...My first experience interviewing a mental health patient was easier than I expected. After I was assigned my patient, I introduced myself to my patient and asked him if I could interview him. At first, he was staring at me and thinking about what I was saying. I explained to him that I was a nursing student from University of Maryland, and I kept smiling. He finally smiled back at me and said “sure”. It was a relief. Before the interview, he asked me how long it was going to take. I told him 10 minutes. He started panicking, stating that 10 min was a long time, and he did not think he was going to make it. I convinced him that 10 min would go by before he even realized it. He said “okay”. The interview went very well. My patient was looking...
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...Atul Gawande’s Being Mortal is about experiences he learned from while being a doctor. In his final chapter, “Courage,” he discusses the idea of death and how some of his patients and family went into it. As Gawande discusses the stories and emotions he shared with these people, he explores the idea of narrative medicine that Rita Charon discusses. Rita Charon is a physician that practices narrative medicine in her practice. In her Ted Talk, “Honoring the stories of illness,” Charon presents the idea that we, as doctors and caregiver, should act as if the patient is more than their illness. Instead of treating just their physical illness, helping them understand and process it, as well as helping their mental health, are just as important....
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...Personal Philosophy of Nursing Cindy Lucas Jacksonville University November 12, 2012 Personal Philosophy of Nursing The nursing profession is not just a job, it is a higher calling. The amount of work, time, and emotion that goes into nursing practice holds nurses to a much higher standard than the average nine to five office job. Nurses must be proficient in a background of anatomy, physiology, and the way drugs and diseases work. Nurses must also combine that knowledge with sharp critical thinking skills and an unconditional compassion for humankind. While every nurse is unique in their own way, I hope the values that I have in my daily living can affect the way I conduct myself while on duty as a practicing nurse. The same theme seems evident in most nursing philosophies; caring, health and wellbeing, environment, and clinical excellence through education. As I contemplate what my philosophy of nursing is I have discovered that I also incorporate these aspects of nursing into my own personal values of what I believe it is to be a nurse. My personal belief system has always been that a nurse should possess strong ethical and moral values, a passion for caring, and a commitment to lifelong education. Ethical and Moral values One of the greatest challenges in nursing is how to integrate appropriately one’s own values and beliefs into the professional practice. The nurse’s primary commitment is to the patient and the patient’s family. Patient respect, advocacy...
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...with electronic health records is the face to face communication with the doctor. While in with the patient, the doctor has less contact and direct communication with the patient. The doctor makes less eye contact and gestures toward the patient (A.K. Mwachofi ET Al. 2016). The doctor must get the information into the system while in with the patient. If they don’t enter the information into the system in a timely manner, they may either forget parts of the visit or they won’t get reimbursed by insurance companies. A study was done in an emergency room that found 43% of a provider’s time was spent imputing medical records online and only 28% of time was spent on direct care with the patient (S. Hoffman ET AL. 2014). To deal with the problem of interaction between the provider and patient with electronic health records, some physicians have an assistant go with then in every exam room to type the notes while the physician interacts with the patient. Many patients over the age of 65 reported a problem with their face to face communication with their doctor due to electronic...
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...Critical Reflection on current clinical knowledge and development Within this assignment I will critically reflect on my clinical knowledge to date and consider my future development needs with a focus on my final management placement and future career as a registered nurse. I have chosen two areas which I feel are relevant to my future development needs namely Quality Assurance and Multidisciplinary/Agency team working and using the Gibbs model (fig. 1)as a framework will reflect upon my own learning experiences and achievements to date and write an annotated reflection highlighting my development needs from which I will formulate a Personal Development Plan. This undertaking demonstrates my commitment to the need for continuing professional development in order to enhance my knowledge, skills values and attitude needed for effective nursing practice (proficiency 4.1) and will address deficits in my knowledge and skills and identify any shortcomings within my own or others practice and help me cope with practice related issues experienced within my previous placements. I have chosen Gibbs reflective model as a basis for reflection as I feel it is easily understood and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, conclusion and reflection upon the experience to consider a solution if the situation arose again (Brooker & Nicol 2003). It has been advocated that reflective practices are a method of bridging the gap between...
