...non-pharmacological treatments; 2. changes in consumer demands and expectations; 3. fiscal and resource constraints; 4. changes in societal demographics in particular the ageing of society; 5. an increasing burden of chronic disease; 6. documentation of limitations in traditional health care delivery; 7. an increasing emphasis on transparency and accountability, 8. evidence based practice (EBP) and clinical governance structures; and 9. the increasing cultural diversity of the community. These challenges provoke discussion of the necessity of developing services around a model of care. What do we mean by a model of care? Ambiguity exists in the literature, with the terms, model of care, nursing model, philosophy, paradigm, framework and theory often used interchangeably, despite referring to diverse, yet parallel concepts (Tierney 1998). In their recent review of the literature, the Queensland Government (Australia) reported that they found no consistent definition of ‘model of care’ (Queensland Health 2000). They concluded that a model of care is a multidimensional concept that defines the way in which health care services are delivered (Queensland Health 2000). More specifically, Davidson and Elliott (2001) described a model of care as a conceptual tool that is ‘a standard or example for imitation or comparison, combining concepts, belief and intent that are related in some way’ (p. 121). They consider it to be critical that models of care should: ...
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...PAIN MANAGEMENT Level 6 The purpose of this assignment is to identify a client group and discuss the current pain management strategies used to assess pain in the selected client group. This assignment will explore and discuss the pain management strategies adopted in the clinical area to meet the needs of this client group. At the same time one pain, management strategy will be chosen critically evaluated and explored in light of the available evidence. The final part of the assignment will identify the improvements that need to introducing in the clinical area, in order to improve the management of pain. The student of this assignment works on a busy medical ward admitting both young and elderly patients with acute and chronic pain. However, most of the patient’s admitted to unit have dementia. The British Pain Society (2010) states that, “pain is under recognised and undertreated in older people,it is a subjective personal experience only known to the person who suffers”. Dementia is said to be caused by a variety of conditions with a complex of symptoms characterized by progressive global deterioration of cognitive functioning. Patterson et al (1999). The chronic pain coalition ( 2007) states that poor pain management impacts on quality of care and recovery and patients’ morbidity and mortality resulting in prolonged hospital stay coupled with economic implications for the health service. Pain has many defintionss have defined pain differently, the International...
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...FUNDAMENTALS OF NURSING * Think about it… * ABCDEFGHIJKLMNOPQRSTUVWXYZ * Is represented as 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 * Then: * H-A-R-D-W-O-R-K * 8+1+18+4+23+15+18+11=98% * K-N-O-W-L-E-D-G-E * 11+14+15+23+12+5+4+7+5=96 % * A-T-T-I-T-U-D-E * 1+20+20+9+20+21+4+5=100 % * And look how far the love of God will take you * L-O-V-E-O-F-G-O-D * 12+15+22+5+15+6+7+15+4=101 % NURSING * Is the extent to which an individual or group is able to realize aspirations and satisfy needs and change or cope with environment. It is the complete physical, mental and social well-being and not merely the absence of disease or infirmity. Major Nursing Goals * Promotive – an action or measures designed to support behavior conducive to health * Preventive – any actions or measures designed to protect individuals, families, groups, communities from harm to their health * Curative – any actions or measures designed to correct or remove disease or any illness. * Rehabilitative – any actions or measures designed to restore health and promote recovery from any alteration of health Roles and Responsibilities of Nurses: * Caregiver – helping clients promote, restore, and maintain dignity, health and wellness * Communicator/Helper – central role of nurses in identifying needs of the client * Educator/Teacher – involves nursing activities, health promotion, the primary concern * Counselor – providing emotional, intellectual and psychological...
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...Qualification | Unit number and title | BTEC Level 3 Extended Diploma in Health and Social Care (QCF) | Unit 12: Public Health | Learner name | Assessor name | | Karen Paish | Duration | 6 hours | | Date issued | Hand in deadline | Marked work returned | Resubmission deadline | 23.5.16 | 6.6.16 | 14.6.16 | 28.6.16 | All resubmissions must be authorised by the Lead Internal Verifier. Only one resubmission is possible per assignment, providing: * The learner has met initial deadlines set in the assignment, or has met an agreed deadline extension. * The tutor considers that the learner will be able to provide improved evidence without further guidance. * Evidence submitted for assessment has been authenticated and accompanied by a signed and dated declaration of authenticity by the learner.Any resubmission evidence must be submitted within 10 working days of receipt of results of assessment. | Assignment Title | Health Protection and Promotion | Learning Outcome | 3 Understand how public health is promoted and protected | In this assessment you will have opportunities to provide evidence against the following criteria. | Criteria reference | Criteria Achieved | Comments | P5 | Y / N | | P6 | Y / N | | M3 | Y / N | | D2 | Y / N | | Assessor Feedback | | Resubmission AgreedY / N | On Time Y/N | Lead IV Signature & Date: | | | Capable of upgrade Y/N | IV Signature & Date: | | Assessor Declaration | I certify that the...
