...Journal Today I felt like I am not ready for the clinical. I was worried about tomorrow exam and my focus was more on exam then clinical. We had a pre-conference as usual which gives us information on what we are going to focus on while taking care of a client. We discussed about oxygenation and about medication. I was assigned with a client who has pneumonia, seizure disorder, and second degree MVA. Soon I entered the client room I washed my hand, introduce myself, checked client id and started assessing the client which I was lacking before example checked whether the tubing are intact or not. After that I took vital signs which were easier than before. I learnt something new while giving a bath to a client. I learnt to put on the condom catheter to a client with the help of the professor. I was scared while changing the condom catheter since it was my first time but at last I did it. I gained little self-confident after doing it. Changing the bed sheet was challenging one since I have to turn and lift my client. At last we had a post conference where we took some data from the client record and we discussed about what we did so far. We talked about our client and related nursing diagnoses. This conference gives much knowledge and it is really helpful. Two questions: Q1. How would you determine if the client has adequate fluid intake? Q2. What kind of feelings are there when giving a bath to a...
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...Profesional journals are peer-reviewed, checked for factuality, consistency, citing relevant work, and drawing appropriate conclusions supported by the data. The concept of profesional journal as a means of developing reflective practice has become a popular topic in classrooms, professional journals, conferences, and continuing education programs (Boud & Walker, 1998). Many other names for profesional journal appear in nursing literature, including log, journaling, narrative pedagogy, dialogue journals, reflective practice, and reflective writing. Whatever people says, reflective profesional journal requires writing, a great deal of it. However, journals are an integral part of the teaching/learning in many nursing programs as well as in allied health programs and education in general. The purpose of this essay is to review the literature related to profesional journal and reflective practice and how it can be beneficial in the teaching/learning process. Reflective practice is a means of self-examination that involves looking back over what has happened in practice in an effort to improve performance or to encourage professional growth (Ruth-Sahd, 2003). Profesional journal is a method that is frequently used in nursing education as an active learning technique to enhance reflective practice. Why is reflective practice so important? The literature cites numerous reasons for utilizing profesional journal/reflective...
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...Journal of Holistic Nursing Journal of Holistic Nursing Florence Nightingale in Absentia: Nursing and the 1893 Columbian Exposition Barbara Appleton NRS-433V Introduction to Nursing Research 14-Nov-2011 November 21, 2011 Summary During the 1893 Colombian Exposition, nursing leaders worldwide were provided a podium to work together to organize and establish the globalization of nursing education and standardize the nursing curriculum to improve patient care worldwide. In collaboration and discussion on the evidence based practices of Florence Nightingale and on the current nursing developments and improvements of social, cultural, educational and scientific advancements in healthcare for the expansion of a more unified practice of the nursing profession nationally and internationally based on a theoretical path of deductive reasoning, a quantitative approach. American and European nursing leaders: Isabel Hampton (Robb), Lavinia Dock, Eva Lückes, and Ethel Bedford Fenwick (Crane 2010), were given the opportunity to influence and provide guidance to sanction the evolution of nursing education processes for the development toward the progression of second generation of nursing. As a result of this event, the nursing profession has become one of the most respected professions devoted to health promotion for the benefit of mankind. This paper will explore the development of how clinical expertise developed, and by what methodologies influence the development nursing...
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...Exempler One: 20/07/2015 At 0730, all of the students went to do the rounds and wake the residents up and make sure they were all okay before breakfast and showering. I walked into an elderly woman’s room, she was already awake and looked as though she was in pain. I asked the resident how she was feeling and if she was in any pain. She responded with my back hurts, I asked why and if I could take a look. After the resident allowed me to look, I lifted the blankets and noticed she was lying on a bed pan. I immediately removed the bed pan and put underwear and an incontinence aid on the resident. I asked the resident how long she had been on the bed pan and she told me all night. The patient told me that the night shift nurse forgot to come and remove the bedpan before the resident fell asleep. I apologised on behalf of the other nurse and checked the residents back for any skin damage or bruising and told the supervising nurse and wrote on the resident’s progress notes what had happened. I felt very empathetic and sorry for this resident. Lying on a bedpan all night would be extremely uncomfortable and painful and it should not have happened. Exemplar 2: 22/07/2015 During lunch time a male patient seemed very upset. I went and sat with the patient while they ate and tried to talk to them. I asked how they were feeling, how their day has been, etc. the resident told me that they were just having a bad day and missed their family. After eating the resident went back to their...
