Review Of Genesis And The Garden Of Eden - 1440 Words

The beginning of The Bible, it starts out with Pentateuch, which refers to the first five books of the Christian Bible, Pentateuch is a Greek word that means â€Å"five scrolls†, which also refers to the compromise of the Torah. The first five books of The Bible are â€Å"Genesis†, â€Å"Exodus†, â€Å"Job†, â€Å"Psalms†, and â€Å"Song of Songs†. The Hebrews considered Pentateuch as the Torah which also means law because they believed that it was handed down to Moses by God. In each of the books that is in The Bible, there are symbols or signs that God has an agreement with humans but they change throughout the Pentateuch. In â€Å"Genesis†, God forbids Adam and Eve to eat from the fruit trees in The Garden of Eden, but there comes a snake that deceives Eve into eating from the fruit on the tree. The serpent made it seem like God’s request was absurd by rewording what God said. The Garden of Eden is express to be a paradise in literature and art but it also symbolizes the loss of paradise. Happiness and peace will be difficult to find now because they would have to live like a mortal. Adam and Eve will die, endless of work to do, and feel shame like a regular human. They will also be aware nudity and Eve will experience the pain of childbirth. Soon Cain will kill his brother due to overdose on jealously and introduce the world to violence. The fruit from the tree symbolizes temptation and giving into temptation because Eve was tempted to eat from the tree that was banned by God but with a little helpShow MoreRelatedExploring God s Plan For Life On Earth1569 Words   |  7 PagesIt should be noted that the assignment was to review a book from the list in the Syllabus. The book I chose was listed as having been published by Kregel Academic in 2008. The version I obtained was published by Inter-Varsity Press and purchased as an electronic book via Logos Bible Study. The chapter headings and subsections are all the same, so it is my hope that the rest is as well. There may be some variations in content or structure from the other that I am not aware of. The subtitle is different:Read MoreMary Shelley s Frankenstein And The Rime Of The Ancient Mariner1634 Words   |  7 Pages(Anonymous). The immense popularity largely stems from the novel’s connections to literary schools of criticism and several other written pieces. Specifically, Mary Shelley’s Frankenstein intertwines with feminist criticism and directly compares to the Genesis creation story, as well as Samuel Taylor Coleridge’s â€Å"The Rime of the Ancient Mariner.† When on the topic of feminist writing, understanding the time period in which the author’s writing takes place persists as vastly important. Historically speakingRead MoreStudy Questions Essay2492 Words   |  10 PagesQuestions for Review Chapter 3 1.) What levels of meaning can be found in Genesis 1.1-2.4a? From Genesis 1.1-2.4a it can be discerned that God is the creator of all. He created the world and its inhabitants from a vast nothingness. The text reflects upon who God is and what His capabilities are through the act of creation. The verses allow that God is communicating with us. It is communicated what Gods will is for man and gives us a history of our beginnings. From the data provided in theRead MoreThe Dream Of The Rood, Julian Of Norwichs Revelations And Paradise Lost Essay2103 Words   |  9 Pagesand the authors view on religion. â€Å"The Dream of the Rood† tells a Christian story with the importance on basics that would reflect to the pagan warrior society of the Anglo-Saxons. Paradise Lost by Milton came from just a few pages in the Book of Genesis. Also involving Religion Milton was going against the church with the book Paradise Lost. He made Satan look like the good guy or as a Hero and accomplishing what he wanted to do. Last but not least Julian of Norwichs Revelations, was a book aboutRead MoreGospel Essentials : Similarities Between The Catholic And Christian Worldview Of God1018 Words   |  5 PagesEssentials God In this composition, we will talk about Gospel Essentials, it will focus on the defining Christian worldview of God In addition we will explore viewpoints of humanity, Jesus, restoration and study of Christianity. We will conclude with a review of my reflection on the similarities between the Catholic and Christian worldview. The Christian worldview, unlike others, is not only completely clear but consistent when breaking down theological questions such as what is our purpose? Who or whatRead MorePolice Ethics Essay867 Words   |  4 Pagesspelled out punishments for crimes, was followed back as early as 1700 B.C. (Geo Quest, Current Events, 00113492, 10/28/2005, Vol. 105, Issue 8) In the Bibles story of Adam and Eve, God cast Adam and Eve out of the Garden of Eden as a punishment for breaking the rules. (The Holy Bible: Genesis Ch.3) These types of historical records display the fact that law enforcers have