...Ethical Reflection Paper February 04, 2013 Ethical Reflection Paper As humans we will all face an ethical dilemma at some time, but as nurses we will face dilemmas unique to the medical field. How we handle these dilemmas will speak about our character and affect our future ethical decisions. Ethical dilemmas are difficult decisions that generally involve conflicting moral claims and usually provoke strong emotions on both sides of the situation. This paper will explore the ethical dilemma of nurses giving patients seeking medication placebos to placate them. This dilemma occurred at my job while I was working on the long term care floor, the Summit. On this particular floor we have a resident who is very hard of hearing and also very demanding of certain medications. She often experiences itching episodes on her upper torso, back and thighs. No rash is present and we have not identified any source for her itching. Her physician has prescribed Atarax, a hydroxyzine anti-itch drug to be taken no more than three times a day as needed. She is quiet and content during the day but in the afternoons she can experience sundowners and become very adamant that she needs her itching pill. Because she is hard of hearing and gets agitated, it can be hard to communicate to her that she has already had her itching pill or that it’s too soon to have another. On this resident’s floor we had a full time evening nurse who decided that it would be easiest to give the resident a tic-tac...
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...Ground floor of St. Joseph College of Bulacan Activity Details : HRM, and BSTM first year students will make a role play must be show the moral value and moral law. Our NSTP teacher, gave us a time to think and to prepare for our role play. We assigned a role for each other. Our role play start with a boy who met a girl who brings a lot of books in her hand, as having a good ethics he lend the girl a help. The boy asked if he can help the girl then she agree. The man took the books to carrying a woman and brought it to the place where woman go. After he help the girl, the man walked, he saw his friends bullying a student. This incident has been seen also by his girlfriend, his girlfriend wants to tell this to the guidance councilor, but the boy approach her and tell her do not tell the guidance because they are his friends. But the girl know that the right thing to do is to tell it to the guidance councilor, so the woman went to the guidance office and she tell the councilor what has just happened, and the councilor punished those bullies. Reflection: We will learn on how to respect for life, respect others, and respect the authorities. No one should be bullied, we should respect others life as we respect ours. Everyone should be treated equally in a way that in can be justice. Type of Activity: Seminar: Drug Awareness Theme: “Global Action for Healthy Communities without Drugs” Date: July 12, 2012 Time: 1:00 pm- 4:00 pm Place: Audio Visual Room, 4th floor of St...
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...that healing comes from within the individual. The emphasis of care is on placing that patient in an environment conducive to being and becoming well (Cruz, n.d.). She felt that nursing was a calling and defined it as an art and a science that requires a specific educational base of knowledge. She also went on to say that nursing was separate from medicine and that the goal of nursing was to place the patient in the best possible state in order for nature to work ("Current Nursing ", 2012). Nightingales concepts of nursing have directed both theoretical thought and nursing practice that are being utilized and practiced today (Daniels , 2003). Theory’s Historical background: Florence Nightingale is considered the founder of nursing and some say, to be the first nurse theorist ("Current Nursing", 2012). Alligood (2010) stated, “Nightingales work stemmed from a desire to serve humankind” (p. 84). Her work, during the Crimean War in Scutari, Turkey, and her later teachings, “will forever be linked with modern Nursing.” Nightingale has influenced three areas in modern day medicine; infection control, epidemiology, and hospice medicine. Nightingale cannot claim sanitation theories as her own; however, the improvements and changes that she had made were obvious, to the degree that infected patients were treated differently to this day. Our current health care practices such as isolating patients, cleaning our work space and patient areas, ventilation, and removal of medical waste...
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...Chapter 15 By Standard Modified True/False Indicate whether the statement is true or false. If false, change the identified word or phrase to make the statement true. ____1.Sound needs a medium through which to travel. _______________ ____2.Sound waves travel slower in water than in air. _______________ ____3.The distance from one crest of a wave to the crest of the next wave is the wavelength. _______________ ____4.When a car passes you, the sound changes as it gets closer and then farther away. This is called the acoustical effect. _______________ ____5.Things sound louder outside than inside because of absorption. _______________ ____6.A music hall is designed with good echoes so that everyone can hear the music well. _______________ ____7.Sounds are produced when matter cools. _______________ ____8.The greater the energy of a sound wave, the higher the pitch. _______________ ____9.The hertz is the unit to measure the intensity of a sound. _______________ ____10.As your vocal cords become thinner, the pitch becomes higher. _______________ ____11.Bats use reverberation to locate insects. _______________ ____12.Brass and wind instruments make sound by vibrating a membrane. _______________ Multiple Choice Identify the choice that best completes the statement or answers the question. ____13.Sound is a form of _____. a. | potential energy | c. | mechanical energy | b. | kinetic energy | d. | thermal energy...
