...The aim of 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...
Words: 1114 - Pages: 5
...Being a nursing home administrator with in a nursing home, excellent communication is a necessity. Communication is how care providers determine the quality of care that is given and needed for the patients. By being a nursing home administrator, it is my job to make sure that the HIPPA rules and regulations are being used by all employees. By making sure that HIPPA rules and regulations are being upheld, the nursing home is providing quality care to the patients. When a change happens at a nursing home there can be confusion and conflict with everyone involved. While following the chain of command can be long and even boring, it is needed to keep the communication process smooth and effective. The chain of command does help reduce the risk of a communication breakdown. If a communication breakdown is developed it can cause commotion in any health care facility which could jeopardize everyone involved. With being the nursing home administrator, the first job that I would need to do is have a full understanding of the new policies and procedures. I would need to know how the policies and procedures were put into place and how exactly this will affect the patient’s in the nursing home. In order to do this I would want to speak with the board members so my concerns could be addressed. In order to address these issues I could meet with the board members face to face, use social media, or by electronic communication. There are advantages to having traditional face to face meetings...
Words: 1238 - Pages: 5
...this essay, I plan to explore the concepts of the “nurse-patient relationship” using the necessary literature to back up my findings. I have chosen to study this concept because I am interested in discovering what makes a successful, or indeed, an unsuccessful nurse-patient relationship, as I believe the relationship between nurse and patient to be an integral part of nursing. The main focus of my essay will be around the works of Hildegard Peplau, but I plan to incorporate other theorists, such as Carl Rogers and Abraham Maslow, comparing and contrasting their approaches as well as drawing on my own practical experiences out on placement. Before beginning, it is important to understand what a “concept” is. This is so as to fully understand what the essay question is asking. According to Arnold and Underman Boggs (1999), a concept is a series of:- “Broad comprehensive ideas that serve as building blocks to present key ideas that make up models in a logical and focused manner” (p552). Concepts are very important in nursing and it is important that we understand why in order to integrate them into our practice. Nursing is now considered to be an “evidence-based” profession and one that changes constantly as new and fresh ideas are embraced. These ideas are formed through theories which, in turn, are formed through concepts. A fundamental part of the nurse’s role is to maintain confidentiality, and student nurses are no different. Any information included in essays, assignments...
Words: 2128 - Pages: 9
...3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia Student Name: Dashante` Burgess Green Cohort- Group 1 Module: NIP 1000 Word count: 3,010 A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was admitted to hospital with muscle and facial weakness with asymmetry and no movement to the left side of his body. He was eventually diagnosed with left-sided stroke resulting in right-sided hemiplegia affecting his balance and mobility. With the many health problems associated with stroke this essay will focus more on the problem of dysphagia and the patient’s needs related to this particular problem. Dysphagia is a condition in which the action of swallowing is either difficult or where the swallowed material seems to be held in its passage (McFerren 2008). The assessment, planning, implementation and evaluation (A.P.I.E) of the patient on admission and discharge will be discussed in further and more precise detail throughout the essay while maintaining...
Words: 4726 - Pages: 19
...However, I believe that continuous training and education will improve my leadership skills. This paper will consist of several things to include: four different surveys and tallying up the scores to reflect my degree of emotional intelligence, assessments and scores that identify my strengths and weaknesses, and skills that I could use to improve my emotional intelligence to be an effective leader. I believe that there are different types of leadership styles in the workplace. Some people were assigned to be leaders from their mother’s womb and others require training. The style of a leader depends on three things: beliefs, values and skills. The characteristics of a good leader should consist of honesty, respectfulness, sense of humor, the ability to inspire and encourage, good communication skills, flexibility, confidence and commitment. I participated in several emotional skills assessments presented in the book entitle “Emotional Intelligence: Achieving Academic and Career Excellence” to tap into my emotional intelligence and to define the areas of growth that I need to become an effective leader. The first emotional skill assessment in the book that I decided to take was the social awareness assessment. Darwin Nelson and...
Words: 2504 - Pages: 11
...Personal Essay This paper will be focusing on the life experiences that guided me towards selecting my current career choice of becoming a registered nurse; most of which has been through inspiration. Throughout the body of this essay highlights will be made on personal encounters with other healthcare professionals, past work history that contributed to my current career choice and individuals that were the driven force behind me wanting to be a nurse. I chose nursing because this profession allows me to care for an individual in their most vulnerable state and to gain trust and rapport over time. As a nurse, I will contribute by helping people live longer, richer lives. This decision was made at the age of fifteen in 2004 after becoming a member of the Antigua and Barduda Red Cross Society; which was the first exposure I had to the healthcare sector and where the true meaning of helping a complete stranger was understood. During my tenure I became a Certified Peer Counsellor to teenagers, where I learnt the skill of using effective therapeutic communication to converse with abused teens; be it physically, emotionally or sexually. Being certified gave me the opportunity to educate young adults on current pressing topics such AIDS, HIV and STD prevention. Additional, duties as a peer counsellor included distributing condoms and performing the necessary demonstration to ensure safe and effective usages. As one of the younger active members of The Antigua and Barbuda Red...
