006. Improving communication for people with learning disabilities. Nursing Standards, 20(30), 58 – 68. Kaufman, DM, Mann, KV Jennet, P. 2000. Teaching and learning in medical education: How theory can inform practice. London: Association for the Study of Medical Education Monograph. Gardiner, A Lawley, K. 1995. Health and social care: Longman advanced GNVQ test and assessment guide. London: Longman Publishing Group. Thomas, A, Mason, L Ford, S. 2003. Care management in practice for the registered manager award: Essential reading for all care managers (2nd ed). Oxford: Heinemann Educational Publishers

Wednesday, November 13, 2019

A Human For Nature Essay example -- Essays Papers

A Human For Nature When looking at the issue of humans and nature throughout history, one significant figure stands out in my mind: Theodore Roosevelt. Without him, the most beautiful and serene places in North America may have been destroyed or fallen to the hands of developers. Development and conservation of land have been issues that we have faced since Europeans first landed in America. Today, environmental issues are a concern that any contending political candidate must address. In focusing on Theodore Roosevelt, we will find a basis for preservation in America. We will also explore some of the preservation actions that take place in our world today. The original forests in the United States covered an extremely large amount of land. It is estimated that forests took up roughly 1 billion acres of land, including Alaska5. The first to manipulate the land were the Native Americans who used tools and fire to convert the land to their needs. Areas were cleared for villages and growing crops while acres were also burned to make travel easier and improve hunting conditions. As Europeans arrived on the continent, the lands changed even more dramatically. The Colonists saw the forest as both a never ending resource, and an obstacle for using the land for farming purposes. Still, lumber quickly became one of America’s first exports along with fur which also depended heavily on the forest. As time passed, the population of America grew very rapidly. With a growing population more and more forests were converted for agricultural purposes. By the 1840’s "Manifest Destiny" had become popular, and the government thought transfer of public lands to private ownership as the best way to utilize the continents many resources. Around t... ...f thinking as he stated, "The lands that I have worked to set aside are not for my purpose, I did it for my children." Bibliography 1 Collins, Michael L. That damned cowboy: Theodore Roosevelt and the American West. New York: P. Lang, 1989. 2 Eaton, Pamela. "Setting Aside Pieces of the Wild." Denver Post, 21 February 1999, sec.C, p. 1-4. Database on-line. Available from Lexis-Nexis. 3 Kriz, Margaret. "Much Less Awful." The National Journal, 16 January 1999, sec. Environment, p. 96. Database on-line. Available from Lexis-Nexis. 4 Lorant, Stefan. The Life & Times of Theodore Roosevelt. 1st edition. New York: Double Day, 1959. 5 Locke, Timm. The state of the forest: an historical perspective. Information Access Company, 1997. Thompson Corporation Company. Database on-line. Available from Lexis- Nexis Academic Universe.

Sunday, November 10, 2019

What is Judaism according to Heschel?

