... | |Reference: |Effectiveness of bed alarms over bed rails in reducing falls in patients aged 65 and above | |Scope and Purpose. What are the scope and purpose of this document? What are the objectives, question, and target population (patients,| |consumers, students, etc.)? In other words, who are the recipients of the services outlined in the document? | |The paper focuses on bed exit alarms and their effectiveness in preventing bed falls. The scope and purpose of the paper is based on | |studies done by various researchers on bed alarms. The document’s target population includes patients, nurses and families. | |Stakeholder Involvement. What professions are represented in the document? Have members of the target population been consulted in the | |development of the document? What conflicts of interest are possible? | |Professions represented in the document include nurses, reseachers professors and editors. There is enough evidence that the members of| |the target population played a role in the documents development. Conflicting interest such as preference of bed rails over alarms are | |possible with the researchers not being able to exactly pinpoint the most effective method. | ...
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...Issues in Healthy Aging: The role of the Nurse Falls have become very common with older adults living in the community and long-term care facilities. The purpose of this paper is to research an issue, in this case falls, that impacts the healthy aging of older adults living in the community. This paper will discuss why this topic is important to healthy aging, what the nurse’s role is and what some interventions are to try and lower the rate and risk of falls that the older adult experiences. Falls can have a devastating effect on the older adult and it is important to do everything possible to try and make sure this does not happen. As one ages, his/her bones and muscles may begin to atrophy and his/her gait changes which can all increase his/her risk for a fall. It is important because having a fall and possibly an injury could completely change how an older adult lives his/her life. There are many statistics on how prevalent falls are in the society of today’s older adult. According to the Canadian Institute of Health Research (2005), “among older adults, falls are the leading cause of injury deaths and the most common cause of nonfatal injuries and hospital admissions for trauma” (as cited in Theris, Kathleen, Veronique and Lynn, 2012, p. 188). Also, according to Manitoba Health (2005), older adults, those over the age of 65, have a nine times greater chance of a fall injury than those who are not (as cited in Butler-Jones, 2009). According to Cumming (2000)...
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...com/1755-4217.htm WHATT 1,3 Is tourism with a low impact on climate possible? Jonathan Chenoweth Centre for Environmental Strategy, University of Surrey, Guildford, UK Abstract Purpose – The purpose of this paper is to examine the impact of a range of different travel and tourism options, and quantifies the carbon-dioxide emissions resulting from international vacations, breaking down emissions categories into those resulting from transport, accommodation and recreation. Design/methodology/approach – The paper uses summary data to review a range of possible vacation scenarios and examines their relative carbon-dioxide emissions in order to compare the relative climatic impact of different forms of tourism and vacation options. Findings – The paper concludes that intercontinental flights and cruise ship travel are particularly carbon-intensive, which suggests that these two forms of tourism will be particularly vulnerable to any policy initiative to curb or price carbon emissions. Ends by considering whether climatically responsible international tourism is possible, and outlines some low-carbon options. Originality/value – The paper relates data on carbon emissions to the implications for tourism arising from climate change. Keywords Climatology, Tourism, Global warming Paper type General review 274 The nature of the challenge While much of the discussion about the climate change impacts of international travel focuses upon international aviation, all forms of transport result...
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...restraints has evolved to a patient focused and caring approach that has reduced the rates of restraint use and patient injuries. Nursing evidence based practices for patient safety evolves from current technological advances, research and nursing theory. The purpose of this paper is to address how nursing clinical practices evolved for the use of patient restraints in health care facilities. Identification and Discussion of Health Care Issue The Centers for Medicare & Medicaid Services (CMS) defines a physical restraint as “any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” (U.S. Department of Health and Human Services, 2001). Physical force can be human, mechanical devices, or a combination. Some Items that can be used to physically restrain people include bed side rails, waist belts, vests or jackets, hand mitts, arm and leg restraints. This author has witnessed wheel chairs being tied to hallways handrails; patients tied into wheel chairs with sheets; bed sheets wrapped tightly around patients in bed restricting movement; all four extremities tied down to beds to prevent the patient from wandering; improperly applied restraint causing asphyxiation and untrained staff ordering and applying restraints. Chemical restraints are psychoactive medications used to control a person’s behaviors...
