...satisfy the needs of your baby is not an easy or painless task. The immense pressure to do the best you possibly can for your child poses a huge responsibility on parents. In my opinion, the critiques condemnation of attachment parenting is not fair. I believe that the concept of attachment is reasonable and infact necessary for infants to develop into skilled, independent and mature individuals who share a strong emotional bond with their parents. First and foremost, it is essential to know what Attachment parenting is all about? It is ‘an approach of raising children who are well connected to their parents rather than a strict set of rules.’A common misconception that people have is considering intensive mothering to be a synonym for attachment parenting. Intensive mothering is based on the idea of completely sacrificing your needs and desires and devoting your life to your child or in other words letting your child dictate your life. Most of the articles such as Dr. Laura’s neighborhood focuses on the extreme extent people go to in order to raise their child in the “perfect” way. The author in a rather sarcastic tone aims to make the readers realize that even in the 1970’s and 80’s parents raised babies who turned out to be just fine without ‘the concern that they aren’t spending enough time with their kids and needing to demonstrate in countless ways each and everyday that you really, really love your child’. It lays emphasis on the fact that if you are unable to provide...
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...Not only does the denial of access to culturally embedded culinary practices cause a “slippage of subjectivity” into something else, but the food itself does not seem like food at all, eliminating a bodily need that was constitutive of individual identity and destabilizing the donor identity as it interrupts its biological processes. More than forcing different cultural standards on the Prakesh family’s consumption habits, Ginny has seen to it that they receive only nourishment that has been so mitigated by technology that it no longer resembles food in any “natural” sense at all. Rather than rice, fish, or potatoes, their kitchen is stocked with “multi-colored pellets” and a specialized “cooking device.” The kitchen itself, as a space highly productive of identities marked by difference, has been “dismantled.” Concerning this food-stuff Detsi-Diamanti writes, “Being constantly monitored and fattened like the proverbial lamb before the slaughter, the characters begin to lead antiseptic lives, eating multicolored pills instead of food, avoiding human contact for fear of contamination” (italics mine, 115), of which one should note the animal comparison. In this fashion, Ginny does not merely invest in her donor population, but rather erases their own domestic identity, and replaces it with the sterilized version suitable to her commodification of their bodies and organs, as she has ordered that the guard “cleans and swabs the entire area.” Similarly, in factory farm environments...
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...Tyler K Nizzi Block: 8 Benefits of Factory Farming What are the benefits of factory farming? Factory farming or industrial agriculture involves the exploitation of animals so as to ensure profits, particularly in the dairy and meat industries. As such, engaging in this kind of farming not only offers high profits, but it also guarantees more productivity. Cheap food production: Due to the use of technology and “economies of scale,” they produce food at less cost than smaller farms, thus enabling customers to save money on food purchases (1). Efficiency: The ability to efficiently produce and distribute huge quantities of food to feed large cities (1). Employment: Factory farms provide employment to nearby communities (1). Capital: Supporters argue that factory farms do invest in the communities in which they operate (1). In today’s technology factory farming and also applying chemical products, food is produced at lower costs as compared to smaller farms. A cheaper production that benefits the producers and the consumers. Meaning producers will have better profits. Consumers can enjoy on the lower priced products. The capability of providing large amounts of food is vital in huge cities. This high efficiency will benefit the people in those particular cities ensuring they always have food. Stopping food shortages is a major factory farming benefit. The produced food product can be quickly distributed to its consumers, thus supporting better overall health. Employment of...
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...Factory Farming Each year millions of pigs, chickens, cows, and other mass produced animals are being abused, brutally murdered, and have even become a health hazard to human beings. Many people have turned a blind eye to this world wide epidemic so they can continue to benefit from the prices and convenience of factory farmed animals. It is true that man is the ruler over animals, but they are still living creatures that do feel pain from abuse and do still suffer when neglected. It’s bewildering to realize that we as a human race have revolutionized women’s rights, civil rights, and even going as far as protecting the environment but we continue to accept the horrific abuse of animals. It’s time for a change! Today’s farming has come a long way from what it was like forty or fifty years ago but trust me not in a positive way. Since what most people focus on now a day is money that is all they seem to care about. First lets define the word brutality according to the free dictionary on on-line brutality is the state or quality of being ruthless, cruel, harsh, or unrelenting (Brutality, 2000). Many large corporation run most of the farms today due to the economy and regular farmers not being able to afford to run let alone own a farm, factory farming has become the way to do business, despite the fact that animals are meant to graze on green pastures and drink from clean watering holes many animals are instead being confined to small cages, being brutally abused, getting...