always existed. Just as law enforcers have always existed, so have ethi cal issues surrounding the authority exercised by theseRead MoreChristian Worldview Essay1553 Words   |  7 Pagesworldview comes from knowing that the God that created mankind has so much love for it that he sent his only son to die and bear the punishment in place of man so that man would be restored from sin and live an everlasting life with him. This paper will review God, humanity, Jesus, and what Jesus did that restored humanity from sin as outlined in the Christian worldview. God God is something special; without God, man would not exist. According to Hiles (2015), God is the Sovereign Creator. God is composedRead MoreThe 7 Habits Of Highly Effective People2066 Words   |  9 Pagessays in Genesis 1:27-28, â€Å"So God created mankind in his own image, in the image of God he created them; †¦. God blessed them and said to them, ‘Be fruitful and increase in number; fill the earth and subdue it. Rule over the fish in the sea and the birds in the sky and over every living creature that moves on the ground† (New International Version). Man was also to tend and take care of the Garden of Eden as written in Genesis 2:15, â€Å"The Lord God took the man and put him in the Garden of Eden to workRead MoreThe Effects Of Global Warming On The Environment And Society Essay1738 Words   |  7 Pagesto improve the society and decrease global warming or if this would result in conflicts regarding the Lord’s Second Coming. There are advantages and disadvantages both to having reservoirs, but the effects it has to global warming are critical to review and understand so that decisions can be made in order to do what’s best for society, while understanding God’s plan. Research indicates that reservoirs all over the world create greenhouse gases contributing to global warming. Reservoirs mostly emitRead More The Forgotten Female in the Works of Ernest Hemingway Essay3143 Words   |  13 Pagesmen coming of age. There are few, if any, stories in the canon of women coming of age, however, and Hemingway is not the first to suffer the wrath of feminist critics. But is this wrath justified?    In his dissertation, Mark G. Newton reviews some of the critical literature that places Hemingway within the misogynist genre. Cliches [sic] abound, he says. Hemingway was in search of his manhood (an ignoble quest?); he hated women; he had a death wish and a thin persona; he was

Essay On Classification Of Students - 1095 Words

Folks often study much less quickly with age. However, your degree connected with being familiar with seems to be to boost over the years, navigating information and talents to be able to unprecedented special levels. Folks have lived lengthier, observed and also performed a lot more, contain the trend to be able to web page link its earlier exercises to be able to this kind of factor completely new and also establish completely new thoughts aimed at earlier learning. Thats why it is crucial produce a category with persons that contain linked residing practical knowledge stages, encourage discussion and also discussing, and usually produce a learning local community consisting of folks who is able to tremendously interact. They will need†¦show more content†¦Tutors and also instructors may help its young people discuss concentrates on, yet ultimately it is an liability to cultivate concentrates on and also follow-through with them. It is really quite challenging to execute a challenging grown-up coaching or university plan with no location and also up coming via with goals. Numerous older people coming back again to varsity or registering the first time is likely to obtain classes tremendously more challenging compared to those theyve utilized before or through substantial school. Are going to tried using within challenging courses and will typically be bogged down employing just what they are were required to learn–and also easily they should study it. In addition, young people have to take care of a new selection complications clear of category, these kinds of regarding example connection, relatives or performance problems. It is really crucial that you be open-minded as soon as returning to college. You will definitely make complications, and also it does not matter your current plans expertise, your current educators might be a lot more proficient in the topics that they teach than you may be. Therefore, you ought to be really open in educat ion and also passionatelyShow MoreRelatedClassification Essay Students682 Words   |  3 PagesBeing a student in today’s society holds an immense amount of pressure to do one thing: graduate. Thirteen years of school prepare students for the next major steps of their lives. Every student faces many struggles and frustrations before graduation day arrives. One may be able to surmise a few details about a student before they put pencil to paper or even speak. One can also make assumptions