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...Research Critique, Part 2 Jennifer Bullard Grand Canyon University Introduction to Nursing Research NRS433 Martha Schmidt October 07, 2012 Research Critique, Part 2 The purpose of this paper is to critique an article on the circumstances and characteristics of why patients fall in the hospital setting. The article being critiqued defines a fall as an unexpected drop from a sitting, standing, and lying position, which include an assisted fall (where someone helps guide them to the floor), slipping from a chair to the floor, and when a patient is found on the floor (Hitcho et al., 2008). This critique will discuss data collection, data management, analysis, and interpretation of the findings. The Washington University Institutional Review Board gave their approval for this study. Written consent was waived due to the fact that this study was part of a hospital-based project to improve quality. The study did not pose any risks to the patients as the patients were not put in any situation to induce a fall, and no precautions were taken away from patients that prevent falls. Several sources and a comprehensive fall data collection tool was used to collect data on the patients that fell during their hospitalization which included: the database of adverse events, the electronic medical record, the paper chart, and patient/ family interviews, where no objections to being interviewed were noted (Hitcho et al., 2008). The variables that were identified in the study were the...
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...Watson's Theory of Caring Alice Bennett NUR 403 June 28th 2011 Vicki Grosdidier, MSN Watson's Theory of Caring In this paper I will describe Jean Watson’s background of her theory, and provide concepts of her theory. In addition, I will relate her theory to person, health, nursing, and environment of the caring moment and provide a transpersonal relationship and relate the factors within my experience. Background and concepts of Watson’s Theory Dr. Jean Watson was born in West Virginia and moved to Boulder, Colorado in 1962. She earned a bachelor of science in nursing and psychology while attending the University of Colorado. Jean continued her education and received her master’s degree in psychiatric-mental health nursing. In addition, she earned her Ph.D. in education psychology and counseling. She taught at the University of Colorado School of Nursing and is the founder of the Center for Human Caring in Colorado. She has written many books discussing her philosophy and theory of human caring. Watson calls caring the ethical principle or standard by which curing interventions are measured (Alligood, 2006). Watson’s caring theory evolves in a global state no longer limited to facility settings. Watson’s theory is the development of a caring fluid experience expanding from the person to the community onward to society. The three major elements of Watson’s theory are the carative factors, the transpersonal caring...
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...Fall Prevention Falls are the leading cause of fatal and nonfatal injuries for persons over 65 years old. Falls can be linked to several factors such as several medical, cognitive and functional factors. There are several factors as well as situations that can increase fall risk such as unsteady gait, vision and cognitive impairment, incontinence and environment (Huey-Ming, 2011). In 2005, a sum of 15,802 individual over 65 years of age reportedly were injured from falling and died. In 2006, 1.8 million estimated individuals over 65 years old incurred some kind recent injury related to falls (CDC, 2006). However, the number of uninjured older adults that fell or had minor to moderate injury is unknown. The purpose of this paper is to discuss the issues of falls on the geriatric unit that I am employed and the changes necessary to decrease the numbers of falls on this unit. Problem Identification The geriatric unit in the hospital where I work has an average census of 36. On this unit patient falls are the most prominent problem. According to the hospital data in the past six months, there has been an average of two falls a day and twenty injuries related to falls. The number of patient falls has increased by 35 percent in the past six months. The goal of the fall prevention program is to reduce falls percentage by 30 percent (three falls a week) for the next three months and maintain it at a maximum of one fall a month thereafter. Falls affects the safety of the patients...