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...Goals for the current week: My goals for this week is to keep learning about the day to day tasks of being a nurse outside of the text book. I planned on asking more questions related to oncology, labs, and tips to adapt to the night shift. Another goal was to have another opportunity at charting. My goals were achieved by having tons of my questions answered this week and being able to chart on two patients. My preceptor advised me to make sure to take a nap right before coming onto the unit. Also, to bring snacks to eat as a distraction to drossiness. Charting isn’t as easy as it looks. There are so many tabs to navigate through. Although, the preceptor helped me with the first patient’s charting, I was on my own for the second one. I feel comfortable on the unit and look forward to learning new skills each day. Summary of clinical activities: Today was a very hectic day. When I arrived at the facility, all the patients were finishing up with their dinners and it was time for change of shift. I listened to report and learned about our patients for the evening. There were five patients. The first patient was a 61 year-old-male who is a full code with admitting diagnosis of metastatic lung cancer, pleuritic chest pain. He had a history of hypertension, diabetes mellitus, and seizures. He was also a former smoker. After receiving report, we went into the patient’s room to introduce ourselves. He was visiting with some friends, so told him we’ll be back soon to check in on him...
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...08 Fall 08 Fall Journal Article Review Kim Watson Chamberlain College of Nursing NR 305 Health Assessment Professor J. Deibel Spring B 2014 Journal Article Review Introduction ‘A guide to taking a patient’s history’ is an article published in the nursing standard Journal, volume 22, issue 13, dated December 5, 2007, written by Hillary Lloyd and Steven Craig. In this article, Lloyd and Craig describe the practice of obtaining a patient history in a systematic way, importance of communication skills, preparing the environment, and explaining why a thorough assessment is indispensible. Summary of Article Obtaining a patient’s history is of utmost importance, for the nurse or healthcare provider, when conducting a patient assessment. It is during this time the patient presents valuable and pertinent information. Also, it is at this time a relationship is evolved between the nurse and patient. Prior to taking the history it is important to prepare the environment. The nurse may come across many varied environments. Such as, patient’s homes, emergency room, clinics, community settings, and different areas of the hospital. Having all needed equipment accessible and area to avoid interruption is important. The environment should support safety for both the patient and nurse. Making sure enough time is allotted to conduct the assessment is stressed. “Not allowing enough time can result in incomplete information, which may adversely...
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...The aim of the Intensive and Critical Care Nursing is to better promote excellence of care in critically ill patients. Specialized nurses and their professional teams improve care. The articles provide an exchange of research, experiences of professionals, knowledge, and different skill sets, which are aiming to improve critical care nursing. The journals are compiled of articles of that are about relevant clinical research, educational information, psychological training to help the patient and their families, or technology developments. INSERT THESIS. The publisher of the Intensive and Critical Care Nursing (ICCN) journal is Elsevier, whose goal is to provide information regarding science, health, and technology. Most of the authors...
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...Alcoholics Anonymous Group Behavior Questions 1. Participation Patterns and Make-up of Group (5 Points) a) What is the makeup of group? (i. e. genders, age ranges of people present, ethnicity, races, smokers and/or non-smokers present, number of individuals attending, etc.) 1. The Majority of the members are male. There was a total attendance of 14 members. There were 2 females in the group and 2 other females who were accompanying their spouses as listeners. The majority of the group was Caucasian and there were also 3 Hispanic males and 1 Hispanic female. It seemed like almost everyone in the group was smoking throughout the meeting. b) Who does the talking in the group? (I.e. is it mostly the group leader; one particular group member; or other members?) 2. The group leader will initiate the meeting by reading about the group meeting and then will open the floor for anyone who would like to share about their day/week. In this session everyone who was a member spoke for a few minutes about their problems with alcohol. Only one group member declined to share. c) To whom do the group questions go to: the leader, the group itself, or individual members? 3. The questions were directed at the group and everyone gives their input or advice. d) Do group members who don’t talk much or participate, seem to be interested or not? If not, what do they do instead? 4. The one member who chose not to...