Words: 1787 - Pages: 8
...Reflective Essay The aim of this essay is to reflect on an incident, which took place in a hospital setting during the first month of my Foundation Degree Assistant Practitioner course. It will explore the importance of communication amongst the health care professionals and how a good nursing documentation is an integral part of nursing. It will also demonstrate how reflection enabled me to make sense of and learn from this experience, as well as identify any further learning developments needed to improve my practice and achieve the level of competency needed for when I qualify as an assistant practitioner. While discussing the knowledge underpinning practice, evidence based literature will be reviewed to support my discussion and for the purpose of reflection the essay will be written in the first person. Spouse, J, et al (2008). Jonhs, C (2009) defined reflection as learning through our every day experiences, towards realising one’s vision of desirable practice as a lived reality. He also added that it is a critical and a flexible process of self inquiry and transformation of being and becoming the practitioner you desire to be. However, Ghaye, T et al. (2000) stated that for the health care professionals to develop a more reflective posture, they must fully embrace both the principles and the practices of reflection. It is about becoming more aware of how we learn and how this affects what we think, feel and do. There are different models for reflection; some are more...
Words: 1624 - Pages: 7
...INTRODUCTION This essay is all about discharge care planning and will be discussed in two parts, the first part will highlight patient profile, assessment and discharge care planning with evidence based rationale using a framework based on Roper- Logan-Tierney (2000) model of nursing which involve giving nursing care holistically by using 12 activities of living (AL) and also incorporate nursing process to carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional values according to Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), which include consent, confidentiality, respect and dignity will be undertaking. For the...
Words: 2935 - Pages: 12
...This essay focuses on the Crewkerne Specialist Day Care Centre, a mental health initiative. It assesses the initiative's aims, its benefit to well-being and its contribution to public health. It also discusses why the initiative was required, the service users' needs and what contributed to them. The essay looks at a government policy which may have influenced the centre's development, who is involved, and the extent to which it makes use of multi-agency and partnership working. The centre welcomes older clients suffering mostly from forms of dementia, such as Alzheimer's. It aims to allow clients a better quality of life and make them feel like part of the community for longer (Project manager, 2008). This is achieved by providing a safe, comfortable and happy atmosphere as well as helping and listening to clients and their relatives. Physical, mental and practical activities stimulate clients and encourage interaction with others and self-worth. The centre is an extension of a day hospital situated in a separate location, and is governed by the Somerset Partnership NHS Foundation Trust (2008). This initiative has been chosen because it is close to home and having met some clients the centre cares for, it is clear to see how beneficial it is to the community and its service users. 'Public Health' refers to preventing disease, prolonging life and promoting health through society, communities and individuals (Wanless, 2004). Mental illnesses are a public health issue as they...
Words: 1365 - Pages: 6
...Reflection upon placement 1, Health Visitors 17/05/10 – 16/06/10 COMMUNICATION “Communication is the exchange of information with others. It is a process of sending and receiving messages. People communicate with signs and symbols, such as words, drawings and pictures. They also communicate with behaviour”, (Alvare et al, 2005:129). Communication is either verbal or non-verbal. Verbal communication is spoken. However, meanings can be interpreted differently due to tone, pitch and volume. Movements, facial expressions and posture displaying attitudes and emotions convey non-verbal communication. Therefore, the importance of effective communication in nursing cannot be overstated as miscommunication causes misunderstandings, misdiagnosis and even a lack of trust in the professional. In agreement with this, Walker et al state that interpersonal aspects of care are central to patient’s perceptions of quality of care. (2007:149). In this reflective essay, I will discuss the issues of prejudice and discrimination and how communication can convey both negative and positive attitudes. From my first clinical placement, I have learned how attitudes could have a profound effect on the level of care a client or patient receives. “Positive responses to cultural diversity include acceptance and knowledge, not bias or prejudice. A culture is a system of behaviours people learn from the people they live and grow up with. Each culture may have different lifestyles, religions, customs...
Words: 1729 - Pages: 7
...Nuclear families can be any size, as long as the family can support itself and there are only the parents and children. The purpose of the interview presented in this paper was to discover and describe the experience of pregnancy by a married woman who is in her late twenties. The paper presents the findings observed in the interview and ends with a series of conclusions and personal reflections on the interview method. The confidentiality of the pregnant lady’s name and that of any member of her family will be respected throughout the paper. This essay is an example of a student's work Disclaimer This essay has been submitted to us by a student in order to help you with your studies. This is not an example of the work written by our professional essay writers. Essay Writing ServiceEssay Marking ServiceExample Essays Who wrote this essayBecome a Freelance WriterPlace an Order The interview with Mrs. B was conducted in her home which was where she said she felt most comfortable answering...
