...Advance Professional Roles and Values Project Falls Keri Cochran October 20, 2014 Western Governor’s University The problem and explanation: The hospital I am employed at is currently having an issues with patient falls. The hospital is a “no restraint facility” and strongly discourages the use of any form of restraint including leather, soft, posey vests, or chemical. Currently the line of defense is using staff sitters, moving the patient to a visible room when available and or family members are encouraged to come and stay with their loved ones who are at high risk of falls. This does not always rectify the issues secondary to staffing issues and family participation. The facility has had two critical falls this year, one ending in a patient breaking a hip and the other a death secondary to hemorrhagic bleed to the brain. The facility has had numerous other falls which lead to added procedures, exposure to radiation (radiological exams) and increased lengths of stay, multiple bruises, fractures, pulled out IV which need to be preplaced, and numerous bleeds and skin tears. The unit I work on is a Medical Surgical Telemetry (4 Tower) unit which consists mainly of pre and post open heart patient and pre and post angiogram patients who may or may not have had interventions which include stents, plasty, TCPA, Pacemaker / AICD placement, and EP studies with ablations. The patient population is mainly sixty years of age and above, with a high incidence of diabetes...
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...consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates since 1900Examine the reasons for and the consequences of the fall in death rates...
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...time. On rare occasions, we are handed graphs and charts that explain what they expect and shows us specifically what needs to be improved upon. Since our jobs are to care for the sick and hurt, this information is not tossed aside and is typically taken more seriously. One main focus for the nursing staff at my facility is safety scores. We have two medical-surgical floors, one including oncology and the other orthopedics, one intensive care unit, and one step-down intermediate care unit. We all share the same safety goals that are in place to insure our patients not only receive the best possible care but also remain injury free while that care is being provided. Each unit is given a score from 0 to 100 percent based on quarterly fall occurrences and prevention measures. Comparisons are made between each medical floor...
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...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 patient’s information, details of the fall, contributing factors, injuries sustained, and the actions that were taken as a result of the fall. The patient information included the patient demographics, cognitive status, admitting diagnosis, fall history, medications...
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... In the journal of Geriatrics &Gerontology International, there is an interesting article by Vassallo et al. that discusses the fall risk factors in older patients with cognitive impairment. The issue addressed is almost identical title, which is “Fall Risk Factors in Elderly Patients with Cognitive Impairment on Rehabilitation Wards.” It is a clear and concise title, which states the population (the elderly) and major variables. (the mentally cognitive and the cognitively impaired). The researchers who conducted the study are qualified doctors who are familiar with both the risk factors affecting the elderly in a rehabilitation facility and/ or environment. The abstract discusses various components. First, the purpose of the study is to discover why cognitively impaired patients are more likely to have reoccurring falls, and how they differ from the cognitively intact. Second, the use of sample variable of all males over 80 with past history of falls, recurrent falls, medical records, and medication were taken into consideration during this study. Lastly, the study offers a methodology, yields results and discusses the...
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...interesting no matter what genre and last October 9’s movie didn’t disappoint. We watched an indie film by Joey De Guzman titled Tumbang Preso. The title seemed really familiar to me so because I was curious, I looked it up. Tumbang Preso was actually a child’s play, no wonder why it was so familiar. I used to play it at my grandma’s place back in Leyte when I was younger too. I actually thought it meant the fall of a prison cell since tumbang means fall and preso was jail. Lo and behold, it meant both. I was impressed with what Mr. De Guzman had going on. So tumbang preso has always been played in one way for kids. A player called an IT, is assigned to guard a can. The rest of the players with their “pamatos” or what they use to hit the can, line up behind a line drawn on the ground. Once settled, the game starts and each kid gets a chance to make the can fall with his or her pamatos. Once the can falls, the owner must retrieve the pamato that made the can fall immediately before he or she is caught. If he is caught, he becomes IT. If the can is hit and falls outside the circle but still stands, the IT has the right to tag the one responsible for the pamato once he or she leaves behind the line. The can may be kicked or knocked down under when it is outside the circle. If the player is not able to retrieve his pamato, the others can save him by hitting the can. The movie was pretty much like the game. Those players behind the line are like the victims of human trafficking...
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...Evidence-Based Fall Prevention Intervention in Community Senior Centers. American Journal Of Public Health, 106(11), 2026-2031. doi:10.2105/AJPH.2016.303386 This article, written by two Ph.D.s and an M.D., evaluates the effectiveness of a balance program, Tai Ji Quan, among thirty-six senior citizen centers in Oregon. The program’s success was measured by researchers through the number of self-reported falls. The authors applied previous research in their study. All participants were thoroughly screened prior to their participation in the study. A total of 569 senior citizens were enrolled in the classes, with 77% remained enrolled and 23% withdrawing early. Three participants...
