...(Villet-Langomarsino 2018). Pain management of the hospice patient is of great importance because it is one of the few things that can be done during the end stage of life when treatment of a disease is no longer desired. Pain is a common symptom in health care and should be one of the easiest to treat due to its popularity, but unfortunately it is not. Since pain is so unique to person, assessment and treatment must be custom tailored to each patient. The problem with pain management is its specificity to each person and disease plus the numerous ways to treat it. Without one specific roadmap of treating...
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...Management Focusing on Acute Pain: A Multidisciplinary Concept Analysis The concept of managing acute pain is extremely significant to nursing as pain is one of the most common problems for which patients seek out health care resources. Pain is a complex and abstract concept that encompasses sensory, emotional, psychological, social, and spiritual perceptions of pain that may occur in combination with physical pain. Pain is difficult to describe and often hard to measure; although, most healthcare providers agree that pain is subjective and is to be measured qualitatively and quantitatively as the patient perceives its intensity. Pain can affect the quality of life of the individual by impacting them physically, emotionally, and financially. Pain can also impact the family and support systems. The treatment of pain and the loss of income due to pain increases the costs for health care, the individual, and the population. Analyzing and clarifying the concept of managing acute pain can increase the healthcare provider’s knowledge of acute pain management, define the concept of managing acute pain, and expand the understanding of the concept of managing acute pain. The aim of this analysis is to clarify the defining attributes of managing acute pain, identify antecedents that influence the perception of pain and the possible consequences of acute pain. Review of Literature To increase the understanding of the concept of managing acute pain, it is important to explore the definitions...
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...Concept Analysis: Healthcare Related Quality of Life Tarren Evans, RN BSN APSU/RODP NURS 5000 March 21, 2015 Quality of Life Concept Introduction The phrase “health care related quality of life” (HRQOL) or “quality of life” (QOL) is often used in healthcare. The perceptions of the meaning can vary depending on who is explaining it. The reason for this selected topic is to research other disciplines and see if indeed significant variations in the meaning exist. The purpose of this concept analysis is to define, research, and analyze if the dissimilarities improve or hinder a patient’s plan of care. This paper will examine the significance of a concept to advance understanding (McEwen, 2014). Literature Review Can quality of life be defined to have a uniformed definition? The first known research on quality of life was published in 1957 that surveyed mental health adults in the USA. The Oxford English Dictionary (2010) defines QOL as “the standard of health, comfort, and happiness experienced by an individual or group”. There are several influences that can alter the definition of QOL. The acronym “HRQOL” is a narrowed term when characteristics relating to an individual’s health status are likely to be affected (Sandau, 2014). The literature review discussed some domains that render the effects on the perception of this concept. A collaborative study done by doctors and nurse practitioners discussed that physical, social, emotional, cognitive, and spiritual...
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...Psychological factors such as behaviors due to chronic pain, stress, depression, and cultural beliefs can have an adverse affect on the body’s physical condition making the treatment of both the patients’ psychological and physiological aspects of health crucial in increasing the success of the patient’s treatment outcomes, one’s adherence to medical regimens and maintaining and improving one’s wellness. Therefore, in the attempt of improving overall patient health, measurable by shorter hospitalizations and improved adherence to medical regimens, a psychiatry division comprised of five specialists specializing in substance abuse psychology, inpatient-only psychology, child psychology, adult psychology, and pain management has been developed with the responsibility of improving patient health through the use of psychological methods. The implementation of these methods are targeted to concentrate on the weaknesses and strengths of those needing psychological help in the hopes of improving the health and well-being of all those involved. Substance Abuse Counselor The substance abuse counselor is one, which helps individuals dealing and suffering from a variety of different addictions such as those of alcohol and drugs. The substance abuse counselor is to counsel individuals who are addicted to these substances, helping him or, she to identify and understand the behaviors and problems associated with his or, her addiction. Addiction can become a very debilitating disorder...