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...The two databases that I searched were the British Journal of Nursing and RCNi (Royal College of Nursing). I chose them because I wanted to focus on the actual practice of critical care nursing and knowing how to notice if a patient was deteriorating. I thought that these databases would have the most relevant articles to what I was looking for. The first article that I found was on British Nursing Journals. “All of the articles from this database are written by nurses and are subject to review by leading authorities in the profession” (British Journal of Nursing, 2016). I thought that this would be most helpful because it is coming from someone who has actually has experience in the profession, not just someone who is doing research on it. The article that I found discussed how it is important to not only assess the five main vital signs (blood pressure, temperature, oxygen saturation, respiratory rate, and pulse) but also take into account a patient’s pain, level of consciousness, and also watch their urine output. According to Elliott and Coventry (2012), this will help the nurse to recognize that the patient is deteriorating. The second article that I chose was from the Royal College of Nursing (RCNi). RCNi is included in a group of 11 publications by Nursing Standard and is the United Kingdom’s top selling journals (RCNi, 2016). I chose this database for the same reason that I chose the first. This particular article was written by a nurse who was observing practices...
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...As a teacher it is your responsibility to not only present new material to the student but to teach them and to verify and monitor what information they are actually obtaining and processing. There are many forms of assessments that teachers can use to evaluate students understanding of lesson material. I will suggest a few methods that I will use in my secondary education mathematics classroom. The first strategy of monitoring I will discuss will be quizzes. There are multiple advantages for this form of testing. First, is that it easily produces recorded data. I can quickly grade multiple choice questions and record the students’ grade. Being able to record this grade will allow me to present scores to the parents when I am asked for a student’s progress. Another advantage to a quiz is the ability to assess both the entire class and each individual’s understanding on a topic. I will be able to look at the overall measurement and decide whether there is a need to review the topic or lesson, or if the class is ready to advance in the given studies. Also, by presenting multiple quizzes through the term the students and I can create a set format, which can help ease classroom anxiety. Another form of monitoring students’ progression through a lesson is homework. Homework can be one of the most effective methods for tracking mathematical progress. Assigning, collecting and grading homework can be a very timely way to gather information on how each student is progressing through...
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...Journals and Scientific Documents The purpose of journals and professional papers is to inform the public on a specific subject matter. These writings relate directly to a broad spectrum dependent on the edition or publication specifics. Of professional papers, several types can provide a scope of information and credibility toward a purveyance of technical or detailed information. The structure is usually even flowing and organized with particular information segments set out about the constituency of the writing. These papers, intended for publication in special interest journals, enhance the writers research, writing, and documentation capabilities as some of the information, not being his/her own will need to be accredited as if it is not, than plagiarism will be extrapolated. Journals, usually published by or for a particular subject matter or client, are detailed and accurate. There may be a UCLA journal, National Geographic Journal, or even a mechanic’s journal. The particulars of this, geared toward a particular audience and each entry, will usually comprise two titles sharing a general viewpoint for the nonprofessional and an entry specific title for the professional. The purpose of journals is to inform a group or individual of the credible elements related to a curriculum or scientific, professional, or academic scope. The writings or information in a journal may be composed of professional papers but the opposite is not the same. ...
