The Domains At The Progression Point 2 - 1886 Words

5070 ESSAY The aim of this essay is to reflect on the personal development in one of the four domains at the progression point 2. The four domains of nursing care are professional values; communication and interpersonal skills; nursing practice and decision making; leadership, management and team working (NMC, 2016). These are the essential areas where student nurses have to improve their knowledge and skills prior to the nursing registration for improving the quality of nursing care that they provides afterwards (NMC, 2016). The chosen domain for this particular essay is the nursing practice and decision making, as the author had experienced an incident during the placement which is most†¦show more content†¦When John told me about his pain, I informed my mentor, and then my mentor said he already had his oral analgesics one hour ago. As he was complaining pain all the time, I did the reassessment as my mentor said in order to generate a correct judgement. The reassessment which incl udes his vital signs and pain assessment were scoring high, which is a clear indication that he was in pain. Therefore, we informed the duty doctor and the doctor reviewed and changed the dose of his medication. The second stage of the Gibbs’ cycles is about the feelings(Bulman, 2013). I have mixed feelings and thoughts in my mind during that incident. Firstly, I did not believe completely what he said about his pain, as I have heard from some other staff in that department that he complains it all the time. However, John’s facial expression gave me a feeling that he was in pain. I was concerned about his pain and I decided to do something for that. At the same time I was quite worried about the challenging nature of nursing profession which demonstrates here, as we could not manage John’s pain even with the help of some analgesics. The third stage in the Gibbs’ cycle is writing about the positive and negative aspect of the incident (Bulman, 2013). The positive about the incident was when John mentioned about his pain, I informed my mentor immediately and performed the assessment. This showed my improvement in providing compassionate care with the respect (NMC,Show MoreRelatedThe Domains At The Progression Point 21891 Words   |  8 Pagesdevelopment in one of the four domains at the progression point 2. The four domains of nursing care are professional values; communication and interpersonal skills; nursing practice and decision making; leadership, management and team working (NMC, 2016). These are the essential areas where the student nurses have to improve their knowledge and skills prior to the nursing registration for improving the quality of nursing care that they provides afterwards (NMC, 2016). The chosen domain for this particular essayRead MoreLife Span Human Development Paper748 Words   |  3 Pages2% match (Internet from 6/27/10) http://www.antiessays.com 2% match (Internet from 2/12/10) http://www.slideshare.net 1% match (Internet from 3/31/10) http://answers.google.com Life Span Perspective Paper : To understand change in life is probably one of the most important aspects of human development. Our perspective on life and understanding the changes that occur during the different stages of the human life is the key to understanding why we tick and operate the way we do. Lifespan perspectiveRead MoreA Study On Meeting Receptor1602 Words   |  7 Pagescomplete extracellular ÃŽ ± subunit and a large ÃŽ ² subunit, presenting the following extracellular domains: sema (semaphoring domain), PSI (also called MET-Related Sequence - MRS), four IPT domains (immunoglobulin – plexin - transcription domains), and 3 intracellular regions: juxtamembrane (containing tyrosine 1003, which negatively regulates c-MET by inducing its ubiquitination), a tyrosine kinase domain (with tyrosines Y1234 and Y1235, which positively modulate the receptor function) and a carboxy-terminalRead MoreMy Current Level Of Critical Thinking And How Can It Be Improved Essay1492 Wor ds   |  6 Pagesbe used in Physical Therapy? What is my current level of critical thinking and how can it be improved? What are the objectives of a course you would like to teach? What domain of Bloom’s taxonomy is used with these objectives? What is constructivism? Is it a valid theory? Who is Elizabeth Kenny? What information about the progression of the field do you feel would be important to her? So what is critical thinking and how is it used in Physical Therapy? Critical thinking is defined as, â€Å"a mode of thinkingRead MoreResearch A Local Business ( Universities )1058 Words   |  5 Pages CONTEXT 1. Introduction 3 2. Theory 3 3. Requirements 3 4. ER diagram Read MoreModels Of Curriculum Development : Lattuca And Starks Model1466 Words   |  6 Pagesis an administrative model. While considered prescriptive, one could argue it is dictative. The model utilizes a top-down approach to curricular development and is favored by K-12 and for-profit post secondary institutions. The entry point for the linear progression of this model is a consideration of external forces, specifically: legal requirements, research data, professional associations, and state guidelines (Saylor, et al., 1981). Lattuca and Stark (2009) identify many of the same concernsRead MoreTeaching and Learning Activities1491 Words   |  6 PagesTeaching and Learning Activities Background I currently teach an IT Essentials 2 course at Tritec Computer Training, the course is designed to teach individuals all aspects of network operating systems including web services, Linux and Windows. The IT Essentials 2 course runs for 96 hours distributed over 16 weeks (1 day per week). The IT Essentials 2 course is a very complex course and I use several teaching and learning activities so that students get the maximum benefit from the weeklyRead MorePseudocode Standard1507 Words   |  7 Pagesthat implementation becomes a rote mechanical task of translating line by line into source code. In general the vocabulary used in the pseudocode should be the vocabulary of the problem domain, not of the implementation domain.   The pseudocode is a narrative for someone who knows the requirements (problem domain) and is trying to learn how the solution is organized.   E.g., Extract the next word from the line (good) set word to get next token (poor) Append the file extension to the name (good)Read MoreThe Death Of Julius Caesar1460 Words   |  6 Pagesnumerous wars and numerous contentions between the plebeians and patricians. The republic was made out of 3 gatherings, the delegates which were 2 men chose from the senate, the senate which was made of 300 patricians, and the get together produced using plebeians. Numerous years after the fact Rome began to dismiss the republic when it went into a progression of common wars. 3 men shape the principal triumvirate, Julius Caesar, Pompeii, and Crassus. Julius Caesar turned into the victor. He was thenRead MoreThe Objectives Of Instruction Layout1412 Words   |  6 Pagesunderstudies with aptitudes of higher intuition instead of recalling certainties. These aptitudes incorporate examination and assessment of ideas and standards. This alludes to the space that is psychological, full of feeling, and psychomotor.. Cognitive domain This includes the comprehension of information and the advancement of scholarly aptitudes. It involves recalling certainties, ideas and methodology which help in the advancement of scholarly abilities and aptitudes. Purpose of standards This is

Factors That Brought Change in Surgery Essays - 1112 Words

Factors That Brought Change in Surgery Many factors brought about changes in Surgery. Surgery in early1800 was dangerous and painful. There was no way of completely relieving the pain suffered by the patient, nor was it possible to replace blood transfusions although blood vessels could be tied up by ligatures to stop the bleeding. Operations went dreadfully wrong and many patients died from blood poisoning. The change or breakthrough in Surgery was brought about, when First World War broke out in 1914. The First World War led to massive casualties and loss of human lives. Though Surgeons had old primitive methods of surgery but the First World War led surgeons to find modern methods of saving†¦show more content†¦Another scientist Robert Koch linked disease to the microbes that caused them and used dyeing techniques to colour microbes, which he viewed through high-powered microscopes. He identified anthrax spores (1875) and the bacteria that cause septicaemia, tuberculosis (1882) and cholera (1883). The First World War was also a major source of discoveries by chance, due to the heavy casualties suffered by soldiers, who died of septic wounds caused by staphylococci bacteria. Alexander Fleming discovered Penicillin to kill bacteria but yet industrial production of Penicillin need to be done by the scientists. The Second World War in 1938 also helped to advance medicine, as there was heavy casualties in Europe and other countries and men were dying due to wounds caused by bombs, artillery etc. The breakthrough of purifying penicillin was made by Howard Floreys team in Oxford between 1938 and 1940. Ernst Chain discovered Freeze-drying techniques, though they didnt have the resources to produce penicillin in large amounts for soldiers wounds. Floreys knew Penicillin could be vital for treating soldiers wounds but British firms refused to make Penicillin as they were making explosives and so he went to America. America only helped him when America joined the war in 1941. By 1944 mass production of PenicillinShow MoreRelatedThe Human Obsession Essay853 Words   |  4 Pagesobsession. Plastic surgery has taken the role of the closest thing to perfection of the body that we obtain. The reasoning behind cosmetic surgery are self-esteem, success, social stability, and health. The definition of plastic surgery is â€Å"a medical specialty that has distinct branches of its own. The word plastic is derived from the ancient Greek word plastikos, which means to mold or give form† (Heckaman and Henry 5). Many search for perfection by undergoing surgery to construct their idealRead MoreObesity And Type 2 Diabetes Essay1138 Words   |  5 Pageseither