about a student based on his or her seating position. Motivation, determination, and concentration willRead MoreEssay on Classification of Gifted and Talented Students3644 Words   |  15 PagesClassification of Gifted and Talented Students Many people have varying views on what classifies a student as gifted and talented. According to the Office of Gifted and Talented, six qualities determine giftedness. These qualities are intellectual ability as well as talent, scoring in the 97th percentile and above on aptitude tests, creative thinking, leadership ability, talents in the fine arts, and psychomotor abilities. Using the definition supplied by Bruce User, â€Å"a school system couldRead MoreHow to Write Good Essey1042 Words   |  5 Pages | |COURSE OUTLINE | |ESSAY WRITING | | Read MoreThe Map of Art History Uses Order and Classification by Listing of Fields, Library System, and Plotting in Space and Time1053 Words   |  5 PagesThe Map of Art History essay is about how art history uses disciplines in societies to represents itself through order and classification. From many observations and theories it considers three subject: first is the listing of fields in art history, second is the library system is for categorizing art books, and third is the plotting of space and time in art history from survey texts. Also in the discussion the writer talks about the geography of art history such as where does the idea appear fromRead MoreEssay on Hearts R Us Preferred Stock Classification Solution1402 Words   |  6 PagesRead and Download PDF File Hearts R Us Preferred Stock Classification Solution HEARTS R US PREFERRED STOCK CLASSIFICATION SOLUTION Download: HEARTS R US PREFERRED STOCK CLASSIFICATION SOLUTION PDF There are many free Hearts R Us Preferred Stock Classification Solution that are continually composed and archived in our online collection. If you want Hearts R Us Preferred Stock Classification Solution that will please your research paper requires, then you put on not should to worry about that toRead MoreRhetorical Analysis Of Alexander Pope s An Essay1310 Words   |  6 PagesAn essay is, generally, a piece of writing that gives the author s own argument — but the definition is vague, overlapping with those of an article, a pamphlet, and a short story. Essays have traditionally been sub-classified as formal and informal. Formal essays are characterized by serious purpose, dignity, logical organization, length, whereas the informal essay is characterized by the personal element (self-revelation, individual tastes and experiences, confidential manner), humor, gracefulRead MoreReading The Book Real Essays With Readings 4th Edition By Susan Anker1741 Words   |  7 PagesThis semester our class is reading the book titled, Real Essays with Readings 4th Edition by Susan Anker. This book will help college students with writing for Success in College, Work, and Everyday Life. I do highly recommend this school book for other College or High School studen ts that would like help with writing or reading. It will help many students in which case they cannot read or write well. The book can be found in your local bookstore or even at your town library. The first part of theRead MoreEssays994 Words   |  4 Pagesfive-paragraph essay Main article: Five paragraph essay Some students first exposure to the genre is the five paragraph essay, a highly structured form requiring an introduction presenting the thesis statement; three body paragraphs, each of which presents an idea to support the thesis together with supporting evidence and quotations; and a conclusion, which restates the thesis and summarizes the supporting points. The use of this format is controversial. Proponents argue that it teaches students how toRead MoreDirectives And Regulations Are Forms Of Secondary Eu Legislation1262 Words   |  6 Pagespressing social need or to pursue a legitimate aim. Some human rights must be qualified to provide flexibility in the law to deal with unique situations. (OU, 2017b, 2.1). 2a) †¢ Introduction - Importance of the court system and the different classifications. †¢ Paragraph 1 – U6 – 7.1/U10 – 3.2 - Definition of courts of first instance and examples. - Magistrates Courts/Judges †¢ Paragraph 2 – U10 – 2.3 - County Courts †¢ Paragraph 3 – U6 – 7.1 - Appellate Courts - Supreme Court †¢ Paragraph 4 –U10 –Read MorePurpose Of Me Writing This Portfolio979 Words   |  4 Pagestypes of essays the first one is going to be a timed essay the one I am going to put in of the timed essay is going to be my classification timed essay I did this semester. So you can see the growth I made this semester and the difference in my writing when it comes to a timed essay and a regular essay. The second essay I am going to put it in is a teacher edited essay and the name of that essay is called â€Å" What A True Friend Means To Me.† The last essay I am going to put in my essay is a student edit

The Song and Dance Man Free Essays