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...Understanding the nature and meaning of nursing competency is the initial step in having an unambiguous definition of its practice. All healthcare professionals, including nurses, may only prove to be proficient in their capabilities if they are able to perform comprehensive assessments related to the provision and maintenance of safe and efficient care, the protection of all members of the general public, and the undertaking of all necessary actions in order to preserve the nursing profession. Any and all standards that are established, based on such a perspective, must be adhered to in practice and for the purpose of nursing evaluation. This paper will evaluate and explore the concept of competency and the ways in which the nursing profession integrates the many aspects of competency. Keywords: competence, competency, concept analysis Competency: Analysis of the Concept The concept of competency in nursing is a professional regulation and is extremely important to patient safety and outcomes. In the past, competency in nursing focused on evaluating clinical skills, and not the actual ability(ies) or comprehension of the science behind them (Allen et al., 2008). Nurse competency is a requirement in the clinical setting, and outlines the dimensions of integrating the application of skill, knowledge, and decision-making. The lack of a uniform meaning of nursing competence, as well as the lack of validity...
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...Health Needs Assessment: Practice Population BSc (Hons) Specialist Practitioner Community Nursing Word Count: 3836 Pages:17 Public health is a multifactorial approach to the health of the population and is concerned primarily with the promotion of health (Naidoo and Wills 2000). Wanless (2004) defines it as ‘The science and art of preventing disease, prolonging life and promoting health through the organised efforts and informed choices of society, organisations, public and private, communities and individuals’. Baggott (2004) agrees with the above, but suggests that public health is fundamentally concerned with the activities of the community to improve health, rather than treatment of disease in individuals. As a student practice nurse working in a GP practice in primary care I will often be the public’s first point of contact with the National Health Service (NHS) (Ewles and Simnett 1999). Primary care is increasingly being seen as the key area within the NHS for the implementation of public health strategies (Peckham 2003, p.20). It is important, therefore, that I have an understanding of the wider issues which impact on the health of individuals and the population as a whole, in my area of practice (Jones 2000). Carey (2003, p.221) suggests that it is crucial for practice nurses to deliver care that meets the needs, and addresses the public health issues of the local population. One way to review whether health services are...
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...Transcultural Nursing Theory Applied Vulnerable Populations I "Nowhere are the divisions of race, ethnicity and culture more sharply drawn that in the health of the people in the United States. Despite recent progress in overall national health, there are continuing disparities in the incidence of illness and death among African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in...
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...Advanced Accounting Beams Anthony 11th Edition Solutions Manual Click here to download immediately!!! http://solutionsmanualtestbanks.blogspot.com/2011/10/advanced-accountingbeams-anthony-11th.html ----------------------------------------------------------------------Advanced Advanced Advanced Advanced Accounting Accounting Accounting Accounting Beams Beams Beams Beams Anthony Anthony Anthony Anthony 11th 11th 11th 11th Edition Edition Edition Edition Solutions Solutions Solutions Solutions Manual Manual Manual Manual -------------------------------------------------------------------------***THIS IS NOT THE ACTUAL BOOK. YOU ARE BUYING the Solution Manual in e-version of the following book*** Name: Advanced Accounting Author: Beams Anthony Edition: 11th ISBN-10: 0132568969 Type: Solutions Manual - The file contains solutions and questions to all chapters and all questions. All the files are carefully checked and accuracy is ensured. - The file is either in .doc, .pdf, excel, or zipped in the package and can easily be read on PCs and Macs. - Delivery is INSTANT. You can download the files IMMEDIATELY once payment is done. If you have any questions, please feel free to contact us. Our response is the fastest. All questions will always be answered in 6 hours. This is the quality of service we are providing and we hope to be your helper. Delivery is in the next moment. Solution Manual is accurate. Buy now below and the DOWNLOAD LINK WILL APPEAR IMMEDIATELY once payment is...