diabetic or obese. Currently, 20 percent of the world’s adult population is classed as obese with more than 10 percent of children over 6 years being affected. Obesity is defined as the excess storage of body fat and plays a great role as a risk factor for other chronic diseases and Type 2 Diabetes, hypertension, and coronary heart disease. Therefore, obesity is a burden on the economic and health resources as well as an indicator for mortality and morbidity. Diabetes, on the other hand, is a majorRead MoreEssay on Photo-shopped Lies1050 Words   |  5 Pagescelebrities, and models. This affects the way teens see themselves resulting in drastic measures such as eating disorders, cosmetic surgery, and bullying one another for being different. The first case of an eating disorder recognized medically was in 1873 (â€Å"Key Events†). The eating disorder was anorexia nervosa and was associated with one’s personal physiological factors. In this time period, it was unknown that a lot of cases of eating disorders was not an exclusively a mental illness, but a resultRead MoreShould Teens Undergo Plastic Surgery?1565 Words   |  7 PagesShould teens undergo cosmetic surgery? In todays society the picture of beauty is a rail thin super model with the body of a goddess posted on billboards all around the world. Children are brought up playing with Barbie dolls with the body measurements of would be 39, 18, 38. Because of these pictures and other figures of beauties projected all over, today teenagers are convinced to believe that to be beautiful and happy they must look like these images. According to a survey by Bliss MagazineRead MoreAnalysis Of The Movie My Sisters Keeper 1627 Words   |  7 Pagescognitive development. The events that will be discussed are: how being brought into the world to save Kate affected Anna’s psychosocial development, how having to undergo many surgeries at a very young age affected Anna’s physical development, and also how Anna’s cognitive development was affected by her sisters sickness and death. Being brought into the world as a savior sister and having to undergo countless surgeries so that her older sister can fight leukemia, has an impact on Anna’s psychosocialRead MoreObesity : A Huge Strain On The Nhs1543 Words   |  7 Pageshave multiple comorbidities associated with being overweight. Bariatric surgery has been found to be an effective way of managing the financial strain by reducing the incidence of comorbidities in individuals’ post-surgical weight loss. Factors such as Human Rights Law, the NHS constitution and the Bioethical principals for good practice point to the benefits for all morbidly obese patients to be provided with bariatric surgery, however there are further opinions to suggest this is only treating theRead MoreIn This Paper I Will Be Discussing Preoperative Fasting1602 Words   |  7 PagesIn this paper I will be discussing preoperative fasting time for patients undergoing elective surgery with general anaesthesia. In clinical setting, nothing by mouth (NPO) after midnight is required on the day before scheduled surgery to prevent vomiting and aspiration of gastric content into the lungs. There are different preoperative fasting guidelines established by anaesthesiologist associations, for example the Canadian Anaesthesiologist’s Society (CAS) and American Society of AnaesthesiologistsRead MorePalms Hospital Case Study Essays1106 Words   |  5 Pagespayment has already happened and will not affect the current decision for the proposed outpatient surgery center. C) What overhead costs should be included in this analysis? -Only the increase in overhead costs associated with this project should be included in this analysis. Current overhead costs will not change if the project is denied, the only affect to overhead costs will be new costs brought on by the project. In the case of this analysis, the increase overhead costs will consist primarilyRead MoreVoice Therapy1306 Words   |  6 PagesHolmberg and colleagues (2001) sought to assess the effects of voice therapy for vocal nodules on vocal function, more specifically the relationship between differing voice therapy techniques and vocal fold status and voice quality. Physiological changes and changes in perception of the voice were examined during behaviorally based voice therapy. The participant group consisted of eleven women with bilateral, chronic vocal nodules who had never received previous voice therapy or laryngeal treatment. TheRead MoreA Brief Note On Performing Tuberculous Empyema Operation Essay1055 Words   |  5 Pagesreadmission had no increase. The incidence of complications kept unchanged throughout the study(Fig.1). Univariate analysis showed 3 elements as statistically significant in defining postoperative hospital length of stay. On multivariate analysis, no factors stayed as independent predictors of postoperative hospital stay. Discussion This study shows that the recommendation of an ERAS programme for patients performing tuberculous empyema operation leads to a significant decrease in median postoperative

Exam Review Guide Free Essays