Nicole Leroy Instructor Michelle Hudgens English 250 10 October 2012 The Song and Dance Man I choose the book The Song and Dance Man. This book was one of my favorites as a child. It was written by Karen Ackerman and illustrated by Stephen Gammell. We will write a custom essay sample on The Song and Dance Man or any similar topic only for you Order Now The Song and Dance Man received the Caldecott Medal in 1989. The story is about grandchildren coming to visit their grandparents. The grandpa decided to show his grandchildren his past life as a song and dance man and what people did for entertain long before television. The theme of the story is that family is more important than being famous. He shows them that he appreciates his past but loves the life he currently has. The grandpa shows throughout the story how much he loves and cherishes his time with his grandchildren. He also shares with them his former life as a song and dance man on the vaudeville stage and what people use to do for entertainment. In the attic, the grandchildren see the posters of grandpa from the past realizing that he was once a famous dancer and entertainer. The underlying message is that it is important to stay young at heart. Grandpa danced away even though he had to cushion the corns on his feet. In the story, the grandpa says, â€Å"I wonder if my tap shoes still fit? † all while he is smiling, knowing that the shoes will still fit. The grandpa shows the children that it is ok to make believe and use your imagination to have a good time by sharing his dancing and magic tricks. The grandchildren get to explore their own creativity by trying on old clothes pretending, singing and dancing their selves. The story is told from the point of view of the grandchildren. You can feel the admiration, respect, and love that they have for their grandfather. As the grandchildren watch their grandpa, they clap their hands and call out â€Å"Yay, Grandpa! † This sets the light-hearted, fun, loving mood and tone of the story. The language used by the narrator is calm, loving, with lots of excitement and amazement when grandpa begins to dance and becomes a different person, the song and dance man. The narrator shows his amazement when he says that the sounds coming from the shoes is too many to be made with only two feet. The children see their grandpa as a different person when he becomes the song and dance man. When they travel up the steps to the attic it is like they are going back in time. In the story it says, â€Å"We forget that it is grandpa dancing, and all we can hear is the silvery tap of two feet, and all we can see is song and dance man gliding across a vaudeville stage. Occasionally during his performance, he becomes grandpa again when he tries to cure the hiccups of one of the grandchildren. Then he is back to performing telling jokes and playing tricks. The performance is over, he puts the shoes and clothes back in the trunk and heads for the stairway and he is grandpa again. When the children come back down stairs he whispers, â€Å"He wouldn’t trade a million good days for the days he spends with us. † The silver half-moon tap shoes, top hats, and bow ties all symbolize grandpa’s past as an entertainer before he became a husband, father, and grandfather. The posters still hung in the attic shows his love of the past. When they return down stairs, grandpa glances back up the steps it symbolizes his appreciation and fondness of his past life as a song and dance man. The illustrator used many colors in a light, pastel in nature. The use of light instead of bright colors seems to set the stage for happy, calm, and relaxing setting. Two of the main colors used by the illustrator are red and yellow. These colors give a feeling of warmth, cheerfulness, and excitement. Some of the pictures have a lot of blue. The blue seems to represent the calm, serenity of the setting. The pictures have a lot of texture through the picture marts because they draw with some sort of colored pencils. The use of colored pencils helps add to the youthful, light heartedness, and fun of the story. Shading shows is used to show depth and at time darkness at the edge of the lighted areas. The illustrator used of lots of empty space in the pictures to show quiet, serene time. For example, at the beginning of the story, before the children arrived, the illustrations are small and do not take up the whole page. Later in the story when the grandpa is dancing, the pages are full of color and pictures to show excitement, movement of grandpa’s performance. The illustrator used many lines around characters and objects to show that they are moving. He used lots of lines, sometimes in a zig zag form, to show fast quick motions like when grandpa is dancing or tossing objects into the air. He used fewer lines to show slower movements and no lines to show lack of movement. The objects in the picture are random and tilted in places to show the relaxed nature of the environment at the grandparents’ house. In the end of the story, the grandpa and grandchildren returned down the stairs, back to present time, where grandma has dinner ready. He hugs his grandchildren showing them that even though he loved his song and dance life, he loves his grandchildren more. He would not trade them for no amount of fame. How to cite The Song and Dance Man, Essay examples