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...conservative family. My father has served in the Philippine military and the Philippine government most of his life, and my mother was a dedicated nurse midwife and professor at a university hospital. Serving and caring for people has become second nature to my family. My father was strict and a disciplinarian; he did not allow my family to be out of the house after 6:00 p.m. He believed that it was important to have every member of the family home for dinner. It was from him that I learned the value of self-discipline, respect, and the importance of good education. Meanwhile, my mother was the go-to person for most of our relatives and family friends. Our home was open to anyone who was in need. It was from her that I learned to be available to the people I cared about. When asked about my leadership values, I always knew that they are strong reflections of my parents’ beliefs and practices. Self-reflection is essential in knowing who I am. My Advanced Leadership course from New York University has taught me that a leader is not born to have a specific characteristic or trait to be great; likewise, a unique leader has leadership gifts within him or her. To use this leadership gift to inspire and motivate others, George, Sims, McLean, and Mayer (2007) stated that I must come to understand who I am and my life stories and experiences in order to develop self-awareness. I must continue to explore and develop my values and principles, and keep an integrated in my life with help...
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...Private Bag 92019, 85 Park Road, Grafton, Auckland, New Zealand. E-mail: susanpw@xtra.co.nz W A T E R W O R T H S . ( 2 0 0 3 ) Journal of Advanced Nursing 43(5), 432–440 Time management strategies in nursing practice Background. With the increasing emphasis on efficiency and effectiveness in health care, how a nurse manages her time is an important consideration. Whilst time management is recognized as an important component of work performance and professional nursing practice, the reality of this process in nursing practice has been subject to scant empirical investigation. Aim. To explore how nurses organize and manage their time. Methods. A qualitative study was carried out, incorporating narratives (22 nurses), focus groups (24 nurses) and semi-structured interviews (22 nurses). In my role as practitioner researcher I undertook observation and had informal conversations, which provided further data. Study sites were five health care organizations in the United Kingdom during 1995–1999. Findings. Time management is complex, with nurses using a range of time management strategies and a repertoire of actions. Two of these strategies, namely routinization and prioritizing, are discussed, including their implications for understanding time management by nurses in clinical practice. Conclusions. Ignoring the influence of ‘others’, the team and the organization perpetuates a rather individualistic and self-critical perspective...
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...Billy Best.” ii. Personal Narrative II. Body A. Background Information iii. “Carcinogen.” Wikipedia. iv. “Cancer.” Wikipedia. B. Opposing Perspectives v. Schorr, Andrew. "Interview with Amie Blanco: Hereditary Colon Cancer." vi. Joe Chemo. Image. vii. Phillips, Gavin.“Interview with Dr. Burzynski.” C. Thesis + Support viii. Holistic vs. Medical treatment: medical treatment seems to be a better shot at surviving. ix. Kelly. “Adenoma/Glioblastoma multiforme/Anaplastic astrocytoma/Glioma Cured.” x. Cousins, Emily. “Life after Treatment Can Be Almost As Hard as the Chemo.” xi. Messoria, Josie. Personal interview. 15 November 2012. III. Conclusion xii. Personal. Abstract In this essay the author discusses cancer, what causes cancer, holistic vs. medical treatments. The first part of the essay the author presents a piece of an interview conducted with a young cancer patient who was going against the grain and refusing treatment. The essay then goes into a personal narrative on how the author feels about cancer then from there goes into a great descriptive paragraph about cancer and carcinogens. Her thesis is clearly surrounding the argument whether or not holistic or medical treatments such as surgery, radiation, and chemotherapy are ideal in treating/curing cancer. She explains that there are some cancer patients who swear by holistic remedies...
