...roughly 3:30-4 pm, I observed a male patient in the atrium. The patient was 12 years old and was accompanied by a nursing student. According to the chart, the patient had speech & language delay and intellectual delay. The patient had his head wrapped and the leads connected to a ‘fanny-pack’ appeared to slightly physically limit the patient. From my observations, the patient’s developmental status was that of a 6 or 7-year-olds. The patient’s affect was content, and he enjoyed playing with his student nurse. Based on observations, I categorized the patient to be school age. The patient appeared to be in the same developmental stage as his chronological age would be; however, the patient was moving more slowly through this stage and was closer to the younger age for the developmental stage and had the development status of a 6/7-year-old....
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...On the 26th of May, I had the opportunity to observe a nurse working on the pediatric unit at the Sanford hospital. While there, I learned that patients come in all sorts of sizes, ages, and developmental levels. I also learned that families can be a true member of the care team, and also be more than just company for the patient. The biggest surprise was that all the cares and skills needed for working with adults could be altered just a tiny bit to fit the needs of smaller patients. 2. Patients I came into contact with several different children ranging in ages from a few weeks to young adult. The infant was being treated for Strep B. Two preschoolers were there, one being treated for lymphangitis, the other was being treated for a staph infection on his abdomen and legs. The school-aged child I saw was being treated for a paralytic ileus that was a result from surgery to remove her gallbladder. The teenager that I worked with was suffering from a brain injury caused by encephalitis. There were quite a few things that were different in the hospital concerning child development as compared to a clinic setting. The biggest one I noticed right away was the size of everything. Everything was smaller to match the size of the patient; the beds, pillows, some of the IV poles,...
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... The patient interaction that I wish to highlight from today was an IV placement/lab draw with an 8-year-old female who had leg swelling. When we (the RN, Caitlin, and myself) entered the room, we expected the patient to display age-appropriate fear and cope well with the procedure. Our assumptions were slightly off. Therefore, while I had various...
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... 2 In order to understand human development one must observe how people change over time at different ages. In the logitudinal design participants or groups are studied over and over again at differetn times and chages are noted as they age. The observation time can very depending on information being gathered. Sometimes lasting short periods of time or years. One benefit of the logitudinal approach is that it would observe each persons performances over the specified time span, allowing to identify any patters or problems in development. Another benefit is that it allows participants to be studied at different ages. Some problems with the longitudinal approach are cohort effects, participants moving or dropping out of the study and participants change to a population that is no longer part of the study, often happening from becoming familiar with test questions and stradigies. In the cross-sectional design people are studied at different ages at the same time. For example if all of the patients at an orthopedic office were interviewed about diet and exercise, all patients were between the ages of two and sixty-four. As a result the practice could then develop a proactive approach to patient education and preventing future injuries that might be prevelant in certain age-related trends. There are problems with this sort of study as well. In the example above different results are limited to age group averages. It is difficult to tell if individual differences...
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...these problems could negatively affect a diagnosis. 1) Some criteria used for reaching a diagnosis cannot be observed directly. A patient analysis could take place in most cases so that a clinician could gain information about the patient’s symptoms that may be immediately observable in the clinical setting. If this information is not gathered by the clinician a misdiagnosis could be made. Subjective data may include information about the patient’s personality, behaviors or a patient’s reaction to information that cannot be directly from the patient due their inability or reluctance to speak with clinician directly. As an example, if a patient who did not present personality disorders in fear might be diagnosed as having a social phobia. A patient not being truthful has very serious consequences and one could not get the appropriate treatment needed. 2) Personality disorders can be similar to each other. There are several symptoms that overlap between different disorders in DSM listings. A clinician’s personal observation could misdiagnosis between one of these two disorders if the clinician relies only on information gathered in a clinical setting. Disorders such as obsessive-compulsive, anxiety, and personality disorder have many symptoms that are alike. If this was the case a clinician could misdiagnosis and treats the patient incorrectly giving improper medication and the wrong types of therapy. 3) People with different personalities can be given...