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...Running Head: Environmental Crime Environmental Crime [Name] [School] In partial fulfillment of the requirements for [subject] [Professor] [Date] ABSTRACT Environmental Crime is a very serious crime not only to the present society but also to the next generation of humans, animals and plants. This is a serious matter that affects the whole plant. This research paper discusses the definition of environmental crime, a few examples of companies that had committed environmental crime, environmental laws and crime punishment of the companies who had committed these crimes. Definition of Environmental Crime Environmental Crime is very hard to define. Some people say that it is a white collar crime, to others it is not just simply a white collar crime but it can be considered as crime against society. Whit Gibbons (2001) had shown two types of environmental crime in his article. First type is an individual such as an ordinary person dumping waste to the river and the other type is the white-collared type where companies dump harmful contaminants to a water source or the air. The main difference of the two according to Gibbons (2001) is that it is easier to prosecute an individual than a business corporation. The sad part is the business corporations who commit environmental crimes affects the environment more than an individual. He had treated the business corporation offenders as white-collar criminals and as such defined it...
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...UNIVERSITY OF PETROLEUM & ENERGY STUDIES DEHRADUN Group Project RAILWAY LOGISTICS (HEAVY HAUL TRAIN OPERATIONS) RESEARCH METHODOLOGY (MBCQ 721) Submitted to: Dr. NEERAJ ANAND Associate Professor& HOD – QT/RM/Operations CMES Submitted by : Name: AmolKhare Roll No: R600212004 Name: Ruchika Sahu Roll No: R600212039 Name: Rahul Kushwah Roll No: R600212031 MBA (LSCM)Sem II Batch 2012-14 Railway Logistics (Heavy Haul Train Operations). Page 1 ACKNOWLEDGMENT Our deepest thanks to, Dr Neeraj Anand, Associate Professor & HOD–QT/RM/Operations for College of Management and Economic Studies, as a guiding hand for us. He has taken pain to go through the project and also had spent time in giving necessary suggestions as and when needed. We would like to express our gratitude towards Mr R K Khare, Assistant Design Engineer, Track Department, of Research Design and Standard Organisation, Lucknow. Thereby our parents & classmates for their kind co-operation and encouragement which helped us in the completion of this project framework. We would like to express our special gratitude and thanks to industry persons for giving us such attention and time. Our thanks and appreciation also goes to the colleagues in developing the project and people who have helped us out with the different aspects of this Project. Date: 23, April 2013 Names: Amol Khare Rahul Kushwah Ruchika Sahu Railway Logistics (Heavy Haul Train Operations). Page 2 INDEX Sr. No. Topic Page No. 1...
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...Internet and E-commerce in international business Introduction: Commencing from 20th century, enormous use of Internet was witnesses in all the fields with a major impact on international business. Although the Internet and web 2.0 serve as improving trend of economy and business, there is negligible research done to advocate their impacts on international business and marketing (Urban, 2003). The present literature review essay is an attempt to address the gap of existing literature whereby necessary recommendations can be made to improve use of technology in business. For the purpose of this essay, extant literatures in the fields of international business, technology, science, marketing and e-commerce have been studied and reviewed. Research objective: To serve the purpose of the literature review, investigation of Internet and e-commerce over international business processes is performed with the primary research objective as the consequence of Internet on international business. Research questions: In order to study research objective, a set of research questions have been devised upon which a review is presented in the following essay. The research questions devised are: • Influence of Internet in international business. • Consequences of Internet on international entrepreneurship. • Impact of web 2.0 on international business processes. • Influence of e-commerce in international business Literature study: ...
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...patient. Analyze the current situation and provide evidence based resources to support the need for change and your proposed plan. Include ethical, legal, or standards of care implications. Washing hands as promptly and thoroughly as possible between patient contact and after contact with blood, bodily fluids, secretions, excretions, and medical equiptment contaminated by patients is a huge element in infection control. Hand hygiene is recognized by infection prevention and control experts as the single most important intervention in decreasing the spread of infection in healthcare facilities. Unclean hands are the main transporters for germs between people and inanimate objects (i.e. blood pressure cuffs, bed rails, call lights, etc…). It is imperative to practice frequent hand hygiene using either the traditional soap or water method or by using an alcohol based hand sanitizer. Soap and water is still considered the “gold standard” for hand hygiene. Although hand washing may seem like a simple process, it is often performed incorrectly. Proper hand washing technique should be done by first wetting your hands, then applying an adequate...