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...Sexual Harassment in the Workplace EXPERIENCES OF WOMEN IN THE HEALTH SECTOR Paramita Chaudhuri Health and Population Innovation Fellowship Programme Working Paper, No. 1 This report is the result of a project entitled “Understanding Sexual Harassment in the Health Sector,” undertaken as part of the Health and Population Innovation Fellowship (HPIF) awarded to the author in 2004. The HPIF programme is administered by the Population Council, New Delhi and is a continuation of the MacArthur Foundation’s Fund for Leadership Development (FLD) fellowship programme that continued over the period 1995 to 2004. The Council is grateful to the MacArthur Foundation for its support to this programme. The HPIF programme aims to support mid-career individuals who have innovative ideas, leadership potential, and the capacity to help shape policy and public debate in the field of population, reproductive health and rights in general, with a focus on two priority themes – maternal mortality and morbidity, and the sexual and reproductive health and rights of young people. Since the transfer of the programme to the Population Council through 2006, a total of 17 individuals have been supported under the HPIF programme. For additional copies of this report, please contact: Paramita Chaudhuri Senior Programme Officer Sanhita 89B Raja Basanto Roy Road Kolkata 700 029 Email: sanhita@cal.vsnl.net.in Phone: 033-24227965 Population Council Zone 5A, Ground Floor India Habitat Centre, Lodi Road...
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...advanced rapidly. Amazingly, the human condition could be put to test, understood and categorized. Sadly, anything falling outside the “norm” became “abnormal.” Once a person was identified as “abnormal,” they were the lucky recipients of a label they carried with them for life, or until they “recovered.” Mental health labels carry with them a certain stigma that communicates to the person they are different, perhaps less of a person and that “normal” may never be a reality with their “illness.” Recovery would be based on becoming symptom-free, or at the very least, a significant reduction in symptoms (Gehart, 2012). The mental health field has experienced tremendous growth in terms of understanding the plethora of conditions people experience, as well as in treatment of those conditions. However, one thing remained unchanged until recently. The idea behind recovery shifted from coercive treatment to person-centered change (Onken, et al, 2007). Gehart states is this way, “instead of using the medical paradigm of disease, the recovery paradigm approached mental “illness” using a social model of disability that emphasizes psychosocial functioning over medical symptomatology” (2012). The focus of recovery shifted from the illness to the person. The recovery model gave way to the idea that change can happen and that the person should be at the center of the decision-making process to “reach their highest possible level of functioning, while developing new meanings for their lives”...
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...The Qualitative Report Volume 14 Number 1 March 2009 61-80 http://www.nova.edu/ssss/QR/QR14-1/blanchard.pdf Lived Experiences of Adult Children Who Have a Parent Diagnosed with Parkinson’s Disease Amy Blanchard, Jennifer Hodgson, Angela Lamson, and David Dosser East Carolina University, Greenville, North Carolina Little is known about the experience among adult children who have a parent with Parkinson’s Disease (PD). The purpose of this study was to explore, appreciate, and describe their experiences using a phenomenological methodology. Narratives were collected from seven participants who have a parent diagnosed with PD and analyzed according to Colaizzi’s (1978) phenomenological data analysis method. Seven thematic clusters were identified and an exhaustive description is presented to summarize the essence of their lived experience. The study indicates a strong sense of essential positivism from the participants’ stories, and overall, it seems PD has brought some degree of biological, psychological, socially, and/or spiritual meaning to their lives that they may not have otherwise noticed or experienced. Key Words: Parkinson’s Disease, Phenomenology, Biopsychosocial-spiritual, Adult, Children and Illness Introduction “The bond between mother and child is so deeply rooted in our emotions that we fear to discuss openly anything that threatens the bond” – Glenna Atwood (1991) Establishing links between chronic illnesses and family impact are not novel (e.g., Cooke, McNally...