Mrsa Control Policy of Ireland-Free-Samples-Myassignmenthelp.com

Question: Critically Analyse a current policy to control MRSA within a chosen locale. You could choose to consider a Country, city or local Community Policy. You should Comment on the Impact that the policy has had and offer Suggestions for Improvements. Answer: Introduction Staphylococcus aureus lives harmlessly on the skin or in the nose of a normal healthy person. S. aureus causes infections in hospitals as well as in community patients that range from boils or infected eczema to severe infections like surgical site infections, bacteraemia, among others (Now 2012). Methicillin Resistant Staphylococcus aureus (MRSA) is a Gram-positive bacterium. MRSA is resistant to a wide variety of antibiotics. It is genetically different from various other strains of Staphylococcus aureus. MRSA can cause several complicated diseases that can range from skin infections to sepsis, pneumonia and other bloodstream infections. MRSA is highly prevalent in hospitals, nursing homes, where individuals with open wounds or provide with invasive devises like catheters or immunocompromised individuals are at a high risk of acquiring the nosocomial infection (Verkade, Ferket and Kluytmans 2014). The treatment of MRSA is difficult because it is resistant to most of the antibiotics. MRSA was first discovered in 1961 and it is found to be resistant to methicillin, penicillin, amoxicillin, oxacillin, among others (Jacobs 2014). In hospitals, MRSA can be prevented by isolating the infected individuals and keeping them in isolation. Healthcare workers and visitors are required to wear gloves, masks and other personal protective equipments. Moreover, it is also necessary to properly disinfect contaminated surfaces and infected patient laundry items (Seibert et al. 2014). This report describes the policy titled Prevention and Control Methicillin-Resistant Staphylococcus aureus (MRSA) (National Clinical Effectiveness Committee 2013). The clinical advisory group of the Royal College of Physicians Ireland (RCPI) developed this National clinical guideline. The report carries out a clinical analysis of the policy and provides necessary recommendations for improvement. Prevalence and incidence rates of MRSA MRSA is not only limited to acute care hospitals but a high prevalence is also found amongst the staff and residents of a long-term care facility, thereby making such facilities a natural reservoir for these deadly organisms. The prevalence of MRSA among the residents of the long -term care facilities ranged from 1.1% in Germany to about 20% in the United Kingdom and 30% in the United States. An 8.6% prevalence rate was reported from Irish nursing homes in the year 2000. There were vast differences in the rates of colonization ranging from 0-73% in the long-term care facilities. The rates of colonization was dependant on various factors like the prevalence of MRSA in the healthcare facilities, the colonized resident population like the patients as well as the staff and the prevention or treatment practices carried out in the healthcare facilities. Antibiotic use has been found to be associated with MRSA colonization. Percentage of MRSA carriage was reported to be ranging between 47% and 65%, of which 19-25% showed transient carriage and 9-23% showed intermittent carriage. Colonization of the patients in nursing homes was associated with higher mortality rates in Belgium. A longitudinal study carried out in UK revealed that incidence of MRSA was associated with previous or subsequent infections of MRSA, but was not associated with hospital admissions or mortality (National Clinical Effectiveness Committee 2013). A prevalence study in 2006 revealed that out of the 7541 patients of the Republic of Ireland surveyed, 369 had healthcare associated infections, of which 37 had MRSA. MRSA surveillance in the hospital ICUs of Ireland revealed that 2.9-21.2% of the patients were colonized with MRSA. There were 1240 number of reported blood stream infections in Ireland of which 33.9% had MRSA. The incidence of MRSA in Ireland, although was found to be low it was still found to be significantly higher than other European countries (Www.pfizer.ie, 2017). Key components of the policy The policy titled Prevention and Control of Methicillin Resistant Staphylococcus aureus (MRSA) National Clinical Guideline was formulated by the clinical advisory group of the Royal College of Physicians Ireland (RCPI). The key components of the policy included the precautions