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...Marketing Mix MKT 421 Version 10 Marketing Mix The Marketing Mix or the P’s of marketing are the foundation of a marketing plan. When properly placed together these four parts make are the foundation of a marketing plan. This paper will look at the four P’s of marketing, product, price, place, and promotion, and how they are in marketing and how they work in a real world environment (Armstrong, Kotler, (2011). Product The first P in the four P’s is product. What item or service are we trying to market, the base, and without a product we have nothing to market. An idea is a product that is able to be marketed. Without this essential part of the process there is no other need for the three remaining P’s. The product is develops from research that’s sees a need for a product or service product in the industry. After a determination of a need for a product, a plan will be carefully placed together to make this product a reality (Cagan, 2007). In the medical supply field there is one company that looks to the future of products to delivery to the private doctor’s offices. They have determined that more than 60% of private doctor’s offices order online. They have also taken inventory of thousand offices and done countless surveys to discover exactly what products these doctors use. From a band aid to podiatry table this company will deliver the product to the shelf of the customer. If certain product the customer is looking for is not stocked that product will be located...
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...its operational options. We would like to thank Fontys and Roehapmton that give us such a good opportunity to work as a group, and we also would like to thank our tutor, Mr. Wijckmans for his instruction. Executive Summary The report gives a detailed account of the IKEA brand development over the years using marketing principles. The first chapter looks at IKEA, the background, evolvement and current position. Chapter two looks at branding in terms of the marketing mix that is product, price, promotion and place. This is the followed by chapter three which looks how IKEA handles cultural differences when conducting business across the world. Chapter four explores the various methods used by IKEA when conducting market research world wide. Chapter five gives an account of the market entry strategy used by IKEA to introduce their brand in new areas. The next chapter then delves into the details of market segmentation, positioning and targeting strategies used by IKEA. The report concludes with a look into the future world trends and their effects on the...
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...Dianne Ventura Professor Dunn Hum: 1025 John and Mable Ringling Museum As we drove up to the entrance of the John and Mable Ringling Museum, I was taken back for a moment. How could I have lived here in Tampa for seventeen years and never visit this place? I walked in and saw the grounds; this place was huge, well kept and full of history. My first stop was a stroll through Marble rose garden, it was beautiful , over one thousand-two hundred roses are planted in the garden the beautiful marble sculptures was placed in the right order, not overpowering the garden but just enough to accent the landscape. The stroll quiet relaxing, the cool air flowing through the trees, the sweet smell of morning dew on rose petal was the perfect way to begin the day. As my stroll ended I was told that the large tree surrounding the ground was much smaller, giving Mable a clear view of her garden from every room in her mansion. My next stop was the Museum of Art, what a beautiful exhibit. This was actually my favorite place in the entire museum. The first thing that captured my eye, was the twenty feet DAVID towing over the garden. Even though it was not the original, it was radiant. His poise and grace just over took the outdoor quarter. Viewing a sculpture in a text book and actually touching and seeing it in person is amazing. Remembering what I was taught in class; I started reviewing him carefully. Searching for all the characteristics was amazing. I was enjoying this and...
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...“aGeinG in PLace”: the Views OF OLDer hOmeOwners On maintenance, renOVatiOn anD aDaPtatiOn Judith Davey1 New Zealand Institute for Research on Ageing Te Putahi Rangahau i te Pakeke Haere Victoria University of Wellington Abstract “Ageing in place” is favoured in policies on ageing and is the preferred option of many older people. For older homeowners, remaining at home may depend on their ability to keep their homes in good condition, safe, suitable and comfortable. This research illuminates the attitudes, opinions and preferences of some older New Zealanders with respect to their current and future housing circumstances. A considerable degree of self-sufficiency was found with respect to home maintenance, but fewer people were capable of doing their own renovation work, and there were clear gender differences. The respondents mostly shared a strong desire to remain living independently in the community for the rest of their lives. The most popular option for a new residence was a separate house, but one smaller and easier to manage than their family home. To this end, many had already moved to low-maintenance housing suited to ageing in place. Others had aspirations for such a move. Some of those who wished to remain in their long-term family homes were considering adaptations to make this possible, and some had already adapted their homes to cope with health issues. The study concludes that most of the respondents were resourceful...
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