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...cancer was a major event that affected my personality, and how I dealt with my relatives and therapist and the outcomes from its treatment. CANCER Many of those moments or psychological moments were significantly affecting: * Memory * Tension * Anxiety * Depression * Sleep disturbance * Emotional disturbance It did not affect my memory completely as I was able to retain all images of my cancer treatment, but not in detail as well as the way family and friends treated me, and retrieving all this information made me feel completely depressed, nervous and full of anxiety. Even though the representations of those moments are not accurate, they are veridical. These emotional memories were coming back to me repeatedly ( Janoff-Bulman 1992), constantly recurring, and psychologically disturbing, full of negative events like death association. These memories were constantly telling me what happened. These same memories represented visual forms of sensory images that were not accurate as I could not and still can’t remember fully in detail step by step each occurrence. They are only visual images that are fading away and are not so accurate anymore as those sensory images are not coming back as constantly as before. They are not as accurate as memory is an active, reconstructive process rather than a passive, reproductive process, and in the process of reconstructing a memory narrative, errors can occur, but for the most part...
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...and center. This made everyone be able to see them spatially and it reminded me of how our desks were assigned in a very concave like structure in class. There was a huge lit screen that also incorporated visual interaction with the audience that helped one identify some of Signmark’s signing. Throughout the performance I noticed many different levels of signing from both those hard at hearing and Deaf. There was a man at the event that would talk to the guests aloud but would only respond to those who signed back at him. He served as a personal liaison for my interacting and interpreting of Signmark’s lyrics throughout the show. When Signmark performed one of his favorite songs off his recent album Breaking the Rules, one motion that stood out was a much choreographed movement he would do to sign “winning/victory”. He motioned his dominant hand in a twist like positioning as if he was spinning his wrist in the air. Another sign that caught my attention was the signing “maniac” which was a title of another single he performed. Almost similar in some ways to how most people would typically try to sign “crazy”, this was actually the spinning of both hands in an M-shape around the side of the head. I was surprisingly impressed by how much vocabulary I was familiar with in much of Signmark’s performance. He was very energetic and performed in a very dramatic/lively way...
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...ENGL347: Women Writers: Assessed Essay “Becoming a mother will be the one thing that frees you as a woman. But it will also be the one thing that traps you...” – Anon. Discuss the way in which women writers use the concept of motherhood as a gender-divide to explore the themes of entrapment and escape in literature. Since the 19th century, the broader sense of literature as a ‘totality of written or printed works’, and the foundational means of communicating information or ideas, has given way to a range of more exclusive and specific definitions. The rapid growth of adult literacy, combined with economic, social and political developments have vastly increased the sheer spectrum and quantity of subject matter and forms which fall under this umbrella term, forcing the need for greater categorisation in order to make ‘literature’ more accessible to the general reader. The resulting categories which attempt to standardise this process may take many forms, including observation of the structure or literary genre of the text (for example, categorising the text as a novel, poem, report or article) or perhaps the particular literary period or movement, which will link all associated texts with underlying principles or stylistic traits, such as the Romantic era or Post-Colonial literature. However, due to a long-standing patriarchal tradition dominating the history of literature- a literary practice challenged and corrected by the rise of the Feminist movement, particularly following...
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...witnessing resuscitation, and lack of education of families. The survey results show that more existing education is needed. Consequently, the current policy is posted in all waiting areas for families, and a mandatory in-service was created and presented to staff on how to communicate effectively with family members. Keywords: family visitation, staff attitudes, perceived barriers, PACU. Ó 2009 by American Society of PeriAnesthesia Nurses ALTHOUGH MANY EMERGENCY DEPARTMENTS around the country are allowing family members at the bedside during resuscitations, there is resistance to family visitation in the postanesthesia care unit (PACU). Family visitation benefits both families and patients,1 and at a time when competition for surgical patients exists, hospitals must continue to improve patient and family satisfaction. The PACU where this project was conducted had no formal visitation policy. Reasons for having no formal policy, according to staff, were lack of privacy, lack of space, fear of families witnessing resuscitative efforts, and staff anxiety. As empirical evidence...
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