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...Organizational Change Plan Part II Mia A. Lowe HCS/587 December 2, 2013 Dr. Sonnia Oliva Organizational Change Plan Part II Moving, which is the implementation phase is the second phase in Kurt Lewin’s theory. During this phase, organizations begin to implement changes and the behaviors of the employees start to change (Spector, 2010). According to Lewin (2010), “Those new behaviors, must become permanent, for at least a desired period of time” (p. 29). The stakeholder’s agreement to implement a Telemedicine Intensive Care Unit (tele-ICU) in the Medical Intensive Care Unit (MICU) becomes operational. The second part of this Organizational Change Plan focuses on strategies for implementing a tele-ICU in the MICU. The chief medical director assigns a project manager to the project to oversee the implementation of the tele-ICU. The project manager schedules large weekly meetings with the stakeholders to ensure everyone is completing their assigned tasks. The project manager has an issues log containing issues categorized by subject, owner, and pending due date or completed date. The purpose of the issues log is to track and resolve issues as identified to keep the project moving forward. If the stakeholders in the meeting cannot resolve the issues, the project manager reviews the issues with the chief medical director for resolution. In addition, the project manager schedules small group meeting with different departments. The small groups report...
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...suctioning might decrease the frequency of suctioning complications. TBA Care is a novel device designed to generate a signal when secretions are present in the respiratory tract of an intubated patient, indicating the need for endotracheal suctioning. This is the first prospective randomized trial to compare different indications for endotracheal suctioning. This study compares the efficacy of TBA Care in detecting the presence of secretions in the airways to standard indications, and tested the hypothesis that different suctioning indications could impact the incidence of ventilator-associated pneumonia and extubation rate (Lucchini et al., 2011). This is a quantitative research study with prospective randomized trial with 72 general intensive care unit patients randomized at intubation into 2 groups, differing only in suctioning indications. The study was conducted over a 9 month period and 72 adult patients who are over 18 years and are intubated or...
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...Uyanga N Chapter 3: Case Study 4: “Worst Case Scenario” – The Nightmare 1. Overview of the issue: Small acute care hospital CEO received call from night supervisor. The four-bed intensive care unit (ICU) was full and the supervisor asked the CEO if one of the ICU patient could be transferred elsewhere to receive car accidents victim from Emergency Department (ER). One of the ER patient’s injuries was so severe that she had to get into the ICU in less than two hours because only the ICU had the necessary technology to keep this patient alive. Since there are no funds to add ICU beds, what steps should the CEO of this hospital take to plan for the worst case for a full ICU bed scenario? (Longest, & Darr, 2008) 2. Statement of the questions: 1) Steps CEO should take in the planning process Systems and processes are critical in decision making process for the worst case for a full ICU bed scenario (Hick, Barbera, & Keken, 2009) . First of all, CEO should have a meeting with all managers to discuss the issues and develop strategic plan to solve this problem. Planning the worst case for a full ICU bed scenario is affected by many variables. There are four key interdependent factors that contribute to an effective full-bed response: system, space, staff, and supplies (Hick, Barbera, & Keken, 2009). Moreover, managers should consider the underlying system components during their planning process such as command, control, communication, coordination, continuity of operations...
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...sources of support Centre for Clinical Studies - Women's and Children's Health, Mater Hospital, Sth Brisbane, Queensland, AUSTRALIA Department of Health and Ageing, Commonwealth Government, Canberra ACT, AUSTRALIA What's new This review updates the existing review of "Gowning by attendants and visitors in newborn nurseries for prevention of neonatal morbidity and mortality" which was published in The Cochrane Library Issue 2, 2003 (Webster 2003). No new trials were identified as a result of this updated search. The conclusions of the review are unchanged. Text of review Synopsis Gowning by attendants and visitors in newborn nurseries for prevention of neonatal morbidity and mortality Newborn nurseries and neonatal intensive care units often require staff and visitors to wear overgowns with the intention of preventing the spread of infection. It has also been thought that putting on an overgown will remind people to wash...