According to Rabbi Heschel Judaism was that whenever somebody mentioned the name Judaism, it was like taking about either somebody citing a poem, God the father or someone who lived a spiritual life. Since many people believed that without God everything is impossible, Heschel tried to come out clearly that people need to be strong in faith despite all the difficulties they are going through. He also stressed out that everyone should be able to live peacefully with each other by forgiving one another whenever there is a problem between them. (Merkel, 1985, p. 2) (Heschel, 1985). The word of God was for everyone no matter what they do, where they come from or whatever language they speak. One way of making people understands the word of God was to write and come out clearly about religious teachings. They were also being taught how to live in harmony and how to confess to one another whenever there is a problem among them. (Merkel, 1985, p. 3) (Heschel, 1985). According to Heschel, Torah’s ways of giving out ideas or explanations about Judaism was like a reflection of what has been happening in our daily lives as it was written in the bible. God the Father also appears as a very bright light to show people that they should believe and have faith in Him all the time. (Merkel, 1985, p. 4) (Heschel, 1985). Heschel join one of the spiritual congregations where he became more spiritual and strong in faith. This attracted very many people as it was a good example of a Jesus follower. It also made many people to listen, understand and believe in the word of God. (Merkel, 1985, p. 5) (Heschel, 1985). Rabbi was so much into Christianity that he could not have time to come together with other people in his congregation. This made the people of his congregation to say that he was over doing the work of Christianity. He also tried to make people have peace, love, and unity and go as far celebrating mass as a sign of commitment to God. . (Merkel, 1985, p. 6) (Heschel, 1985). Everyone was to understand the word of God in the right way and apply in their daily life. This was made to encourage the weak people who were not strong in faith to be able to participate in duties that strengthen their faith. The difficulties that the people of Israel experience on Mount Sinai were a big challenge for them in their life. This is because from there is when man had really believed that God do exist. (Merkel, 1985, p. 7) (Heschel, 1985). He brought the image of God as he appears to Moses on Mount Sinai. This is when Moses’ people had no faith in God and started worshipping other gods. God became angry and appeared to Moses and gave him the Ten Commandments that could guide and make his people believe and trust in God. The Ten Commandments were written so that everyone should believe that all the writings were truly from Jesus but not Moses. (Merkel, 1985, p. 8) (Heschel, 1985). Moses is also portrayed as good leader because he is seen leading his people from Israel to Misery as per instructions given by God. This is when God appeared to him as burning bush when he was looking after the cattle. By then they had no commandments to follow but they still believed in God as their creator and source of inspiration in their life. (Merkel, 1985, p. 9) (Heschel, 1985). As it is seen in the bible that by the time God gave Moses the Ten Commandments, his people had already lost their faith and started worshipping other gods. This made it very difficult for Moses to make all of them believe in the Ten Commandments given the God. It implies that not all Moses’ people accepted the Ten Commandments. That, s why there are always new laws every generation. (Merkel, 1985, p. 10) (Heschel, 1985). Though there were some people who disagreed with Moses as he gave them the Ten Commandments, majority believed on the Ten Commandments that made many generations that comes after them to accept and follow the Ten Commandments as it was meant to strengthen people’s faith in their daily life. (Merkel, 1985, p. 1) (Heschel, 1985). People should be in a position to understand and believe in Jesus’ signs as it was written in the bible. They need to accept that even though they can’t see some of these things happening now, they had already happened before and their fore fathers believed in them. So it’s a big challenge to them to accept the reality of the past. (Merkel, 1985, p. 12) (Heschel , 1985). As it is written in the bible that when Jesus went to Cana and wine got finished during the wedding, He asked for water and turned it into wine for the people who were in the wedding. And also when there was a lot of wind when he was with James and John in a boat, He stopped the wind. These two signs show that God is always there for his people and He will always present in them wherever they go. (Merkel, 1985, p. 13) (Heschel, 1985). It is good to believe in what you understand best than to believe in what you don’t know. This only comes out when you really accept, believe and have faith in the