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...this essay is to explore an aspect of care that a client group receives whilst in the community setting. The chosen aspect of care will be palliative care delivered to those patients who have been told they have a non-curative illness but are not yet at the end of life. The stage of the illness of the client group chosen is one where the patient is managed at home because there as there is nothing anyone can do to make things better (Calman-Hine Report 1998). The essay will also briefly describe three different professional groups involved in providing palliative care. It will then go on to discuss how good communication and collaborative working between these professional can provide the best quality of care of the patient and how poor communication can compromise the patients quality of care. Palliative care can be defined as the overall care of patients whose disease does not respond to curative treatment. The aim of Palliative care is to improve as much as possible the quality of life of patients and their families facing a life-threatening illness. This can be achieved by providing pain and symptom relief, spiritual and psychosocial support from diagnosis to bereavement (WHO 2002). Patients with life threatening illness may require care from a variety of different specialists and services at a number of points in their illness; this will include both statutory and non-statutory organisations (National Health Service Executive 1998). To ensure that all the patient’s...
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...Procedural Pain Management for the Early Childhood Patient: A Multidisciplinary Concept Analysis of Pain BLK, RN, BSN The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Xxxx, xx October 8, 2013 Procedural Pain Management for the Early Childhood Patient Children presenting to the emergency department are often subjected to painful and anxiety-producing procedures, both for diagnostic purposes and for treatment of symptoms. Historically, pediatric patients have not been afforded the same level of care as adults with regard to the management of procedural pain. Pain in the young child age group (1-7 years) has often been under-treated, resulting in increased fear of the healthcare setting and postponement of necessary immunizations and procedures by the patients and parents. Close examination of the concept of pain – specifically, procedural pain in the young child age group in the emergency department (ED) setting, is necessary for understanding how nursing practice may be improved in order to produce a more positive patient experience. A thoughtful review of current literature will provide insight into the concept of pediatric pain, permitting a detailed analysis. This analysis will assist in the formulation of theoretical and operational definitions of the concept for use in further study. Review of Literature A review of literature was conducted to compare and contrast...
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...involve es exercises and other physical activities done on the body to improve health. This physical therapy includes; Acupuncture: this a physical therapy that involves the use of fine pins inserted in the skin at specific points along the meridians. This therapy adjusts the body energy flow into healthier patterns. But if the acupuncturist is not a qualified one then aim of the acupuncture might not be obtained. There are twelve primary acupuncture meridians that flow throughout the body, these acupuncture flow one into another; coupled together like two end of a hose. These paths ensure an even flow throughout the area of the body. Acupuncture points are locations along the meridians where the energy in that meridian merges and can be accused and affected. The effect of a point is done through stimulation with needles inserted into the defined location. Stimulation of the point is done through by the application of mechanical actions; heat or slight electrical micro-current can be applied on the needle. Before acupuncture is done the acupuncturist examines the patient first and asses the condition of the body. It is also recommended for patients who do not respond to treatment but can be dangerous for patients with bleeding disorder as well. Advantages * It regulates blood pressure. * Stabilizes blood flow around all part of the body. * Helps to live a stronger and healthier life * A good solution for weight loss. * Increase roper metabolic activity...
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...death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role is to support what is important to the individual. Nursing care is tailored to support patient defined goals. The person who is actually experiencing the journey should be the one who defines suffering, and how their limited time will be spent. Nursing can teach both the patient and the practioner that knowing the end of life is coming can be a great blessing. This knowing that time is limited can allow healing and reconciliation not possible at any other time in a person’s life. The death of a loved one is not just about the loss of the individual, it is also about one’s own mortality. Nothing else can force surrender and acceptance like the illness and death of a close family member. B. Strategies to Improve Quality of life for Mr. and Mrs. Thomas 1. Help the couple define the source of their depression. Unspoken concerns and fears about death can be a source of depression. Death is a natural part of life. Facilitation of open discussion about Mrs. Thomas’s condition and her prognosis should be explored. Defining what her illness and eventual death means for each of them encourages...