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...Women Leadership in Healthcare For decades women have served in the healthcare industry as the back bone of healthcare. They continue to work in all areas but have been given few opportunities to take leadership roles in healthcare organizations. This paper explores some of the reasons why women are circumvented in leadership roles and how women can be better prepared to lead in their organizations. The research concluded that women are effective leaders in comparison to their male counter parts. Leadership is an important concept in healthcare. It can simply be acknowledged as the ability to achieve a goal by using imagination, skill, relevant theory, and concepts that are supposed to lead an organization to success. The research conducted for this paper clearly demonstrates that women are an integral part of the ever changing healthcare domain as it relates to leadership. The need for gender diversity in leadership positions is critical for many organizations, especially in healthcare (Virick & Greer, 2012). Despite the fact that leadership is a complex social role, that arises from the actions to effect others in their roles, women can carry out such duties in the same manner, or even better than their male counterparts. (Fealy, McNamara, Casey, Geraghty, Butler, Halligan & Johnson, 2011). Historically, women have been underrepresented in leadership roles in all aspect of healthcare. As the trend of delivering care continues to change in the 21st century...
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...REGN-15: Nursing in Health & Illness I Nutritional Needs of Infants Between the Ages of 0 – 3 Paul D. Parker October, 7th, 2009 Nutrition is “the study of food and how it affects the human body and influences health.”1 Food affects the body and influences its health by providing it with nutrients. Nutrients which provide energy to the body are proteins, lipids, and carbohydrates. Micronutrients, vitamins and minerals, help to manufacture, repair, and maintain cells. Last but not least is water, which is considered an essential nutrient. When properly supplied; nutrients, micronutrients, and water the essential nutrient all work in conjunction with one another to provide the body with all that is needs to maintain a healthy body. The key point within each age group is the supply of these nutrients. In general, infants require more nutrients than the population at large; and during certain times within infancy the source of the nutrition must be considered. The adult human gut, primarily responsible for digestion, commands nearly two-thirds of the immune system. In infants, immunological factors are underdeveloped primarily because they are born with a sterile gut.2 It is therefore imperative that they obtain their nutrients (proteins, fats, and carbohydrates) as well as immunological factors from a source that can easily be distributed to the body. During the first six months of life, the infant can obtain its nutrients in two different ways; through...
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...Journal of Transcultural Nursing http://tcn.sagepub.com/ Standards of Practice for Culturally Competent Nursing Care : 2011 Update Marilyn K. Douglas, Joan Uhl Pierce, Marlene Rosenkoetter, Dula Pacquiao, Lynn Clark Callister, Marianne Hattar-Pollara, Jana Lauderdale, Jeri Milstead, Deena Nardi and Larry Purnell J Transcult Nurs 2011 22: 317 DOI: 10.1177/1043659611412965 The online version of this article can be found at: http://tcn.sagepub.com/content/22/4/317 Published by: http://www.sagepublications.com On behalf of: Transcultural Nursing Society Additional services and information for Journal of Transcultural Nursing can be found at: Email Alerts: http://tcn.sagepub.com/cgi/alerts Subscriptions: http://tcn.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Citations: http://tcn.sagepub.com/content/22/4/317.refs.html >> Version of Record - Sep 26, 2011 What is This? Downloaded from tcn.sagepub.com by Marty Douglas on September 27, 2011 412965 ouglas et al.Journal of Transcultural Nursing TCN22410.1177/1043659611412965D Commentary Journal of ranscultural Nursing T 22(4) 317–333 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/1043659611412965 http://tcn.sagepub.com Standards of Practice for Culturally Competent Nursing Care: 2011 Update Marilyn K. Douglas, DNSc, RN, FAAN1, Joan...