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...Introduction……………………………………………………………………………….3 Review of the Literature…………………………………………………………………..4 Purpose……………………………………………………………………………………8 Methods……………………………………………………………………………………9 Design and research questions…………………………………………………….9 Sample……………………………………………………………………………..9 Survey instrument……………………………………………………..…………10 Research procedures……………………………………………………………..10 Informed consent and IRB approval……………………………………………..11 Strengths and Weaknesses……………………………………………………………….11 Timeline and Cost Considerations……………………………………………………….12 Conclusion……………………………………………………………………………….13 Concept Model………………………………………………………………..Appendix A Sample Questions……………………………………………………………..Appendix B References……………………………………………………………………………….18 Research Proposal Research Proposal Introduction Intensive care units (ICUs) were designed to provide highly skilled, lifesaving nursing care to viable patients with acute illnesses or injuries. Patients with chronic and/or terminal illness were not expected to be admitted to these units, with the possible exception of acute exacerbations of reversible complications. Patients whose care needs changed from curative to palliative were intended to be transferred out of critical care to patient care environments more suited to end-of-life care. However, as more patients become “chronically critically ill”, critical care nurses are being asked more often to provide care to patients on their deathbeds (Puntillo et al., 2001). Deciding which ICU patients are actually dying remains an extremely inexact...
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...How the death of a patient can impact on nurses: A literature review During 2012 there were 499,331 deaths registered in England and Wales, a rise of 3.1% compared with 2011. Almost half of these occurred in National Health Service Hospitals. (Office for National Statistics, 2012). These figures indicate a substantial amount of individuals dying in a hospital setting each year, therefore a large proportion of patients will be receiving some form of care prior to and at death (Blackwell 2010 p.1). Numerous research studies have been carried out by theorists identifying the impact of bereavement on different individuals. The earliest thorough study of grief and loss developed from Freud with his classic paper ‘Mourning and Melancholia’ (Freud 1917 cited in Payne et al 1999). Freud believed that for the bereaved to detach from the deceased one must work through their grief by reviewing memories and thoughts of the deceased (Ellman 2010). Other theorists have recently identified death and the importance of understanding it. 'Death is a natural progression from life. Most nurses will be exposed to the physical and emotional effects of this experience as they care for a dying patient. The nurse is taught how to provide support for the patient and family as they proceed through the stages of grief. Often, however the nurse may not realise his or her own need to grieve'. (Brosche 2003 p. 173). Although nurses try to remain professional whilst at work...
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...Pressure Ulcers Donna Long Grand Canyon University NRS 433V Introduction to Nursing Research February 11, 2012 Shahin E. S. M., Dassen T., & Halfens R. J. G. (2009). Incidence, prevention and treatment of pressure ulcers in intensive care patients: A longitudinal study. International Journal of Nursing Studies 46: 413–421 Introduction Pressure ulcers refer to damage that occurs to the skin of a patient. Pressure, shear and friction are among the known causes (Shahin, Dassen & Halfens, 2009). Pressure ulcers mostly affect the lower part of the body, the elderly and patients with spinal injuries (Shahin et al, 2009). They are expensive to treat, require long periods of time and numerous treatments to heal. As a result, the cost incurred is very high and ranks among one of the most expensive ailments in the world to treat (Shahin et al, 2009). Background of the Study It is estimated that around 13% of patients in the ICU develop pressure ulcers (Shahin et al, 2009). “Pressure ulcers are the third most expensive disorder after cancer and cardiovascular diseases” (Shahin et al, 2009, p.414). This study looks into the prevalence of pressure ulcers in ICU patients, the factors related to it, and the treatment measures. Overcoming the problem of pressure ulcers is vital especially among critically ill patients who are at the most risk of developing pressure ulcers (Shahin et al, 2009). Educating nurses can reduce the occurrence of pressure ulcers...