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...competence an important skill to a health care practice”: * What is cultural competence? What is not? 1. It’s not cultural awareness, cultural sensibility. 2. According to the anthropologist, Williams Haviland: Cultural 3. According to the office of Minority Health, defined Cultural and linguistic ( Website: www.competence (http://minorityhealth.hhs.gov/) 4. Kate Berardo as Cultural Awareness is the foundation of communication. 5. Stephanie Quappe and Giovanna Cantatore( 2007). * Why is cultural competence important in the health field? 1. I’ am an immigrant (My experience) : I have seem poor quality of care 2. Personal experience as an interpreter. (Example). * The Benefit and the lack of cultural competence:(Negative & positive effects): 1. Zborowski, M. (1952). Cultural Components in Responses to Pain. Journal Of Social Issues, 8(4), 16-30. 2. Dr Elyse R. Pork PhD from, Massachusetts General Hospital/Harvard Medical School, Boston, MA, (2006) 3. http://xculture.org/why-cultural-competency 4. Used: Schwartz, M. C. (1978). Helping the worker with counter-transference. Social Work, 23(3), 204. 5. Cultural Competence in Psychosocial and Psychiatric Care: A Critical Perspective with Reference to Research and Clinical Experiences in California, US and in Germany. Social Work In Health Care, 39(3-4), 231-247. doi:10.1300/J010v39n03_ 6. Used:Easterby, L....
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...20 stools during acute exacerbation), crampy abdominal pain, and exacerbations (“flare-ups”)/remissions. B. Pathophysiology Ulcerative colitis usually starts in the rectum and moves in a continual fashion toward the cecum. Although there is sometimes mild inflammation in the terminal ileum, ulcerative colitis is a disease of the colon and the rectum. The inflammation and ulcerations occur in the mucosal layer, the inner-most layer of the bowel wall. Since it does not extend through all bowel wall layers, fistulas and abscesses are rare. Water and electrolytes cannot be absorbed through inflamed mucosa. Diarrhea with large fluid and electrolyte losses is a characteristic feature of damage to the colonic mucosa epithelium. Breakdown of cells results in protein loss through stool. Areas of inflamed mucosa form pseudo-polyps, tongue-like projections into the bowel lumen. C. Common signs & symptoms or clinical manifestations The common signs of ulcerative colitis include diarrhea, bloody stools, weight loss, abdominal pain, fever and fatigue. It is considered a chronic disorder a chronic disorder with mild to severe acute exacerbations that occur at unpredictable intervals over many years. The primary manifestations of ulcerative colitis are bloody diarrhea and abdominal pain. Pain may vary from the mild lower abdominal cramping associated with diarrhea to the severe, constant pain associated with acute perforations. With mild disease...
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...The book, Emotional Intelligence 2.0, provides an alternative approach to how a person achieves success. This book does not focus on the conventional determinant of success, such as formal education and training, experience, and intelligence level (IQ). Although all these components contribute greatly to ones achievement of success, these factors are not the only factors to be considered in whether a person will be successful or not. This book focuses on the concept that it refers to as emotional intelligence (EQ), which is one’s ability to recognize and effectively understand his/her emotions in a productive and rational manner. The objective of Emotional Intelligence 2.0 is to educate people on suppressing their natural willingness to succumb to their feelings or emotions. The author states, “The physical pathway for emotional intelligence starts in the brain, at the spinal cord. Your primary senses enter here and must travel to the front of your brain before you can think rationally about your experience. But first they travel through the limbic system, the place where emotions are experienced. Emotional intelligence requires effective communication between the rational and emotional centers of the brain” (p. 7). Overall, people have to learn to deal with or work through the emotional phase of the thinking process and resist making “knee jerk” decisions based on their feelings at a given moment. By increasing their EQ, people are more proficient in making...