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...Comprehensive Simulation Reflection Seven seconds… The heroin coursing through his veins. Empty bottles and track marks provided an escape. A 38-year old Caucasian, male found on the bathroom floor by his nine-year-old daughter. This simulation provoked the need to prioritize nursing assessments and interventions for a patient presenting with a heroin overdose and alcohol toxicity. Genetic and genomic considerations were taken into account regarding substance addictions. By evaluating the life of another, personal strengths and weaknesses were discovered. Twelve minutes… The time spent lying on the bathroom floor. The patient was found unconscious. Cardiopulmonary Resuscitation (CPR) occurred and Narcan was administered. Pinpoint pupils,...
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...Community and Public Health Nursing Reflection Cynthia Clayton NUR/405 January 14, 2012 Sandra Winters Community and Public Health Nursing Reflection Community and public health nursing provide health education, care management and primary care to individuals and families who are members of vulnerable populations and high risk groups. Public health nurse integrate community involvement and knowledge about the entire population with personal clinical understandings of the health and illness experiences of individuals and families within the population. Community and public nurse focus on the prevention of illness, injury or disability, the promotion of health and maintenance of the health of the populations, they work with communities, target health promotion and disease prevention, they act as teachers, counselors and plays an important role in preventing wide spread illness and disease. Community and public health nurses’ goal is to promote, preserve, and maintain the health of populations through the delivery of personal health services to individuals, families, and groups, and also the prevention of disease and disability, to promote and protect the community as a whole. According to Stanhope & Lancaster (2012), nursing has numerous roles including identifying vulnerable individuals and families through outreach and case findings, encouraging vulnerable groups to obtain health services, developing programs that respond to their needs and teaching vulnerable individuals...
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...is always evolving based on new experiences and knowledge. Through looking over time at the view point of humans, to personality tests, to personal development and lastly looking at optimal healing environments this paper will construct my professional presence and look at ways to improve my ability to care for others. A1. Models of health and healing: A comparison of 2 Eras In Dr. Dossey’s “A Conversation About the Future of Medicine” he discusses his theory of the progress of health and healing. He looks at how medicine changed from the 1860s the 21st century based on how the individual was viewed. He shows how the individual progressed from being looked at as solely a physical being with physical ailments to more modern views where we treat the person has a whole including their emotions and “spirit” or “soul”. He broke this progression down into 3 parts which were called “Eras”. An overview of the Era’s will show how medicine has progressed to look at the patient as whole not just a body with symptoms. Era I, also called “mechanical medicine”, began in the 1860s. In this era Dossey shows how patients were treated in a purely physical nature. He states that the, “prevailing view that health and illness are totally physical in nature, and thus all therapies should be physical ones, such as surgical procedures or drugs” (Dossey 1999). Thus the thought was if someone was having pain or other symptoms it was more related to something that was there that needed to be removed...
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...really cure one’s issue or just mask it temporarily according to their ad? Are the doctor’s really giving you the correct medicines to cure you or are they pushing a product for the pharmaceutical company for promotional purposes? The United States and New Zealand are the only two countries that consider direct-to-consumer pharmaceutical advertising, ethical. Drug advertising advise the consumers about key, treatable health conditions and foster doctor/patient dialogue. I believe when consumers see these advertisements they try to self-diagnose themselves and sometimes finding themselves seeking additional medical attention by going to their primary care physician. “A study has shown DTC advertising is likely to increase the demand rates of both the drug category and drug brand choices, as well as the likelihood the drugs would be prescribed by physicians.” (Woodard) Adversaries of “direct-to-consumer advertising (DTC) argue the FDA has inadequate resources and many claims make it on air.” (Woodard) The amount of regulatory actions engaged by the FDA against pharmaceutical companies and their marketing prescription drugs to consumers has tumbled intensely in recent years. In 1997 the DTC reduced the amount of information that can be delivered during broadcast ads and not stating the adverse effects it could have on a consumer. This can be a reflection of either the industry compliance is better with advertising rules or a deteriorating of FDA omission. I believe it is...
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...Organizational Leadership 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...
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...From the Heart: Healthcare Transformation from India to the Cayman Islands From the Heart: Healthcare Transformation from India to the Cayman Islands My immediate thoughts as I began to watch the movie, From the Heart: Healthcare Transformation from India to the Cayman Islands (Horstmeier, 2014), took me back to the time I spent in the hospital for my first born. My daughter was born with a birth defect and lived at University of North Carolina hospital until she passed away at five months old. I was not given a bill and forced to make an unethical decision like many parents around the world before she received any treatment or any of the five surgeries. After she passed away we received a bill for a half a million dollars. This bill was sent to me by mistake and was soon covered entirely by my insurance company. While losing my daughter was heartbreaking, I know that I am blessed. I was blessed to have insurance that covered the bill. The thought of paying for such a large expense and not even having my daughter is unfathomable, but yet this is the case for many parents who are faced with enormous healthcare expenses. The Impact of High Cost Many parents are faced with the inability to pay for critical heart surgeries. The video From the Heart: Healthcare Transformation from India to the Cayman Islands (Horstmeier, 2014), shows the extreme problem with healthcare systems around the world, and the changes Health City is making to the systems in India and the...
