...This essay aims to reflect on an incident that took place during my six weeks practice placement on an elderly day care hospital. I chose this incident because it had a big impact on me due to the fact that I was not aware of the serious nature of feeding patients diagnosed with dysphagia as would be demonstrated in the critical incident. The model I have chosen to use is Gibbs (1988) reflective model because it gives a framework which I am able to follow in order to develop my understanding of the situation. Reflection is a process that involves gaining practical knowledge, the ability to get used to new situations, developing self-esteem and satisfaction as well as valuing professional practice (Taylor 2006). For the purpose of confidentiality and to protect the patient’s anonymity I have called her Tee, these measures are in accordance with the Nursing and Midwifery Council (2008) guidelines regarding consent and confidentiality. I was assigned to help feed Tee during lunch time, Tee had suffered a stroke, resulting in very limited speech, suffered from dysphagia. Dysphagia is a medical term for difficulty with swallowing and is common in patients with neurological disease, dementia and parkinson’s disease (Chang and Roberts 2011). Tee has a pureed diet and thickened fluids. I collected her meal and dessert from the trolley, sat next to Tee then started to feed her. After the first helping I proceeded and gave her a second helping while she still had food...
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...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...
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...Narrative Essay When I found my wife was pregnant with our first child, I didn’t know if I was more excited than I was nervous. We had not planned on our first child so soon but mistakes can happen. Listening to the babies heart beat every month and finding out that we were expecting our first girl made me that more nervous. My mind raced with many thoughts, was I going to be a good father? How do I change a diaper? What happens if I can’t get the handle on raising a child? I will never forget the day that my wife went into labor with her. She woke me up at 3am with the contractions heavy, she labored at home for 7 more hours before we finally decided it was time to go into the hospital. I started to run around the house like a chicken with my head cut off, did I grab everything that she and that baby were going to need? I don’t know if I am going to handle watching my wife go through that pain, but at the same time I was feeling so excited that I was going to be a dad for the first time to a little girl who was going to need me I was ready to see if she looked like me or she looked like her mother. The emotions were overwhelming as we waited to get into labor and delivery and the time seemed to be going slower. The nurse called us back and got my wife hooked up to all the IV’s and wrapped the belt around her belly to monitor our babies’ heartbeat. My wife labored through the contractions and the time finally came when she was ready to push her out. They threw a gown and...
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...Nursing practice is the expectation of nurses, established by nursing staff and patients, which is the general standard accepted. Reflection allows a nurse to improve and advance their experiences.This essay aims to discuss patient abuse within aged care facilities and a nurses duty of care are two issues that allow a nurse to reflect and develop their practice skills and person-centered practice. The World Health Organisation (WHO) defines elder abuse as a separate or continuous action, or where care is absent within a relationship that requires trust, resulting in physical and emotional violence towards the patient.(World Health Organization, 2018). Nurses hold a duty of care to their patients. They additionally carry a legal obligation...
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...never really knew the complete details of What, How or When of them. I have been on many different courses for H.C.A’s through the years, but they have all really skimmed over the subject of pressure ulcers. I now work on a vascular ward of the hospital where many of the patients are bed or wheelchair bound due to lower limb amputations, caused by complication from diabetes mellitus to circulatory problems. So I thought that by widening my knowledge on pressure ulcers and skin viability, I can and will improve services to the patients I come into contact with. When trying to conduct my research for adequate literature I decided to contact the hospital Tissue Viability Nurses Specialist. When I explained to her why I was seeking her advice on research material and guidance she was glad to help, and give me a multitude of...
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...As an Athletic Trainer ethics play a major role. In many cases I evaluate many of the injuries sustained by my student-athletes offering varied suggestions on how we should move forward with either a Doctor Visit or in house rehabilitation. With this responsibility comes opposition from both parents and coaches as they insist I clear an athlete for play or don’t deliver the whole truth to the parents and or coach. Although not as controversial as assisted suicide it poses significant risks and eyebrow raises in the sports world. Doctors, nurses, and various medical personal have a harder role. They wager people’s lives and future and decide in some countries whether or not to permit such an act. In this essay we will explore the facts on Euthanasia: Assisted Suicide, my view, the world view and its progress. Before I begin, however, let me note what I will not try to do. I will not try to show you that Physician Assisted Suicide is a fully justifiable course of action what I will do is give you facts and statistics of this rapidly growing controversial issue.. What I will show you is the compatibility to the commitment to good end-of-life care. One of the most important public policy debates today surrounds the issues of euthanasia and assisted suicide. The outcome of that debate to whether or not it should be made available will profoundly affect family relationships, interaction between doctors and patients, and concepts of basic ethical behavior. Although not accepted widespread...