associated with the importance of hand hygiene, use of personal protective equipment, respiratory hygiene or coughing manners, maintenance of safety and disposal of sharps, management of blood and other body fluid spills, proper disinfection of patient clothing and other infected laundry, maintenance of environmental hygiene, disinfection of other medical devices, isolation of infected patients, movement and transfer, carrying out practices related to safe injection and practices related to infection control in association with lumbar punctures. The policy also provided information about treatment and importance of surveillance measures. Critical analysis The policy at first provides definitions for MRSA. The policy was generated keeping in mind the healthcare officials involved responsible for the care of patients or other residents or clients at risk of contracting MRSA or already having MRSA. The policy targeted the healthcare workers of the acute care hospitals, nursing homes, long-term care facilities, among others. The healthcare workers include medical practitioners, nurses or midwives, biomedical scientists, pharmacists, among others. The policy defines the emergence of community acquired MRSA. The aim of the policy was to provide effective prevention or control measures against MRSA in order to improve care of patients, minimize the patient mortality and morbidity rates and also to minimize the healthcare costs in association with MRSA. The objectives of the policy was to enhance and further bring about improvements in the control and prevention of MRSA, to improve patient care by reducing MRSA infections related to surgical site infections, respiratory tract, joint and bone infections, to improve antibiotic usage in association with MRSA infections and to raise awareness about healthcare associated infections among the healthcare professional and the public regarding appropriate measures of control and prevention, standard precautions and the importance of such implementations. Prevention measures Screening The policy describes the roles of the infection prevention and control team and other officials in the control and prevention of MRSA in Ireland. These measures include effective screening strategies. It describes the importance of early detection to control the MRSA infections. Screening was linked to isolation of patients and carrying out contact precaution measures (Huang et al. 2013). These help to prevent the transmission of MRSA, which spread by direct or indirect contact with a patient or the infected environment of the patient (Otter et al. 2013). The policy also describes that successful detection of MRSA carriages was based on the type of laboratory methods used, the nature of the samples, time when the samples are obtained and on the frequency of patient screening. The policy also provides the details of the patients likely to get screened. These include patients who had previous MRSA infections or are getting readmitted in acute care, patients admitted from one hospital t o another, patients who spent the last six months in acute or long term care settings, patients who had been transferred from a hospital situated in some other country, patients with ulcers, wounds, endoscopic gastronomy tubes, central nervous system and urinary catheters, patients undergoing medium or high risk surgeries, patients in intensive care units and special baby care units, patients provided with renal dialysis and healthcare officials who are in direct contact with patients (Zimlichman et al. 2013). Prevention in acute settings Other measures include infection control and prevention measures in acute and non acute hospital environments, in neonates and obstetrics, in community, eradication of MRSA carriages, antimicrobial stewardship and occupational health aspects in association with MRSA. Control and prevention measures in acute care settings were defined and these were contact isolation, cohorting of patients, hand hygiene, cleaning of the environment, active surveillance and antimicrobial stewardship (Calfee et al. 2014). It also describes the role of the healthcare professional in preventing overcrowding of patients and maintenance of adequate staffing. It also defines the importance of staff education and training programs. The policy also described the importance of the moments of hand hygiene. The hand hygiene guidelines included washing hands before and after patient contact, before carrying out an aseptic procedure, after contact with surroundings of patients, which may include body fluid spillage s (Chou, Achan and Ramachandran 2012). The policy also describes that the patients and visitors to carry out effective hand hygiene. Risk management was described by the use of personal protective equipments. The use of personal protective equipment is determined by the nature of the intervention, risk of exposure to body fluids including blood and the risk of contaminating skin