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...1 ADM 2350B October 2, 2013 Midterm Examination Name: __________________________ Version #1 Student ID #: _____________________ Statement of Academic Integrity The Telfer School of Management does NOT condone academic fraud, an act by a student that may result in a false academic evaluation of that student or of another student. Without limiting the generality of this definition, academic fraud occurs when a student commits any of the following offences: plagiarism or cheating of any kind, use of books, notes, mathematical tables, dictionaries or other study aid unless an explicit written note to the contrary appears on the exam, to have in his/her possession cameras, radios (radios with head sets), tape recorders, pagers, cell phones, or any other communication device which has NOT been previously authorized in writing. Statement to be signed by the student: I have read the text on academic integrity and I pledge NOT to have committed or attempted to commit academic fraud in this examination. Signed:______________________________________ Note: an examination copy or booklet without that signed statement will NOT be graded and will receive a midterm exam grade of ZERO. General Instructions: 1. 2. 3. 4. 5. 6. 7. 8. Please SIGN the academic integrity statement above. Please put your Name and Student ID# on ALL SEVEN pages of this exam. This is an open book and open notes exam. Notes are any handwritten or printed materials, including but NOT limited to, previous assignments...
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...level. It involves a stretching of social, political and economic activities across political frontiers, regions and continents. With technology advancing, international communication increasing and trading becoming a lot more simplistic, globalization has started to shape both developed and underdeveloped countries as well. Although international trading today is seen as a norm, not all countries are reaping the benefits. The term globalization has been increasing since the mid-1980s and can be grouped into different categories, which include: trade and transactions, capital and investment movements, migration and movement of people. Globalizing processes affect and are affected by businesses and work organization, economics, and the natural environment (Held,McGrew,Goldblatt,Perraton). Globalization can create new opportunities, new ideas, and open new markets that an entrepreneur or business owner may have not had in their home country. It can provide a lot of great opportunities for a community, and help it grow. Growing up in Buffalo/Niagara Falls, NY, Globalization has heavily impacted my community. Being so close to the Canadian border has allowed for heavy traffic between the two Countries. In order to survive in the 21st century, companies in every industry are taking steps to expand internationally through trade and investment. Through the years, we have built a solid relationship with Canada, which has therefore allowed for a lot of international trade between the...
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...Reconstructing the Past to Change the Future: An Analysis of Character Development in When Heaven and Earth Changed Places and Journey From the Fall While the characters from When Heaven and Earth Changed Places and Journey From the Fall move on to a life of "comfort and safety" in the US, unsettling memories of the war resurface that force them to revisit their pasts. In order to reconcile their regrets, they must reconstruct memories from their past and address their guilt. This essay follows the journey that the characters Le Ly Hayslip and Mai take from Vietnam to the US and provides examples of how the two women attempt to forget their previous existences, create new ones, and reevaluate their pasts in the context of the present. By “comfort and safety,” I mean that Le Ly and Mai are not worrying about survival and safety as much anymore in the US as compared to in Vietnam. The two characters escape Vietnam because the livelihoods of their families are at stake. Le Ly escapes Vietnam for reasons relating to physical as well as emotional well-being. When Le Ly talks about the story of a woman watching her son get shot and then the woman herself getting shot as well, Le Ly realizes that the only chance for survival for her and her son is by leaving Vietnam. In addition, not only is Le Ly in physical danger, she is also in a hostile environment in terms of her relationships with the people around her. Her family relations are extremely volatile, since her family is very involved in the...
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...Long-term implications Urban renewal sometimes lives up to the hopes of its original proponents – it has been assessed by politicians, urban planners, civic leaders, and residents – it has played an undeniably[citation needed] important role. Additionally, urban renewal can have many positive effects. Replenished housing stock might be an improvement in quality; it may increase density and reduce sprawl; it might have economic benefits and improve the global economic competitiveness of a city's centre. It may, in some instances, improve cultural and social amenity, and it may also improve opportunities for safety and surveillance. Developments such as London Docklands increased tax revenues for government. In late 1964, the British commentator Neil Wates expressed the opinion that urban renewal in the USA had 'demonstrated the tremendous advantages which flow from an urban renewal programme,' such as remedying the 'personal problems' of the poor, creation or renovation of housing stock, educational and cultural 'opportunities'.[26] As many examples listed above show, urban renewal has been responsible for the rehabilitation of communities—as well as displacement. Replacement housing – particularly in the form of housing towers – might be difficult to police, leading to an increase in crime, and such structures might in themselves be dehumanising. Urban renewal is usually non-consultative. Urban renewal continues to evolve as successes and failures are examined and new models...