scriptures of the bible. You should be able to relate the scriptures of the bible into your daily life and try to practice them in your life because this is only way to strengthened your faith. Merkel, 1985, p. 14) (Heschel, 1985). Moses was one of the most prominent leaders that God used to show people the right way of life that will remain a remembrance in life to everyone. These are written in the bible so that everyone can understand whatever happened in the past during the reign of their fore fathers. (Merkel, 1985, p. 15) (Heschel, 1985). It is also important to preach or translate the scriptures of the bible according what was written rather than preaching the things which do not exist to people. This is because whatever is being taught now will remain as a history for the coming generations. They should understand that the scriptures of the bible are holy words from God the father but just a normal human being. (Merkel, 1985, p. 16) (Heschel, 1985). God communicated to his people through the scriptures by sending prophets to perform various signs. This can be seen as he ordered Abraham to sacrifice his only son, appearing to Moses as burning bush, saving his disciple from drowning during the strong wind and raising Larus from death after four days. All these events remain as a history to every generation that comes and it will always be there to guide them in their life. (Merkel, 1985, p. 17) (Heschel, 1985). The covenant between God and Moses on Mount Sinai was a sign of an agreement between the people of Israel and God. It made easier for the people of Israel to communicate to God and adored Him as their only savior. So for the people of Israel to communicate to God they had to understand the scripture, translate it and relate to their daily life. Merkel, 1985, p. 18) (Heschel, 1985). The covenant made on Mount Sinai lead to various activities to be performed by man. This is where man had to obey the holy Sunday, do not kill, do not steal, obey their parents so that you can live longer, believe in God all the time and always standing firm to tell truth. Even the people of Israel went as far as fasting in order to strengthen their faith which remained as history to all the coming generations. (Merkel, 1985, p. 19) (Heschel, 19 85). When Moses received the Ten Commandments on Mount Sinai, it does not mean it was the end of everything that God had to give his people. It implies that the door was still open for more teachings in the future. This encourages people to believe and trust in God as their only comforter during the trial moments in their lives. (Merkel, 1985, p. 20) (Heschel, 1985). The bible was not written as book to be read but as scripture to guide people in their lives. It was supposed to be read, understand the meaning of the scriptures and translate and then preach the right words of God to the people. This would inspire many people to read the scriptures of the bible and know the reason why Jesus sacrificed to suffer on their behalf. (Merkel, 1985, p. 21) (Heschel, 1985). As seen that it is very easier for the people to live as God’s people when they both understand the bible very well. Therefore it is good to make people believe in Jesus as their only guidance in life. When you follow the right path that is God’s foot steps, you will find life interesting and encouraging no matter what difficulties you may be going through. It also makes man become a strong Christian which remains as an example to his forth coming generations. (Merkel, 1985, p. 22) (Heschel, 1985). Jesus loves the world so much that he bled and died for the human kind. So it is the work of the man to be able to follow God’s commandments in order to fulfill God’s promises. It does mean that God made it so difficult for the man not to enjoy life but to have good life both in the world and in heaven. That is why Jesus forbids man not to do some of the things in life. It is not a punishment but a lesson to prepare them for both life in the world and the kingdom of God. (Merkel, 1985, p. 23) (Heschel, 1985). Everyone should be able to carry his own cross when it comes to serving God because you will be judged according your own deeds but not on the behalf of someone else. Man must be able to know the scriptures of the bible so that it can able to apply it any time in his or her life. This will also help people to have time worship God because everyone is a position to read and interpret whatever information which is in the bible. Merkel, 1985, p. 24) (Heschel, 1985). Conclusion: Judaism is all about the past events that happened during the reign of the prophets like Moses, Elijah and Abraham. These are the days when God used to communicate to man through prophets. The prophets could see God in visions, signs and symbols then go and communicate to the people according what they have seen in their visions or symbols they had received. They had to exp lain all the details of what God told them. So that is how man communicated to god in older days.