Words: 2725 - Pages: 11
...culturally congruent care are the key factors for effective and excellent nursing care (Srivastava, 2007). However, health care provider’s roles and responsibilities in meeting health care needs of the clients in consideration to cultural perspective and diversity are getting more challenging and complicated due to increased number of people from a group of multi-ethnic and multi-cultural society, which, in turn requires health care providers to acknowledge and understand variations of cultural healthcare beliefs, values and practices. Transcultural nursing is essential in the process of nursing care because of the different factors, which includes increasing diversity and multicultural identities, emergent use of health care equipment that occasionally dispute the cultural ethics and beliefs of the clients and a rise in feminism and gender issues (Andrews &ump; Boyle, 2008). Maier-Lorentz (2008) states that the fundamental aspect of healthcare is transcultural nursing since culturally competent nursing care help guarantee patient satisfactions and health beneficial outcome. According to the Royal College of Nursing (2009), providing care with respect to health and illness based on the expectations of the people’s values, beliefs and practices corresponding with culture is the focal point of transcultural care. Influenced by the principles and theories of transcultural nursing, the author defines transcultural nursing as a discipline of culturally care for individuals...
Words: 2692 - Pages: 11
...Communication is all about passing messages on from person to person, or organization to organization. Proficient communication is a fundamental component in a Health and Social Care setting. For example: at a nursing home, a hospital, a nursery or a care home. People that have a job in the Health and Social Care field need effective communication skills in order to provide help for the many service users that they will meet whilst working. Having effective communication skills will help workers in this field to develop a trusting relationship between them and the users of Health and Social Care services. This essay will go into greater depths with the subject of effective communication. Health and Social Care settings are places in which workers in the field offer their help to users of the service if it is needed. People who might use these services are: the injured; school children, the ill and working class citizens from infancy to later adulthood. For each setting under the Health and Social Care field there is a different user and situation, so the method of communication depends on the situation and the service user. For example, in a GPs surgery, the method of communication used would be one-to-one communication as the interaction generally only happens between two persons (the doctor and the patient). An advantage of using one-to-one communication in a GP’s office or a doctor’s surgery is that the patient’s issues are kept confidential by the doctor or GP. The two...
Words: 1236 - Pages: 5
...Adjustment to Health Change or Crisis The following essay will describe the understanding that I have gained regarding a person who is adjusting to their health change. Throughout the essay I will be referring to the patient as John, and his wife as Sally, therefore adhering to the Nursing and Midwifery Council (2008) guidelines upholding confidentiality. John’s background will be summarised and key terminology being used throughout the essay clarified. I will underpin my essay with theory relevant to adjustment and coping, linking the theory to the interventions that were implemented while John was on the ward. Demonstration on how these interventions were effective and significance in supporting John with his adjustment will be shown, concluding with my own professional development. John is 68 years old; I met him while on placement. John was admitted to the ward after deterioration in his mental state at home. John has a diagnosis of Alzheimer’s Dementia (AD) and has recently become confused and was becoming aggressive, both verbally and physically with his family and friends. According to Jacoby,Oppenheimer (2003) reported aggression towards carers from people with AD is high and is generally the reason for the person to have a hospital admission. Sally was finding it increasingly difficult to manage his needs and her own health was suffering. John was also unsafe to be left at home alone due to his tendency to wander and his inability to recognise his...
Words: 3368 - Pages: 14
...NM1704: Applying a model of nursing roper, logan and tierney model This essay explores the preoperative care provided to one patient in a London hospital during one shift. This care was influenced by the holistic perspective to health. Arsing from the Greek for ‘whole’ this acknowledges physiological, psychological and social factors impacting the patient’s condition. (McFerran & Martin, 2008) It seeks to offer treatment inclusive of these factors rather than treating physical symptoms of a diagnosed disease in isolation. This essay will examine this within a Model of Nursing used in my clinical placement area - the Roper, Logan and Tierney model. The identities of both hospital and patient have been altered to maintain confidentiality and comply with the NMC Code of Conduct. (Council, 2008) During my placement I worked on a coronary care unit where I cared for a patient herein called Peter, a 60 year old White British male. Peter was single, lived alone and unemployed. He had a history of low mood and was admitted to a neighbouring hospital suffering symptoms of acute alcohol withdrawal syndrome (acute confusion, delusions and tremors). This arises when an individual reduces or stops alcohol consumption after prolonged periods of excessive alcohol intake. This can lead to tolerance, physical dependence and physical disturbances upon withdrawal due to the central nervous system reacting in a hyper-excitable state. (About.com, 2010) He was transferred to my area...
Words: 3559 - Pages: 15