Exam 3 Review Guide This guide lists the areas that you should concentrate on when reviewing for Exam 3. To adequately prepare for the test, you should first read the General Tso, Meet Steven Covey article to get comfortable with it. Then, as you review the items listed below, think in terms of how the theories discussed in class relate to the particular scenario described in the article. We will write a custom essay sample on Exam Review Guide or any similar topic only for you Order Now The exam will consist of multiple essay questions. Please don’t forget to bring a copy of the article with you, so that you will be able to have it available for your reference. You may highlight the article but you cannot write anything on your copy. Be prepared to identify issues, sources of the issues, and formulate/justify your recommendations. Should you have any questions in the course of your preparation, please do not hesitate to e-mail or call me. Good luck! Language, Culture, and Communication †¢ the context of language-based communication †¢ low-context cultures and explicit communication †¢ high-context cultures favor a more diffuse communication style †¢ communication on the Internet †¢ ethnocentrism †¢ stereotypes Intercultural Marketing Communications I †¢ clarifying the brand identity †¢ achieving visibility through identity-building brand exposure †¢ involving the consumer in brand-building experiences Intercultural Marketing Communications II †¢ service essentials †¢ the five lessons pertaining to services Great Leaps, Persistence, and Innovation: The Evolving Story of Hyundai †¢ Hyundai’s three-fold strategy †¢ the three pillars of Hyundai’s philosophy The Art and Science of Managing the New Global Corporation †¢ Napoleon’s words of wisdom †¢ being part of the solution vs. eing part of the problem †¢ the differences between managing a privately held business and managing a publicly held business †¢ the leadership model of the Carlson Industries (i. e. , the various components of the circle) Marketing the Arts: The Secret Weapon †¢ the importance of mission for not-for-profit organizations †¢ the important issue of economic nature and the influence of innovation on achieving productivity gains †¢ the third challenge in running arts organizations †¢ the mantra of running a successful arts organization †¢ the two types of marketing according to Michael Kaiser †¢ the two audiences that art organizations cater to How to cite Exam Review Guide, Papers

Nursing Family Assessment and Care Plan

Question: Discuss about the Nursing Family Assessment And Care Plan? Answer: Introduction of family The present family is considered for the scope of intervention, assessment, and care planning comprises of total six members. The head of the family is X (age41) male and her wife Y (age38). They have one two kids, younger son xy (age4) at the preschool stage, and elder daughter xx (age8) at school going stage of life. Along with them, two brothers of X are also staying XA (age30) and XB (age25) are also staying in the house. X and Y are working as a school teacher, XA is working as a research scholar, and XB is working in a private software company. The family is residing in my locality, to whom; I have explained the rationale of the interview and associated benefits of healthcare planning. The family is Indian by origin and have moved to this residential place 15 years back. The family practices Hinduism religion and have a good relationship among the family members. In the present concern, Y is suffering from joint pain, which has been diagnosed as arthritis and that it requires a long-term care. The care plan includes medication and occupational therapy since last 2 years. Recently, based on a medical recommendation from a panel of experts, surgery was recommended for the management of this chronic disease. The scope of a family of assessment is thus mainly performed with X and Y related to a health issue, which also include XA and XB into the consideration of family education related to collective health management and for self-management of Y. Figure 1: Genogram of the family Analysis of the family assessment The safety measures have been the key to assessing the family staying condition and that the results are provided in the appendix section. Based on the evaluation result, it was confirmed that the family is maintaining a safe condition for children as well as for other family members staying in the house. Additionally, some of the concerns are identified within the home or in nearby environment, that need particular attention for the efficient and safe living of the family members (Barry Edgman-Levitan, 2012). Weakness and analysis based on assessment form - Based on the safety assessment of the kitchen, all the measures were found to be appropriate except two particular concerns. In particular, the cleaning agents such as phenyl, toilet cleaning agents, and mild acids bottles are found to be kept at ground level within the kitchen. Likewise, the back burners that are used for cooking are also found to be opened, which are identified to have the potential for the safe living