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...Advance concept of nursing I Unit 1 Nursing process The nursing process is an organized sequence of problem solving steps used to identify and to manage the health problems of clients .The nursing process is the framework for nursing care in all health care settings.When nursing practice follows the nursing process, clients receive quality care in minimal time with maximal efficiency. The steps of nursing process 1)Assesment 2)Diagnosis 3)Planning 4)Implementation 5)Evaluation Assessment An RN uses a systematic, dynamic way to collect and analyze data about a client, the first step in delivering nursing care. Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well. For example, a nurse’s assessment of a hospitalized patient in pain includes not only the physical causes and manifestations of pain, but the patient’s response—an inability to get out of bed, refusal to eat, withdrawal from family members, anger directed at hospital staff, fear, or request for more pain mediation. Diagnosis The nursing diagnosis is the nurse’s clinical judgment about the client’s response to actual or potential health conditions or needs. The diagnosis reflects not only that the patient is in pain, but that the pain has caused other problems such as anxiety, poor nutrition, and conflict within the family, or has the potential to cause complications—for example, respiratory infection is a potential hazard...
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...able to communicate the environmental health risks, provide needed education and advocate for public policies to mitigate the risk to health (Stanhope and Lancaster, 2014). This paper will explore the nurse’s role in environmental nursing through the review of environmental principles, explaining differences between an environmental exposure history and an environmental health exam and the four phases of a chemical exposure. Finally, author will discuss the differences between community-based and community-oriented nursing and explain the how population-based approaches are applicable to the hospital setting. Environmental Principles According to Stanhope and Lancaster (2014), nurses must know how to assess for environmental health risks in order to help the individuals, families and communities they care for. In 1995, The National Academy of Science’s Institute of Medicine (IOM) published a report calling for all nurses to have a basic understanding of environmental health principles including these competencies in all aspects of nursing practice (U.S. Department of Health and Human Services, 2012). Stanhope and Lancaster (2014), aptly explain the four core competencies recommend by the IOM and integrate them with the American Nursing Association’s (ANA) Principles for Environmental Health. 1. Basic Knowledge and Concepts: Nurses must comprehend the scientific...
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...Nurse Education in Practice (2007) 7, 26–35 Nurse Education in Practice www.elsevierhealth.com/journals/nepr Exploring bullying: Implications for nurse educators Sharon L. Edwards a a,* , Claire Frances O’Connell b Department of Pre-registration, Nursing Faculty of Health Studies, Buckinghamshire Chilterns University College, Chalfont Campus, Newland Park, Gorelands Lane, Chalfont St. Giles, Buckinghamshire HP8 4AD, United Kingdom b Green Lawns, Kilmona Grenagh Co., Cork, Republic of Ireland Accepted 27 March 2006 KEYWORDS Bullying; Violence; NHS; Higher education; Nurse education Summary This article examines briefly the issue of workplace violence and bullying in the hospital environment, but more importantly how the same and different styles of bullying and intra-staff bullying are emerging in nurse education. The content describes the aetiology of violence and bullying and their place in the National Health Service (NHS) including nursing. It explores bullying as the principle form of intimidation in nurse education, the different types and subtle forms of bullying, why individuals become bullies, dealing with and the consequences of bullying. The legislation, guidelines, policies are part of the recommendations for practice. c 2006 Elsevier Ltd. All rights reserved. Introduction In modern day society, it could be argued that violence and aggression is a common aspect of daily life. Violence and abuse within the hospital setting occurs...
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...Kuo, Sullivan / AGGRESSION AND / July 2001 ENVIRONMENT AND BEHAVIOR VIOLENCE AGGRESSION AND VIOLENCE IN THE INNER CITY Effects of Environment via Mental Fatigue FRANCES E. KUO is an assistant professor at the University of Illinois, UrbanaChampaign. Her research examines effects of the environment on healthy human functioning in individuals, families, and communities. WILLIAM C. SULLIVAN is an associate professor at the University of Illinois, Urbana-Champaign. His research focuses on the psychological and social benefits of urban nature and citizen participation in environmental decision making. ABSTRACT: S. Kaplan suggested that one outcome of mental fatigue may be an increased propensity for outbursts of anger and even violence. If so, contact with nature, which appears to mitigate mental fatigue, may reduce aggression and violence. This study investigated that possibility in a setting and population with relatively high rates of aggression: inner-city urban public housing residents. Levels of aggression were compared for 145 urban public housing residents randomly assigned to buildings with varying levels of nearby nature (trees and grass). Attentional functioning was assessed as an index of mental fatigue. Residents living in relatively barren buildings reported more aggression and violence than did their counterparts in greener buildings. Moreover, levels of mental fatigue were higher in barren buildings, and aggression accompanied mental fatigue. Tests for the...
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