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...at night about intensive care patients’ pain, agitation, and delirium. The authors are concerned with the level of accuracy to which interdisciplinary communication occurs in the intensive care unit. Nada Al-Qadheeb et al’s objective is to determine the perceptions of nurses and physicians communication in the intensive care unit at night, as communication between ICU caregivers can often times be complicated by the varying nature of illnesses, frequent assessments, frequent interruptions, and invasive procedures that occur in the ICU. “Ineffective nurse-physician communication in the ICU during the day can compromise patients’ safety, increase length of stay, and boost health care costs” (Al-Qadheeb et al, 2013). The article discusses the “perception” of communication between nurses and physicians at night while maintaining high-quality care to the critically ill patient. Evaluation of such perceptions has not been previously performed. The results of the study “highlights the importance of further qualitative and quantitative investigations on nocturnal ICU communication” (Al-Qadheeb et al, 2013). Further studies on this subject may help to improve nighttime communication between ICU clinicians and continue to impact interventions on outcomes that could improve patient safety, as well as quality of care. Keywords: Perception, communication, nighttime, intensive care unit Ineffective Communication on Night Shift in the Intensive Care Unit Methods...
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............…...8 Data collection ……………………………………..………….……………………………8 Statistics and data analysis …………………………………………………………….…...9 Expected results …………………………………………………………………………………..9 References cited………………………………………………………………………………….10 Appendix A………………………………………………………………………………………13 Appendix B………………………………………………………………………………………14 Appendix C………………………………………………………………………………………15 Appendix D………………………………………………………………………………………16 Ventilator associated pneumonia and chlorhexidine use in the traumatic brain injured patient Ventilator associated pneumonia (VAP), is defined as, a nosocomial pneumonia that develops more than 48 hours following endotrachial intubation and mechanical ventilation, and is a common and serious intensive care unit (ICU) complication. VAP causes noteworthy morbidity, mortality, amplified hospital costs, and increased utilization of healthcare resources, prolonged time for ventilator support, as well as lengthened ICU and hospital stay (Caruso, 2009). Antibiotics (ATBs) have traditionally been used to treat VAP, but the occurrence of resistance...
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...Nurses Impact Lives Beyond: Case Studyd Nurses Impact Lives Beyond: Case Study Nurses Impact Lives Beyond Pre-hospital Phase: It was cold and dark, when the helicopter was dispatched to a scene flight for motor vehicle crash with double entrapment one May morning at 0230. Two of the three patients, are unresponsive and in critical and unstable condition. This is the first encounter our patient would have with a registered nurse providing and directing his care. The nurse possesses both acute care and pre-hospital expertise and would work collaboratively with police, fireman, good Samaritans, EMT’s and paramedics to access the patient, provide timely triage, life -saving interventions and rapid transport to the closest trauma center. Each team member has a pre-defined and respected role; the nurse is the senior health care provider and assumes the leadership role with a calm, confident demeanor that is reassuring to the team. This patient was a 25 year old man, unrestrained driver of a vehicle that hit a brick wall head-on at a high rate of speed. Of his two passengers, one of them is a brother, all require 20 minutes of extrication time from the severely damaged vehicle. After freeing our patient, the team works together to assess and stabilize him. His initial vital signs are worrisome, with a BP of 140/80, pulse of 160 and spontaneous respiratory rate of 8. The nurse assumes his care and quickly supports his respiratory rate by bagging and suctioning...
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...Background: Mechanical ventilation is an invasive procedure which could be painful and may cause agitation, anxiety and stress for the child (1). Usually critically ill children are often ventilated mechanically and remain at paediatric intensive care unit (PICU). The unfamiliar environment of PICU with presence of medical gadgets, bright light and frequent noise may frighten the child. Moreover, such critically ill children require recurrent interventions by the medical care team where they usually do not cooperate or not want to understand the necessity of medical instrumentation and interventions like adults (2). Using sedation and analgesia in this situation can help the child to reduce their anxiety and agitation and also relief the pain caused by this invasive procedure. However, proper sedation requires for its optimal outcome. Dose should be accurate and individually titrated, based on sedation assessments. Both inadequate and excessive sedation may have deleterious effects. Inadequate sedation can lead to increase distress and fighting the ventilator, interference with effective mechanical ventilation, myocardial and cerebral ischemia, and potentially dangerous outcomes such as self-extubation or removal of other mechanical devices (3). On the other hand, excessive sedation, which is a common problem in critically ill children receiving...
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