of the family. The bathroom condition was also found to be optimal for safe usage such as maintaining the temperature of the water bath, keeping the medications away from the reach of children, unplugging of electrical appliances while not in use (Barry Edgman-Levitan, 2012). The only concern identified includes not using a non-skid strip or mat on the bathtub floor. The children of the house are at the toddler stage of life and hence all the condition found to be optimal for safe living. Whereas in conjunction with the general safety measures, it was identified that the materials such as plastic bags, pieces of foods, small objectives and similar things are not out of reach of xy. Identification of this safety measure is significant as it may cause an accident that can cause complication and/or injury. Similarly for the outdoor standards, there is no storage for syrup of ipecac or similar emetic agents that can be used as any measures for vomiting. The telephone present in the home also does not contain stickers that contain emergency helpline numbers (Coleman, 2015). Though both of these factors are not frequent for usage, yet they are necessary to be placed within the home. It should be noted that in conjunction with the safety practices, the home does not contain particular fire escape plan. Likewise, the there is only one exit to the home, which may cause a problem in any undesirable or emergency fire-related problem. The most important part is that family members place poisonous materials, medicines, and related materials away from the reach of children. Additionally, hygienic condition and hand wash practice is also performed at home that helps in efficient management of health for the family members (Coleman, 2015). Consent - The consent for the learning of safe and healthy practices at home has been signed by the head of the family, which has been attached to the appendix section (Doenges, Moorhouse Murr, 2016). The related rationale for the learning This has been provided along with the analysis of the safety assessment at home. In particular, it is necessary to the family members that xy (youngest daughter of family age4) is free to roam all over the home and hence placing the medication and electric appliances, out of their reach is important. Likewise, xx (son age10) is in the explorative stage of life and will like to try newer activities. Thus using the non-skid mat at the bathtub and maintaining hygienic condition within the home is important. Similarly, both the children of the home will be having the habit of eating anything which is attractive to them. Thus, in order to prevent from any form of accident or poisonous element consumption, it is important for the elders to place syrup of ipecac within the home (Maurer Smith, 2013). The strength of the family - It is interesting to note that none of the family members have a smoking habit, which in turn ensures safe and healthy management of lifestyle. Additionally, the family members are also maintaining a clean and hygienic environment for routine cleaning of the home, regular use of disinfectant, hand washing, daily bath, use of antiseptics and sanitizers, and regular health checkups. Such practice not only avoids frequent illness for the family members but also minimizes the cost of health management and stress level (Maurer Smith, 2013). Assessment of the need for learning Based on this analysis, an important area of learning include precise fire escape plan, use of non-skid mat near a bathtub, placing of cleaning materials away from the reach of children, and sticking of emergency numbers and ipecac syrup within the home that can prove to be effective in emergency timing. The learning environment includes X, Y, XA, and XB that in turn can improve the safety management practice at home in more appropriate manner. Additionally, it was also learned from the family introduction that Y will be having surgery for the treatment of knees pain. Such consideration will be responsible for factors like (i) increased stress in family; (ii) excessive use of medication that may be left in reach to children; (iii) issues related to maintaining hygienic condition within home; and (iv) effective usage, unplugging, and safe storage of burners, medications, electric appliances at home (Maurer Smith, 2013). Additionally, Y is suffering from chronic pain related to arthritis, which also need the provision of self-medication, diet control, and regulation of physical activity. The scope of self-management in this consideration is also linked to other family members that are responsible for supporting the health restoration and health management of Y for routine daily life process. Likewise, for X, it is important to make him aware of the responsibility for arranging the materials, supporting Y in terms of physical and mental stress management, and maintaining a good coordination at home. For XA and XY, the learning paradigm includes the practice of good communication at home, maintaining cleanliness, and not to practice any addicted material consumption. More importantly, for xx and xy, the learning