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...Assessment April 24, 2011 Assignment: Clinical Assessment Pre-consultation is the first initial contact with the potential clients, the documents of Clara’s medical history must be submitted for review, along with a documentation from her teachers at the pre-school pertaining to their observations with Clara. At this point any other documentation obtained prior to the adoption that may give further insight to evaluating Clara. In meeting with Clara and her adoptive parents the issue of Clara’s age and environment is the beginning process in evaluating the issues surrounding Clara. I recognize that questioning a four- year old child could appear to be very intimidating and frightening; therefore, the interview will be addressed in several phases to avoid overwhelming Clara. The first phase will initiate Clara be taken to a playroom, and observed by my associate and recorded while playing with dolls. This will give insight into whether Clara demonstrates anger, or touches the dolls in inappropriate places suggestion perhaps sexual...
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...advanced care. d. Investigative Questions- Step 4 consists of investigative questions such as “How do parents come to a decision on where to bring their children?” and “How do we gain more customers from surrounding counties?” e. Measurement Questions- Step 5 consists of some questions with supplied answers that range on a scale of 1 to 5 (bad to good). These questions can include those about distance to home, comfort of leaving children in the hospital’s care, feelings of technology and medical quality. 2) What are the advantages/disadvantages of an observation study for this research? f. Advantages- The researcher can see first-hand the experiences of parents and children in the hospital every step of the way. Researchers can instantly record their observances and findings. Recordings of audio or video are hard evidence and there is not much room for error in this method. Observation method can be done over a long period of time and around the clock. g. Disadvantages- Researchers will gain no knowledge of past experiences if they are just watching the present. Equipment and staffing can be expensive. A researcher cannot really gain opinions by this method. A...
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...other research methods could help Mazda assess the usability of its website? Summarize your advice for how Mazda could use complementary methods to obtain a complete understanding of its website’s usability. Questionnaires are an effective way of quantifying data from a sample group, and testing emotions or preferences. This method is very cheap and easy, where budget is a problem, and gives an element of scale to opinion and emotion. These figures are arbitrary, but at least give a directional method of measuring intensity. Case 11.2- Texas Instruments and E-Lab Case Overview Texas Instruments hired E-Lab to conduct a visible observation to obtain precise information. The information retrieved from the observation will be given to engineers to create an effective and efficient software program for Police Officers. The observation presented numerous things that were unknown to Texas Instruments prior to the research. Situation Analysis Texas Instrument needs to investigate the...
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...includes a detailed description of the people and behaviors I witnessed, in addition to inferences that I made based on my observations. What time and day of the week was I there? How did this affect my observations? The time and day that I chose to conduct my observation had a number of effects on the results. First, there were likely more hospital visits occurring on Saturday than there would have been if I had conducted my observation on a weekday when most people are at school or work. Second, I can imagine that the lobby was less busy in the afternoon than at noon, yet busier than it would be if I had conducted the observation early in the morning or late at night. Third, I did not see anyone in the lobby consuming any food items and instead, observed a number of people drinking coffee or other warm beverages. I assume that I would have seen more people eating if I had visited the lobby at breakfast or lunchtime. The afternoon is also a common time for people to have a coffee to offset afternoon doldrums. Last, I noticed that the majority of people in the lobby were wearing warm, casual outfits, which may have differed if I had conducted my observation earlier in the day when it was warmer outside or on a weekday when more visitors would have been dressed in work attire. How many people are there over the course of the observation? Upon arrival at the Kingston General Hospital, the first record I made was of the number of people in the main lobby. I...
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...Assessment – Year 1 Required Formative Assessment - Paediatrics Self Directed Learning Project The Paediatric Self Directed Learning Project (SDLP) aims to provide first year medical students with an introduction to children as patients, paediatric history taking, communication and developmental observation skills. This introduction will provide a context for Clinical Reasoning Sessions and paediatric learning in Stages 2 & 3. You will take a written history from the parent or carer of an infant or preschooler. You will also formally observe the child twice in a three month period and note changes in the child's development. Learning objectives: 1. Become familiar with an infant or preschooler in a non-medical situation where the child is comfortable. 2. Observe a child's development over a period of months. 3. Conduct a conversational interview with a parent or carer. 4. Structure the information from the parent/carer as a written history. 5. Write two sets of notes as a record of your own observations of the child at each visit. 6. Receive constructive feedback from a Paediatric marker. More information The SDLP Guidelines (pdf) contains detailed information about the project and marking sheets. In addition, an introductory paediatrics lecture will be given in Block 1 to outline the Paediatric SDLP. This lecture will be held at the Wallace Theatre on Thursday 25 February 2010 from 11am-1pm . For more information and an example project, please see the 2010...