Friday, November 8, 2019

Ipso Facto and Other Factos

Ipso Facto and Other Factos Ipso Facto and Other Factos Ipso Facto and Other Factos By Maeve Maddox It was probably a typo, or a spell checker correction gone wrong, but this caption under a photo in a newspaper movie section startled me into a post: Corsican crime boss Cesar (Niels Arestrup) is the de factor head of the prison in which Malik (Tahar Rahim) finds himself in Jacques Audiards A Prophet. The correct spelling is de facto. As a legal term, de facto is usually opposed to the term de jure. de facto [dÄ ­ fÄÆ'ktÃ… ,]: in fact, in reality, in actual existence, force, or possession, as a matter of fact. de jure [dÄ“ jÊŠrÄ“]: of right, by right, according to law. Here are examples of de facto used on the web: De facto disenfranchisement has devastating long-term effects in communities across the country. Remember: A de facto parent is not the same as a parent. One very widespread phenomenon that calls strongly upon the conscience of the Christian community today is the growing number of de facto unions in society as a whole, with the disaffection for the stability of marriage that this entails. Heres one with de jure: The Supreme Court first approved of de jure segregation in Plessy v. Ferguson (1896) Heres an example that contains both de facto and de jure: Outside the ministries, alongside the baby blue of the UN ï ¬â€šag, stands the black double headed eagle and blood red backdrop of the Albanian ï ¬â€šag, Kosovo’s de facto ï ¬â€šag†¦ Perhaps the only thing that is clear in Kosovo is that there is a huge divide between the de jure status of this piece of land and the de facto reality on the ground. Two other facto terms are ipso facto and ex post facto. ipso facto [Ä ­psÃ…  fÄÆ'ktÃ… ]: By that very fact; by the fact itself. If you grow up in Brooklyn, youre a New Yorker ipso facto. - Norman Mailer It’s Cold! Ipso Facto, Global Warming is a Myth, Fraud, Scam. ironic headline In 1883, on the death of Pusey, [Samuel Driver] became Regius Professor of Hebrew at Oxford and (ipso facto) a Canon of Christ Church. People apparently love the sound of ipso facto. The phrase is popular with entertainment groups and merchants. Ipso Facto is a great new shop in Three Oaks, Michigan. Ipso Facto Gothic Industrial Punk fashion and music webstore featuring gothic dresses, gothic shirts, gothic skirts In 1986 Wayne left Shangoya and started a band named Ipso Facto Ipso Facto was an overlooked, esoteric gothic band from the UK in the 80s. ex post facto [Ä•ks pÃ… st fÄÆ'ktÃ… ]: Done after another thing, and operating retroactively. The term is usually used in reference to a law that would punish a person for having done something that was not against the law when it was done. 2008 Alaska Rules Ex Post Facto Registration Unconstitutional The Constitution provides important safeguards against government regulation of private conduct in both the civil and criminal contexts – including the Ex Post Facto Clause, which protects against the retroactive application of laws. Scotusblog The Lautenberg Amendment has faced several challenges in federal court. Opponents of the law have argued that the amendment violates the †¦ Ex Post Facto Clause†¦ Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Expressions category, check our popular posts, or choose a related post below:Compared "to" or Compared "with"?Awoken or Awakened?What the Heck are "Peeps"?

Wednesday, November 6, 2019

beyond freedom and dignity essays

beyond freedom and dignity essays In B. F. Skinners book, Beyond Freedom s point of view. That is, a point of view where man is viewed primarily as an animal, the "being" aspect of a "human being" is dropped from the picture. There is no consideration for a view of man who has mind that observes, chooses, decides and initiates action upon the environment. Basically, Skinner insinuated the idea that man has no personality, free will, responsibility, and that contemporary concepts of freedom and dignity can not be realistically applied to life experiences. I consider the question that if it is the natural stimuli that control the actions of humans, who controls the natural stimulus? Subsequently, if the natural stimuli are randomly occurring, that means that all things experienced by humans are at best, by chance or luck. I will first discuss parts of Skinners theories before I state my opinion on the validity of his work. Skinners entire system of experimentation was based on operant conditioning. While trying to comprehend Skinners explanation of operant conditioning, I visualized a person getting knocked around in a pin-ball machine. This person bouncing around in a pin-ball machine represents the idea of reaction, that is, to everything it would come into contact with. From Skinners point of view, those things a person would come in contact with are the stimulus, or the reinforcers. Specifically, the stimulus has the ability to increase the operant, or the behavior taking place right before the stimulus. Additionally, Skinner believed that the behaviors following the stimulus are consequences. Whether good or bad, those consequences have the ability to affect the tendency for a person to repeat the action. Skinner also discussed a different kind of stimulus, aversive stimulus, or something that is found uncomfortable and ...