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...analysis technique (FIA) and determine the filterable reactive phosphorus (FRP) in Yarra River’s water samples in order to assess the trophic status of the Yarra River’s sites. Methods A phosphate calibration curve was made from a stock solution provided. The samples and the QC solution was measured using the FIA technique and the FRP was obtained using the peak height from the samples. The QC solution was diluted 2:5. Sample Calculations x= y-0.29781.137 equation 1 % relative error=|x-x||x| (equation 2) x= Measured value of QC and x = Known value of QC Results Calibration curve Sample | Peak | FRP | Mean | SD | %RSD | | Height | (µg/L) | | | | | 85.8 | 75.2 | | | | Dight Falls | 85.0 | 74.5 | 74.9 | 0.4 | 0.5 | | 85.5 | 74.9 | | | | | 37.0 | 32.3 | | | | Chirnside | 37.0 | 32.3 | 32.0 | 0.5 | 2 | | 36.0 | 31.4 | | | | | 27.5 | 23.9 | | | | Unknow | 27.3 | 23.7 | 23.7 | 0.2 | 0.9 | | 27.0 | 23.5 | | | | | 35.5 | 31.0 | | | | QA | 36.0 | 31.4 | 31.4 | 0.4 | 1 | | 36.5 | 31.8 | | | | Table 1: Peak Height, FRP and statistics of the samples and QA. Questions 7.1 The QC has a concentration of 100 µg/L, but it was diluted in a 2:5 ratio for the measurements, so the expected QC concentration was 40 µg/L. The found value for the QC concentration using the FIA is 31.4 ± 0.4 µg/L. The % relative error, calculated using the equation X above, is 21.5%. Therefore, we can...
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...(iv) A plot of the interest rates on default-free government bonds with different terms to maturity is called A) a risk-structure curve. B) a default-free curve. C) an interest-rate curve. D) a yield curve. (v) When yield curves are steeply upward sloping, A) short-term interest rates are above long-term interest rates. B) short-term interest rates are about the same as long-term interest rates. C) medium-term interest rates are above both short-term and long-term interest rates. D) long-term interest rates are above short-term interest rates. (vi) If the expected path of one-year interest rates over the next five years is 4 percent, 5 percent, 7 percent, 8 percent, and 6 percent, then the expectations theory predicts that today's interest rate on the five-year bond is A) 4 percent. B) 5 percent. C) 6 percent. D) 7 percent. (vii) According to the liquidity premium theory of the term structure A) because buyers of bonds may prefer bonds of one maturity over another, interest rates on bonds of different maturities do not move together over time. B) because of the positive term premium, the yield curve will not be observed to be downward sloping. C) the interest rate on long-term bonds will equal an average of short-term interest rates that people expect to occur over the life of the long-term bonds plus a term premium. D) the interest rate for each maturity bond is determined by supply and demand for that maturity bond. Chapter 5 Q10. Suppose investors...
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...current account deficit. The government decides to devalue the pound to help eliminate this deficit. The J-curve shows that, in the short term, the deficit may get bigger before, eventually, it starts to reduce. In other words, the Marshall Lerner condition is not satisfied in the short run, even though it will be in the medium to long term. Why might this be the case? The main reason is time lags. It takes time for producers and consumers to adjust their purchases to the changed prices brought about by the devalued exchange rate. Certainly, firms will have orders planned in advance, and will not react to the price changes for a number of months. Exports revenues may not rise immediately, but they will not fall either, but foreign import revenues may well rise, as increased import prices are combined with static, or at least very inelastic, demand. The current account deficit will probably get worse. After a period of time, foreigners will react to the lower export prices and UK firms and consumers will react to the higher import prices. The Marshall Lerner condition should be satisfied as demand for both exports and imports become more elastic and the deficit should start to fall. Remember that higher import prices will feed through to higher inflation eventually. This will reduce the competitiveness of British industry causing long-term problems for the current account. This is why many politicians see devaluation as failure. Once the economy is past the trough of the J-curve...
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...its suppliers. Unifine purchases one million pounds of honey annually with at 50:50 blend of Chinese and Canadian honey which costs him $1.08 per pound. Unifine, apart from in-house usage of honey, sells 80% of its honey to one large franchise and his customers demand product consistency. With Chinese supply blocked, which is a major supplier of honey to world meeting 20% of honey demand, honey suppliers can demand a high price. Unifine’s purchasing from a single source in the past, exposed its buying strategy to unforeseen risks from sudden fall in market supply, and also proves that Unifine Richardson is no more sustainable than its supply chain. With fall in demand, Unifine is not in a position to bargain price. Its main concern at this time is to ensure uninterrupted supply so that its supply chain is not disrupted. Pincombe should decide to lock a price for Canadian honey to ensure smooth supply as a short term strategy. Long term strategy should include having diverse supplier base and backward integration, buying raw honey from local buyers and pasteurizing to ensure honey availability if this project meets ROI. Analysis and evaluation: Applying Porter’s five forces analysis for honey market it appears that buyers don’t have much influence on honey market. As honey supply has reduced by 20% in world market, suppliers are at upper hand and control market price. Honey market is influenced by government regulations and controls and CFIA can block supply of honey from...
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