scope include safety training, making them aware of hazards, and Care plan The details of the care plan that include care objectives and monitoring schedule have been prepared according to guidelines of Doenges et al. (2016). Individual family member Care objectives Monitoring schedule X Supporting for mental health of family members Checking the electric appliance, fire devices, and chemical storage within home Responsibility for arranging food and other requirements at home Twice in a week Record maintenance Assessment for routine management with interview Y Medication and food management for timing and regularity Regular physical exercise Routine checkups for follow-intervention Managing the office and rest schedule as per suitability Daily Checklist for medication Communication for assessment of physical and mental stress with interview XA To maintain cleanliness at home Having a good flow of communication at home Not to practice alcohol or any addictive Review the cleanliness, hygienic, and safety measures at home Twice in a week Record maintenance Assessment for routine management with interview XB Same as XA Same as XA xy Explaining not to eat unknown materials/items Describe how to manage/arrange the toys after play Learn not to throw pieces of food materials here and there Daily Reviewing the activity of xy Recording the observation of xy Analysing for any additional learning requirement xx Explaining how to maintain cleanliness and hygienic at home Making aware of the dangerous material, rods, pointed materials Teaching how to maintain a proper coordination with family members Daily Reviewing the activity of xx Recording the observation of xx Analysing for any additional learning requirement Teaching strategies The relevant objective and evaluation methodology that is aligned with respect to the assessment of learning requirements has been detailed in the previous section. This includes consideration of individual role and responsibility in the family. More importantly, it also includes the account of life stage and learning responsiveness of each family member. The monitoring schedule has been framed based on the requirement and implementation judgment of the individual family member (Moorhead, 2013). For the teaching strategic following points will be considered to be applicable to the described family: Use of evidence-based family learning practices will be followed. The collected evidence will be helpful in directing the rationale of a learning plan, which in turn can also be useful for advocating the benefits of learning to individual members. The scope of discussion to the peer nurses, faculty members, physician, and other allied healthcare professionals will also be included. The rationale for such step is to take adequate steps for avoiding biases and error in family learning practices. The record will be maintained for the perception state, response, activity observed, and differential methods used for teaching the individual family members. Repeat assessment of the family will be performed at an interval of one-month duration, which will help in monitoring and evaluate the learned outcomes (Moorhead, 2013). Teaching plan The teaching plan will mainly include important consideration related to (i) Hygienic conditions within home; (ii) Arrangement of material; (iii) Maintaining cleanliness; (iv) Following medication and self-management plan as per the recommendation of physician; (v) Maintaining a good coordination with respect to behaviour, communication, and support to family members; (vi) Taking care of electrical appliances, fireworks, kitchen burners, water bath, cleaning of clothes and utensils; (vii) Involvement of regular physical activities; and (viii) Avoiding addiction material consumption (Maurer Smith, 2013). Though the family members have previous knowledge of cleanliness and hygienic, it is still important to develop a teaching plan for the same. Likewise, the family also have adequate knowledge of health promotion and are involved in regular check-ups, still the same must be included in the teaching plan. The reason is linked to coping with the stress of health of Y and further management for the coordination among other family members. In addition to this, the children of the family should also be considered within the family to take care of appropriate learning, which in turn will help in avoiding and accident or fatal injuries (Coleman, 2015). Outcomes of teaching In general, the teaching outcomes that are desired with the presented analysis and developed teaching plan include following measures (Doenges, Moorhouse Murr, 2016): The family members will have adequate knowledge related to cleanliness and hygienic maintenance. The stress level among the family member will be maintained at an optimal level, where support and communication flow will be maintained adequately. The health status of the family members will be maintained at controlled and healthy Children and adults will be made learned for effective health practices that in turn will minimize/improve the health burden and health cost management in the family.