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...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...
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...and Values Project John Western Governors University Professional Roles and Values In this essay I will explain the differences between a Professional Nursing Organization, PNO, and a Regulatory Agency, such as the Board of Nursing, B.O.N., give two examples of how provisions from a nursing code of ethics influence my practice, discuss four traits from the ANA’s code of ethics that will be brought to an interdisciplinary team of healthcare professionals. I will identify a nursing theory and explain how it has influenced my professional practice as well as discuss the contributions of one historical nursing figure has impacted my nursing practice, including modern-day application. I will tell you of a scenario in which I safeguarded two of the following principles for a patient. (Beneficence, Nonmaleficence, Respect for autonomy, and Justice). A. Functional differences between Regulatory Agencies and Professional Nursing Organizations: Functional differences between a professional nursing organization and regulatory agencies can be can be described as Professional organizations advocate for the nurses, whereas regulatory agencies, like the Board of Nursing, regulates nursing licensure and nursing practice. The BONs main duty is to ensure the safety of the public and the patients being served by nurses. Professional nursing organizations provide a group of nurses a way of communicating, sharing information, provide education, lobbying for necessary changes in...
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...Encyclopedia n.d.). It is a conversation with a patient, combined with an observation of the patient’s needs, signs, and symptoms of an illness, the patient’s social and medical history, and any other possible information. It is a difficult process, but at the same time, very important as it creates a basis in caring for a patient. Luckily, nurses have many assessment tools available to help them and to guide them through the process of assessment. What is also very important is knowledge of Watson’s model of nursing and how it is focusing on holistic care and establishing a relationship between patients and caregivers (De Chesnay & Anderson, 2012, Ch.6). In this essay I am going to describe three assessment tools that I have chosen and also how they can be used when caring for population I described in last week paper. The three assessment tools I want to present are the: Apgar Score, Finnegan Scale, and Edinburgh Postnatal Depression Scale (EPDS). The Apgar Score was introduced in 1953 by the American doctor specializing in anesthesiology and pediatrics, Virginia Apgar (Kids Health, 1998). It was named after her and to this day doctors and nurses use it worldwide to evaluate how babies are doing after the delivery. It is the first test the newborn takes and it quickly allows making important decisions about the further diagnosis and necessary treatment of a baby. In addition it is cheap and fast. It consists of five elements and each of them can be scored between 0-2 with 2 being...
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...Abstract In 2003 the Government’s recommendations for the introduction of solid food to babies changed from four months to six months. Many parents continue to introduce solid food earlier than six months despite being aware of the recommendations. Delivering key messages about weaning has always been a part of the health visitors role. However, no formal, evidence based weaning intervention is currently being promoted to health visitors and advice continues to be communicated at the discretion of individual practitioners. Very little research exists on this topic, much emphasis has been placed on encouraging breast feeding as the main focus infant nutrition literature. Yet childhood obesity is on the rise and establishing healthy eating habits as a baby could pave the way for healthy eating habits later in life. This paper looks at the ways professionals communicate general messages about weaning and attempts to provide some clarity and guidance for health visitors about a humanistic intervention to educate parents about the benefits of waiting till six months, rather than using ‘scare tactics’ as to what could happen if they wean earlier. It is hoped that not only will this paper provide guidance about best practice, it will also highlight the importance of the subject and the pressing need for urgent research on the specific topic of delivering weaning advice. Table of Contents Page Abstract 1 ...
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...NMHD 5003 Practice & Pharmacological Issues in Mental Health Nursing By Neil Drummond Essay 3048 words Care Plan 1676 words Overall wordage 7186 The aim of this essay is to show how I have formed, maintained and disengaged from a therapeutic relationship within a practice setting. This will include a profile of the client from their perspective. For the purpose of this essay, the therapeutic relationship was formed within the community mental health team. Their role is the primary intervention service promoting awareness, growth and helping people to work through difficulties (Mind.org, 2013). The interventions provided aim to facilitate comfort, support and a provision of care. The client I have chosen to write this essay on is called Angelo. Angelo is a fictitious name created to protect the individual’s right to confidentiality (NHS, 2012, N.M.C, 2008). The interaction was conducted because of a 6 month cognitive enhancer medication (galantamine) review. I will show an understanding of the importance of a therapeutic relationship building and the values that influence the formulation of mental health nursing assessment and care planning (Schultz and Videbeck, 2009). Appendix 1 will show the plan of management including risk and relapse. Appendix 2 will show the individualised Risk Assessment (profile). In my conclusion I will reflect upon my therapeutic encounter and will address the importance of knowledge and qualities needed to form, maintain and disengage...