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...demanding this profession was during my clinical rotations. I had this strong sensation that nursing was my niche but I was afraid of failure. My perception was limited with what was expected in this profession that I considered as being primarily to care for the sick and to provide for them by learning about the diagnosis and medications. I visualized myself only passing my internship and being a “safe nurse” on the hall. At the time, I just had a subtle idea, only in theory, that nursing was a dimensional profession. My goals working in the hospital were very elementary goals. First, I needed to pass the Performance Test (PBDS) given by the hospital in order to continue working in the acute care field. Second, I wanted to be a leader on my floor so my immediate goals were to acquire the experience, the skills, and professionalism necessary to demonstrate my leadership. Also, I did not know what field in nursing was the best for me, so I focused only in acquiring any and all practical knowledge. My brain was working as a sponge...
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...Change Management Introduction In the world of large organizations there is a strong temptation to streamline operations by having blanket systems and procedures in place. This is intended to achieve a consistent end product or service, particularly if an organization has multiple locations providing similar services. McDonalds and Home Depot, as well as many other retail franchises are great examples of success in that area. You can go to any McDonalds in the country and expect to get the same Big Mac in the same amount of time with the same procedure for ordering, paying and receiving your food. This works well when the product is the same and when all other conditions and functions are the same. The problems occur when those procedures are duplicated in environments which may appear to be the same from the outside, but with a closer look, are not the same at all. This can happen when decisions are made by upper management without real understanding of the significant differences which may be present between two similar departments. The rationalization for the duplication may be well intended, but far too often the underlying reasons are for the convenience of upper management to be able to view the organization without having to understand multiple procedures. Our Organization and its Situation I work as a respiratory therapist at the largest level-one trauma hospital in the most southeastern part of Tennessee. We are located in Chattanooga and serve 50 surrounding...
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...ENVIROMENTAL HAZARDS An environmental hazard is any hazard that present a danger to a surrounding environment. Environmental hazards in the workplace can range from something as simple as cleaning products not stored properly to the improper handling of bodily fluids. Hazards can be categorized in five types: 1- Chemical 2- Physical 3- Mechanical 4- Biological 5- Psychosocial * WHY SHOULD WE EVALUATE THE WORKPLACE ENVIRONMENT? * When people are working in situations that suit their physical and mental abilities, the correct fit between the person and the work task is accomplished. People are then in the optimum situation for learning, working and achieving, without adverse health consequences, e.g. injury, illness. * WHAT WORK ENVIRONMENT FACTORS SHOULD BE ASSESSED? * When assessing the workplace environment, consideration should be given to individual human characteristics such as age, sex, experience, physical stature etc., and how well these human characteristics match the physical environment. Appropriate design of workplace environments will ensure that they accommodate a broad variety of human characteristics. * The four main categories of physical characteristic that need to be considered in the work environment are: 0 clearance, e.g. headroom...
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...Final Project: Interview, Day in the Life of a Counselor, and Reflection The purpose of this paper is to introduce an interview with a Marriage Family Therapists, since in the state of California we do not have as yet Mental Health Counselor. The interview is about the viewpoint of the therapist regarding certain questions. The paper will be formatted in APA style Section I: Summary of Mental Health Counselor Interview Juliet Velarde Betita, MFT who is located in Santa Barbara California. Ms.Betita currently has a license (License 18740) that is updated in good standard in the field of Marriage and Family therapy. Ms. Betita has a private practice in Santa Barbara and she also works for the Juvenile Hall here in Santa Barbara. Differences between Social Workers, Psychologists, and Counselors According to Ms. Betita MFT approaches relationships, conflicts within the relationship, and the individual self. Social worker has many different roles which includes case management, therapists, and administration position. Social worker can also run nonprofit organization and have a private practice. Psychologists can also serve in individual, couple, and group therapy. Psychologists administrate assessments from neurological ones to behavior. They also interpret the assessments and write up the results. An example would be if a judge feels that a juvenile needs one, the judge will asked the Psychologist to do one before giving his judgment on the juvenile. The psychologist will...
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...A mistake that some facilities make is conjoining severe addicts with mildly affected ones.Putting mild addicts together with severe ones can cause psychological effects and stress for them. It can lead them to stop the rehabilitation process which will cause them to relapse back to addiction. It’s not logical to treat different addiction cases with a similar technique, because each case has its own specifications. Rehab facilities should consider each case individually and try to separate mild from severe addiction by putting them on different buildings or floors for example. Also, they should take into consideration that not all patients need to stay in the rehab facility, and not all of them need drugs to recover. This should allow patients to recover more effectively.The World Drug Campaign is a worldwide crusade drove by UNODC that plans to bring issues to light about the significant test that unlawful medications speak to society overall, and particularly to the youthful. The objective of the battle is to prepare bolster and rouse individuals to act against medication utilize. In Egypt, ROMENA is working closely with the Ministry of Education, the Ministry of Social Affairs, the National Fund for Drug Control and Right Start Foundation International (NGO) to combat drug addiction in Egypt. The...
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