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...Difference between journals and diaries:- The difference between a diary and a journal is that a diary is where you can write down what happened during the day and keep a record of stuff. A journal is to write your own personal feelings in, and things that happened, and how they happened. A diary is a report of what happened during the day—where you ate, who you met, the details that what was happened in the office, and who took whose side. It is a like a newspaper about you. A journal is completely different. A journal is about examining your life. It’s a GPS system for your spirit. Journals lead to insight, growth, and sometimes, achieving a goal. You can keep a journal in anything that feels comfortable and that’s portable–a spiral notebook, a bind book you have put together with lokta paper, index cards held together with a rubber band. You can use a computer; keep a blog, although that doesn’t work as well for me. But things on the internet are simply not private, password protected or not. To keep a journal on paper, pick a time of day to write. Keep it regularly. It makes it easier. Try that you didn’t stuck to an exercise program because then it can nailed it into schedule at a certain time. Writing works the same way. First thing in the morning, last thing at night, while eating lunch at your desk. Write with a good pen that feels good and whose color you like. In the beginning, you may have to set a time limit. Three minutes is good. Just write whatever comes...
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...goals.These moments that I share in this special relationship shape me to grow from the past and prepare for the future. Unfettered,capabilities to share my innermost thoughts allowed captivated watch as I begin to blossom into a mature strong being able to stand back and marveled as the story unfolded. A connection so powerful that others long for the ability to have their words caressed and accepted. My aptitude to cope with the grind of life increased as the pages filled up. The ivory shelf above my bed cradled the secret books housing the foundation of character built over the years, strengthen by an everlasting, unbreakable, and irreplaceable bond.Each page of my journal is a connection that provides me with the ability to purge, enhances personal growth, and tells the world my story. Writing in a journal is a means to purge. The remembrance of hastening home knowing that serenity would come once Iexpelled the battle rampant in my head, enabled me to function and endure long hours bursting with the bile of sentiments blaring for discharge.When reflecting...
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...Since the very beginning of my days as a student, I have despised literature. English has always been a subject that I dreaded. I do not loathe literature solely for my lack of writing skills, because I do enjoy reading, rather it’s the fact that I tend to lose my train of thought while writing an essay or while brainstorming an idea I want to address. I struggle with organizing my thoughts and making concise relationsHIPS[?][CONNECTIONS?] between literary texts and the assignments given by my teachers. The only time I do enjoy writing is when I can write freely in my journal. By writing in a journal, I do not worry about the grammar and organized aspect of writingCOMMA and it clears my mind. I find that I am able to write what I feel [easier ]MORE EASILY in my private journal versus writing an essay that will be graded. [NICE INTRO – CONTRARY TO YOUR TITLE, THIS SEEMS AS THOUGH IT’S GOING TO BE ABOUT YOUR JOURNAL WRITING VS. ACADEMIC WRITING, NOT GRAMMAR? ALSO, YOU NEED TO GET RID OF THIS EXTRA LINE BETWEEN PARAGRAPHS.] During [my ]seventh grade, in middle school, I had a very tough English teacher. Mrs. Carson was a very nice person outside of class[,]SEMI-COLON howeverCOMMA her toughness really displayed itself when she graded papers. Her main focus[ed] was grammar and clean organization rather than THE ideas of the topic. The entire year I struggled with her; each assignment I struggled to form my papers the way she would want and failed to remember the grammar rules and...
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...The Dynamics of Writing and Family “Most successful men have not achieved their distinction by having some new talent or opportunity presented to them. They have developed the opportunity that was at hand." -- Bruce Fairchild Barton, advertising executive and congressman Uncle would say, "There are certain inalienable truths you must accept." So when I raged about Atheists being disqualified for holding office in Arkansas or how it's illegal to carry a bible in Singapore, he'd say, "Write it down. Let it out." I've filled four journals. On an idle Thursday, when my mind was free of frustration, I read the crumpled, yellowed pages of my black leather journal and saw a natural progression from black to color. I had precisely captured all my experiences, but in an entirely aesthetic way. From then on, every time I opened my journal, I found myself in an unfamiliar environment writing to capture a mood or scene with creative language. It was my therapeutic getaway from reality. In the summertime, every Sunday, after taking a rattling cold bus, two smoky, humid subway trains, and picking up the best peanuts on 114th street, I would arrive at Riverside Park, New York. I wrote at least one piece every time I was there and shared my work with the same old man who perused the New York Times and the same skinny college student who sunbathed in her bikini. After noting any criticism they gave, I would return home, edit and embellish each piece. ...
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