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...Session 3 Design Thinking & Innovation Observing Deeply Presented by Professor Srikant Datar Professor Partha Sarathi Roy Situation 1 | Apply AEIOU Exercise 1 | Apply AEIOU 1.Apply AEIOU to this situation. What are some of your key observations? 2.As you look and observe, what insight does it give you? 3. Given that insight, does it generate any opportunities in your mind? Situation 2 | Apply AEIOU Exercise 2 | Apply AEIOU 1. Apply AEIOU to this situation. What are some of your key observations? 2. Assuming the situations to happen in sequence, do any similarities emerge in both contexts? Can we come up with an opportunity area? Journey Map A graphic tool used to organize detailed information about an individual’s steps through a process. It is a useful learning device that can be applied to any context. Journey Map Source: HCD Toolkit 2ed. Tested the concept at one subway stop. Waiting transformed into shopping. LOOK Assume a beginner’s mindset. Check assumptions. “Observe” with all five senses. Document the looking. Be patient. Situation 3 | ASK You are a manager of a moving company. Over the past month customers have written to you to complain about the quality of their moving experience with your company. What would you do? Situation 3 | ASK Why did this happen? What would you do differently? "Our crew! They handled a complicated interstate move with professionalism and good humor. Everything arrived...
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...Reflection of my Observation visit For my Observational visit I attended K W RCF. For the last six years I have been working in a aged care setting which includes assisting the elderly in their own home. During my visit to K W I concentrated on observing in particular Infection control practices within the care facility, as I am currently working within the community area, and the practices we use are completely different, due to lack readily available equipment. At the entry to the facility I noticed that there were posters on the entry doors requesting that anyone displaying symptoms of cold and flu, not enter the facility. I also noted that located around the entry were several micro-shield dispensers, and posters requesting visitors to please sanitize their hands on entry and exit of the facility. As it states in Stuart, Cheng, Marshall, and Ferguson (2009) “The primary goal of infection control is to protect health care workers (HCWs), other patients and community members from acquiring a potentially serious disease.” This is a practice I was already aware of, and my observation visit just reinforced the practice. The Clinical nurse educator for the company took our group for a tour of the facility, where she pointed out several features including the facility’s wellness centre, where she explained that a local Co-op doctor’s service practiced weekly, for staff and residents of the facility. We were then informed about the annual program for providing flu...
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...what hospital to use? Is a decision based on hospital reputation or is their decision an emotional decision? What do we need to do to heighten our reputation as a caring, compassionate, technologically advanced facility and to appeal to the emotional level as a means to attract (the parents of) acutely ill children to Akron Children’s over our competitors? Measurement Questions: What measures does Akron Children’s Hospital take to demonstrate their superiority over their competitors to cater to children and to facilitate the healing process? The research team of Marcus Thomas LLC observed many areas of the hospital, including the food, as well as how hospital staff and physicians interacted with parents and children. Their observations determined that everything that Akron Children’s Hospital does truly reflects their dedication to children and...
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...Furthermore, the characteristics of educational research are a part of its nature. According to Gary Anderson (1998), there are ten characteristics of educational research. I tried to classify those into three categories, which are the purpose of research, the procedures of research, and the role of researcher. The purposes of research are to solve the problems, investigate knowledge, and establish the principles in educational phenomena. In short, it focuses on solving the problems and developing knowledge. Furthermore, procedure is an important characteristic of educational research, which involves colleting data with accurate observation, objective interpretation, and verification. Finally, researchers need to be experts and familiar with their field of study, using the data to develop solutions and increase knowledge. The researchers also need to be patient and careful to use every step of research’s procedures to achieve the purpose of...
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...Furthermore, the characteristics of educational research are a part of its nature. According to Gary Anderson (1998), there are ten characteristics of educational research. I tried to classify those into three categories, which are the purpose of research, the procedures of research, and the role of researcher. The purposes of research are to solve the problems, investigate knowledge, and establish the principles in educational phenomena. In short, it focuses on solving the problems and developing knowledge. Furthermore, procedure is an important characteristic of educational research, which involves colleting data with accurate observation, objective interpretation, and verification. Finally, researchers need to be experts and familiar with their field of study, using the data to develop solutions and increase knowledge. The researchers also need to be patient and careful to use every step of research’s procedures to achieve the purpose of...
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