and clothes. Proper disinfection of patient rooms, medical devices in contact with the patients and patient clothing or infectious waste substances needs to be carried out. Prevention in non-acute settings Non-acute health care centers include adult care centers, homeless centers or special schools, nursing homes, residential homes and mental care facilities. Prevention and control measures in non-acute settings involved the use of personal protective equipments and hand hygiene (Mody et al. 2015). Moreover, educating the staff about the standard screening and precautionary measures are also important. The policy describes the importance of educating the staff about invasive devices like tracheostomies, urinary catheters, among others. At homes, the precautionary guidelines mentioned were proper hand washing before and after touching of wounds, care-givers should wash their hands after contact with the infected person, use of disposable gloves, covering of cuts in the skin, disinfection of linen and cleaning of patient environment (Traverse and Aceto 2015). Prevention of neonate MRSA Neonates are at a high risk of contracting MRSA and need to be screened. The recommended site for cleaning of the neonates includes the umbilical site. On the context of detection of MRSA carriage among antenatal pregnant women, decolonization is recommended, which involves the topical use of nasal mupirocin. A lactating mother with MRSA mastitis, is recommended to carry out breast feeding and subsequently receive antibiotic therapy. Antibiotic therapy is recommended for neonates having MRSA colonization (Shrem et al. 2016). Prevention of community associated MRSA The characteristics of community associated MRSA include that the isolate should be confirmed as MRSA, patients with community associated MRSA usually reside within the community and have no associated risk factors, they are usually resistant to beta lactam antibiotics, while remaining susceptible to other antibiotics. Such patients usually have skin and other infections of the soft tissues. They can also contract pneumonia. Community associated MRSA is usually caused by Staphylococcal Chromosomal Cassette (SCC) mec types IV and V (Stefani et al. 2012). The normal sites recommended for the screening of community associated MRSA include the nostrils, skin lesions, throat, among others. The prevention strategies recommended involves carrying out hand hygiene, avoiding the use of contaminated razors, brushes, clothing and water bottles, covering of skin lesions, among others (Skov et al. 2012). The treatment recommended involves incision and drainage of surgical site infections, antibio tic therapy like the use of doxycycline, cotrimoxazole. Antibiotic therapy for surgical site infections involve the use of linezolid, clindamycin, daptomycin, among others. In severe cases, adjunctive therapy like administration of intravenous immunoglobulin can be carried out (Mantero et al. 2017). Decolonization MRSA decolonization refers to the use of systemic or topical agents for eradicating a carriage. This is carried out to prevent the spread of infection among patients. One study reported significant reduction of nosocomial MRSA infections in intensive care units was found to be caused by the use of Mupirocin along with Chlorhexidine. Another study reported that the use of Mupirocin delayed the infection but did not reduce the risk. MRSA decolonization among neonates also involves the use of Mupirocin (Fritz et al. 2013). Antibiotic Stewardship The policy claims that the prolonged use of broad spectrum antibiotics should be avoided. The policy recommends the healthcare institutions in Ireland to implement the strategies recommended in the Strategy for the Control of Antimicrobial Resistance in Ireland (SARI 2009) (Www.hpsc.ie, 2017). The policy recommends the implementation of antibiotic stewardship programs in long term care giving facilities. It also advices the consultation with a microbiologist or a infectious disease specialist before providing antimicrobial therapy for MRSA treatment, avoiding the use of antibiotics like cephalosporins, fluroquinolones and macrolides, which are known to be associated with MRSA selection and or resistance and avoiding the use of topical therapies for treatment of superficial skin infections (Kim et al. 2013). Prevention of occupational health MRSA Occupational health staff provides protection, promotion and maintenance of employee health in a healthcare organization. Their role is to reduce the infection transmission to and from healthcare workers by carrying out best practices in a legal manner. The four components that define an effective occupational health program include risk assessment and control, evaluation and education. The healthcare workers are advised to seek help from occupational health workers. The occupational health staff are required to identify healthcare workers showing MRSA risk factors and