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...Writing to Convince Argumentative and Persuasive Essays Sometimes we write to defend an opinion, to argue against somebody’s point of view, or to convince readers why and how we think a certain problem should be settled. The argument we develop should be a logical, properly thought-out presentation of ideas that makes a claim about an issue and supports that claim with evidence. Within this general frame, our argument consists of four basic components: (1) an issue, (2) a claim, (3) support, and (4) a recognition and refutation of the opposing view. A. The Issue. An argument is concerned with an issue – a case (like war, smoking, cloning, etc.) on which people hold opposite or different opinions. To build a convincing argument about an issue, it is essential that we be aware of the audience we are addressing: • Agreeing audience: When you write to people who already agree with your claim, the focus is usually to urge them to take a specific action and build emotional ties with them. • Neutral audience: In writing to a neutral audience, try to emphasize the importance of the issue and offer explanations that clear up your readers’ questions or misunderstandings about, or lack of interest in it. • Disagreeing audience: The most challenging audience combines people whose viewpoints contrast with yours; they may be hostile to your claim and have strong feelings about the issue. In writing to a disagreeing audience, your goal is to convince readers to consider...
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...JUSTICE AND DIVERSITY WORD COUNT 3846 Introduction The aim of this assignment is to consider whether mental health patients have autonomy or do staff and the healthcare environment merely allow them a measurable quantity of autonomy based on legal, ethical and moral restrictions, if this is the case, is this autonomy at all? Placement experiences will be given in relation to patient autonomy and related ethical, legal and professional issues will be supported and/ or contrasted by relevant literature. Patient autonomy and capacity, consent, compliance, coercion and paternalism with be considered. In an attempt to show a deeper understanding and ability to apply theory to practice, the moral theories of liberal individualism, utilitarianism, Kantianism and communitarianism will be discussed in relation to patient autonomy. Attitudes, values, assumptions related to patient autonomy, implications for practice and care provision will also be reviewed. This topic has been chosen, due to personal interest following practice experiences on an adult acute mental health unit. All identifying factors relating to the patients have been changed to maintain client confidentiality (Nursing and Midwifery Council’s (NMC) Code of Professional Conduct 2002). A conclusion will be offered to evaluate findings, finalising with a reflective summary focusing on the process of enquiry. Autonomy Autonomy means self rule (Dworkin 1988). It as the ability to think, choose and act freely and...
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...heavily * * DAY 1 Jack was born by caesarean section because they were concerns with the Zoe. Zoe was unwell – she had a heart valve problem. Jack was admitted to the intensive care unit, needing ventilation support for six hours 12pm * Safeguarding midwife aware that Jack been born, states that all people who needed to be aware of baby being born are. Informed us that her current partner and father of baby are not allowed to visit. Security, front desk at the main entrance of unit and nurses made aware * Urine virology/toxicology sent * Morphine started as Jack was Ventilated due to the respiratory distress 15pm * Out of hours social worker called inquiring about baby and mum 1630pm * Maternity support worker visited unit, updated on baby’s condition. Mum had her surgery – she will go and update mum 1830pm * Nurse looking after mum on ITU informed us on mum’s condition. Nurse informed us of name of mum’s current partner who is aware baby is born – nurse said he sounded concerned DAY 2 15pm * No signs of withdrawal DAY 3 14pm * Duty social worker given us the details of named social worker who is aware baby is born. Asked how long baby is expected to be an inpatient – informed likely 2 – 3 weeks possible...
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...LITERARISM: An Educational Magazine of New and Old English Literature Across the World. * Home * Myself * On Mobile * Publish Notes * Book * UGC-NET * Twitter * Facebook * Contact Us Tara: Mahesh Dattani Mahesh Dattani has presented the bizarre reality of the woman playing second fiddle to man. This play opens with Chandan changed into Dan in order to absolve himself from the guilt of killing his sister. He has to bear the brunt of his grandfather’s and mother’s cruelty .He considers himself responsible for his sister’s death. In this play Dattani plays with the idea of female infanticide that is prevalent among the Gujratis and also suggests Patel`s hegemonic patriarchy when he insists that proper division in the gender roles be made Tara gives us a glimpse into the modern society which claims to be liberal and advanced in its thought and action. In a society which claims that its mothers are educated today and have `Devis` like Durga, Kali, Saraswati , Lakshmi etc whom not only women but men also pay obeisance , differentiate between a male child and a female child. All the propagandas of equality between male and female, equal opportunities to women in all the fields are belied. Dattani’s deep preoccupation with gender issues leads to the emergence of the idea of the twin side to one`s self –quite literally embodied in one body and the separation that follows Mahesh Dattani mentioned in one of his interviews with Lakshmi Subramanyam:...
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