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...communities. A company's involvement in such initiatives is viewed as an investment rather than a cost to preserve the environment, promote fair treatment of employees and show concern for the customer. Companies in the Emirates are now using the social responsibility consideration to make investment decisions and win new business. These initiatives are used as a way to develop and strengthen relationships with customers, suppliers and networks. This is leading to increased customer retention and differentiation from competitors. Companies are increasingly realizing that CSR projects not only help win customer loyalty, but also assist in attracting and retaining workers. Therefore, these activities may help generate positive publicity and improve a business's reputation in the...
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...Nova Southeastern University H. Wayne Huizenga School of Business & Entrepreneurship Assignment for Course: | MGT 5012: 21st Management Practices | Submitted to: | Dr. Bahaudin G. Mujtaba | Submitted by: | Kandis D. Gaines | | N01408070 | | 5800 Lake Pointe Village Cir #617 Orlando Fl 32822 | | 386-316-1449 | | | Date of Submission: December 8, 2013 Title of Assignment: Final Term Paper: Business Ethics and the Moral Foundation of Effective Leadership CERTIFICATION OF AUTHORSHIP: I certify that I am the author of this paper and that any assistance I received in its preparation is fully acknowledged and disclosed in the paper. I have also cited any sources from which I used data, ideas or words, either quoted directly or paraphrased. I also certify that this paper was prepared by me specifically for this course. Student's Signature: _____Kandis D. Gaines_________________________ ***************************************************************** Instructor's Grade on Assignment: Instructor's Comments: Business Ethics and the Moral Foundation of Effective Leadership Introduction In the global business spectrum, ethics play a huge role within any form of business where key ethical principles such as morals, values, and judgment determine the overall success and direction of the company. Managers and entrepreneurs who make moral determinations behind ethics build trust and create positive relationships with their employees, consumers...
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...development of new products, and improvement of existing products. Systemmatic Innovation of Products includes: * Technology strategy * Design thinking skills * Customer needs analysis * Systematic creativity methods * Market and pricing strategy * Design for environmental sustainability * Design of services * Capturing value from innovation * Development process design * Product and service leadership * R&D organization and teams * Managing complex technical projects * The future of design process and culture The development and market introduction of a new, redesigned or substantially improved good or service. might include a new product's invention; technical specification and quality improvements made to a product; or the inclusion of newcomponents, materials or desirable functions into an existing product. Meaning of New Product Development: Product development is a broad field of endeavor dealing with the design, creation, and marketing of new products. Sometimes referred to as new product development (NPD), the discipline is focused on developing systematic methods for guiding all the processes involved in getting a new product to market. New product development (NPD) is the complete process of bringing a new product to market. A product is a set of benefits offered for exchange and can be tangible (that is, something physical you can touch) or intangible (like a service,...
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...and Inter-professional Team Development The Patient and Family Care Organizational Self-Assessment Tool (PFCC) for current practice setting will be completed as well as the organization in its entirety. The results will be analyzed based on a one to five scoring system with one being the lowest. The areas where the organization could improve its PFCC care will be discussed. The analysis of how business practices and regulatory requirements impact patient family centered care. A strategy will be created that includes goals and an operational plan to increase PFCC of the organization by improving one of the gaps that’s identified. I will discuss financial implications that this strategy may have on the organization. I will identify potential members for the multidisciplinary team who could assist in improving the identified gap. I will discuss the purpose and scope of the team to include the member’s roles, and importance of diversity within the team. The team will focus in a meaningful way using self-assessment, and awareness of self-reflective techniques. I will use PDAC to monitor whether the strategy was effective in increasing patient and family centered care. Self-Assessment Tool The PFCC tool was used to evaluate Medical Center Health System (MCHS) see attached. Setting Description Medical Center Hospital System (MCHS) is an acute care, not for profit regional 402 bed Level II Trauma Center, located in West Texas of the Permian Basin. It serves a...
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