are required to provide education regarding risks in the workplace. The occupational health staff assess the healthcare workers based on their illness, MRSA risk factors, colonization sites, previous infection history, among others (Aw, Gardiner and Harrington 2013). Treatment and Surveillance The policy also provides management recommendations for MRSA, which include treatment and prophylaxis. Treatments include the use of linezolid, vancomycin and daptomycin. Administration of an intravenous glycopeptides is recommended for treatment of patients with life threatening MRSA infections (Sader, Flamm and Jones 2013). Surveillance involves the reporting of blood stream infections to the health protection surveillance center (HPSC), maintenance of records of MRSA cases, which includes patient identification, specimen and MRSA isolation site, date of positive results, hospital ward name and date of admission. Although the policy provides information about necessary precaution strategies as well as treatment and surveillance, it does not address the issues regarding to antibiotic resistance in other sectors apart from healthcare like the agricultural sectors (Vandendriessche et al. 2013). The policy also does not address the challenges associated with the development of new drugs and the potential consequences associated with laboratory modernization. Barriers and Facilitators There are some barriers that will impact the full implementation of the policy. Most of the measures provided are cost neutral since it is a modification of the previous policy with the addition of some measures. Most of the recommended measures like hand hygiene are common but there are other measures, which are specific and can give rise to resource implications. Significant numbers of acute care settings lack isolation rooms, microbiology laboratories and antimicrobial experts. The healthcare professionals do not understand their responsibilities in the prevention of infection control. The facilitators involve enabling the healthcare professionals to understand and appreciate the policy guidelines for the sake of patient care and safety. Increased awareness of the patients and the demands raised by them for obtaining high quality care can act as facilitators of the implementation of the policy. Describing the barriers associated with the implementation can also act as a facilitato r (National Clinical Effectiveness Committee 2013). Recommendations The recommendations to the policy involves the addition of information regarding the antimicrobial resistance mechanisms. Providing information about the mechanisms will help to educate the healthcare professionals and the general public about the necessary causes. It will also help them to device precaution strategies based on the mechanism. The policy only describes MRSA infection prevention in various types of healthcare settings, but MRSA can also arise in agricultural or farming sectors and can result in the transfer of infections between humans and animals. MRSA control and prevention strategies regarding the agricultural sector should also be provided in the policy. The policy should also address the challenges associated with the development of new drugs, provide details about the various ways by which the healthcare professionals can be educated about MRSA control and prevention and provide the evidence of the cost effectiveness of the prevention measures described. Conclusion MRSA is a growing concern in the hospital as well as in community based settings. MRSA can give rise to serious consequences and increase the mortality rates. This report describes the policy regarding MRSA control and prevention as developed by the clinical advisory board of the Royal College of Physicians Ireland. The aim of the policy is to provide control and prevention measures regarding MRSA in order to improve quality of patient care and reduce patient mortality, morbidity rates and healthcare costs. The policy also aims to raise awareness about hospital-acquired infections, the standard precautionary measures and their importance. The control and prevention measures include various recommendations regarding screening, acute and non-acute hospital settings, neonate MRSA, community MRSA, decolonization, antimicrobial stewardship and occupational health characteristics of MRSA. The policy also provides information about treatment and prophylaxis, surveillance and evaluation. Thu s, it can be concluded that this policy contributes in increasing the knowledge of healthcare professionals about the necessary guidelines and their importance in preventing MRSA spread. Reference List Aw, T.C., Gardiner, K. and Harrington, J.M., 2013.Occupational health: Pocket consultant. John Wiley Sons. Calfee, D.P., Salgado, C.D., Milstone, A.M., Harris, A.D., Kuhar, D.T., Moody, J., Aureden, K., Huang, S.S., Maragakis, L.L. and Yokoe, D.S., 2014. 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