Monday, November 4, 2019

COmpare and Contrast Essay Example | Topics and Well Written Essays - 1000 words

COmpare and Contrast - Essay Example ast four cases that include Lindile Mbotya v Minister of Police, Lamula et al v Minister of Police, Mhando v Attorney General and Another, and Gervas v Said Mohamed Ndeteleni. Lindile Mbotya v Minister of Police is a South African case that was decided in the High Court of South Africa, Eastern Cape Division of Port Elizabeth. Lindile Mbotya (Plaintiff) sued the Minister of Police (Defendant) for an alleged unlawful arrest and detention seeking damages in the region of 250,000 South African Rand. The plaintiff sued based on the fact that the arrest and detention was done without probable cause and that it was malicious. A member of the South African Police Services did the arrest in the employ of the defendant. The defendant refuted the allegations stating that the plaintiff was arrested and detained lawfully in accordance with the provisions of Section 40(1) (b) of the Criminal Procedure Act 51 of 1977 based on the arresting officer’s suspicion that the plaintiff had committed an offence. was within the confines of the law in exercising his discretion to arrest the plaintiff. The high court ruled in favor of the plaintiff based on aspects such as unlawful arrest and the circumstances that led to the deprivation of liberty, for instance improper motive, and harsh conduct of the arresting officers. The damages were awarded not to enrich the plaintiff but to offer solatium for the injury caused and also based on the plaintiff’s constitutional rights. Mhando v Attorney General and Another is a similar case to the above case in the sense that Mhando (Plaintiff) sued the Attorney General and Another (Defendant) for wrongful arrest, detention and prosecution by the police and sought damages for that. The case was also held in a High Court, but at Dare salaam in Tanzania. Unlike in the above case, the defendant here filed a written statement of defense and also followed it by a notice of preliminary objection that the suit was time barred. Unlike the first case,

Friday, November 1, 2019

Information Systems in Business and Organizations Case Study

Information Systems in Business and Organizations - Case Study Example Schwegman claims that the oversimplified language was used because he knew he was dealing with non-technical people, but the pessimistic tone and the wealth of information shared proved to be poor organizational politics. In contrast to the pessimism of CIOs, other C-level executives and business partners have the tendency to be optimistic. Schwegman overlooked this fact and did not write his letter with a tone that would appeal to such individuals. According to Finney (1999), "A successful IS professional must determine which environment he or she is operating in-then be sensitive to the unwritten rules and act accordingly. Too often, an eager system builder begins to slip into a state the he or she is working toward the 'greater good', and then lose sight of the information politics. Rather, the IS professional must work from the business client's perspective-even if the longer term objective is to move to a new information political state. Once the current political state has been identified, the politics of change can begin." The above is what happened in Schwegman's case. ... This sent off a panic when it was taken externally. Schwegman thought he was doing the right thing. He was being open and honest about system failures. Furthermore, he had decided to take the heat for them. Had the letter only gone to individuals inside the company, the reaction might not have been so bad. However, the letter went to business partners whom definitely do not want to hear bad news such as that shared in the letter. This is definitely not to say that Schwegman should have lied, but he should have taken into consideration who was going to read the letters and adjusted his language, tone, and amount of information shared according to those facts. According to Strassman (2005, pg. 1), "If the CIO does not have the authority to set and execute information management policies, information technology cannot be sufficiently important in a company or other organization. Without an empowered CIO, accountability for technology will be diffused and unfocused." Clearly, this is not the case when it comes to Schwegman. He quite obviously has the authority to set and execute information management policies or he would not have the notion to take the responsibility for any problems that have popped up. Furthermore, if he did not have the power, the letter would not have received the reaction that it did. Take, for instance, the wording of Schwegman's letter (Schuman, 2005, pg. 1): I'll start by saying that the vast majority of system problems we have are problems related to updates," Schwegman wrote. "These update problems have been manifesting themselves as inventory update failures, missing orders, missing images, incorrect status synchs, etc. At the end of the day, all of