...“Benner developed a linear theory to explain how nurses develop practical skills and move from being novice practitioners to becoming expert practitioner” (p.153). I have selected the “Hand over” scenario as it really inspired me as a student nurse; I am highly driven to develop the vital skills needed in the years to come as there will be allot of opportunities as the hand over is a vital part of a healthcare professional. In the scenario, before the paramedic hands over to the nurse he lets Sally know that he will be ensuring the nurse about her situation. The paramedic then goes on to inform the nurse about Sally, who is a 35-year-old female and 28 weeks pregnant and she had lost consciousness while having breakfast with her husband. The paramedic also informs the nurse how Sally is primarily suspected of having a stroke as she has a history of high potential and some history of stoke in the family. After the paramedic’s examination before arriving to the hospital Sally is found to have a high blood pressure, he also informs the nurse that Sally is not on any medication and is not allergic to anything that they know of. As the paramedic is leaving he ensures that Sally understands that he has informed all the information to the nurse and they will all do their best to look after her and her babies situation....
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...In this essay, I aim to elaborate on my knowledge and understanding of therapeutic communication prior to and after observing the video ‘Handover’ relating to ‘Pregnant stroke’; scenario-based videos. In particular, my focus is to relate the techniques utilized in the video for therapeutically communicating with the client with construction and enhancement of my personal skills of therapeutic communication, through analyzation and reflection. The video initiated as the paramedic staff informed the client, Sally that he was going to handover the related information to the nurse. It progressed with inter-professional communication between the professionals starting with their introduction, description of the event involved, a brief clinical background of the client and related observations. Following the handover, the paramedic staff reassured the client before he left. Finally, towards the end of the video, the nurse involved in a remarkable therapeutic communication with the client. I observed that this interaction incorporated therapeutic communication skills which can be substantial in a therapeutic relationship. Therapeutic communication takes place when the nurse utilizes effective techniques to construct a therapeutic relationship and also to cultivate an understanding with the client. Such communication might not necessarily be verbal, it includes the understanding of the client’s facial expressions, body language and cues which requires skills such as empathy, informing...
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...Kelsey Knepper Prof. Cousin ENGL 1613-8am class 13 October 2014 Birth Control Pills Birth control pills are used widely by women all over the world. On average, about 150 million women use birth control worldwide. Only five out of one hundred women each year who use this method are likely to get pregnant. In the United States, 62% of women use a form of contraception, and about 10.5 million of those women use birth control pills. Many women also use birth control pills to control and reduce cramping during the menstrual cycle, prevent acne, and develop stronger bones. Unfortunately, what many women do not realize is, is that birth control pills can also be very harmful to a women’s body. Birth control should be taken out of the general public to prevent women from becoming unhealthy. Birth control should be removed from public consumption because it can cause different kinds of cancer, blood clots, gall bladder disease, benign liver tumors, strokes, and high blood pressure. First off, birth control pills can cause a variety of cancers. Cancers such as breast cancer and cervical cancer may develop from taking the pill. Breast cancer is a major cancer that can develop from taking birth control pills. According to one article, “a 1996 analysis of epidemiologic data from more than 50 states worldwide by the Collaborative Group on Hormonal Factors in Breast Cancer found that women who were current or recent users of birth control pills had a slightly higher risk of developing...
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...lungs. Having clots in deep veins like in deep vein thrombosis can cause pulmonary embolism (Lung disease, 2011). More than 300,000 people are affected by pulmonary embolism each year (Lung disease, 2011). Any diseases that can form a clot in the body can lead to pulmonary embolism. Some of the factors that can increase the risk for pulmonary embolism includes, being inactive for long periods of time. This mainly happens after surgery or major illness, sitting in long flights or cars (Lung disease, 2011). As mentioned in the article of lung diseases about pulmonary embolism, recent surgeries include legs, hips, belly and brain can cause formation of an embolus. Diseases such as cancer heart failure, stroke or severe infection are some other extra risk factors. Also being pregnant, having child birth especially via c-section. Taking birth control pills or hormone therapy and smoking are some more of the risk factors included. Also at risk for...
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...of care provided (self care v. intensive care) - requirements of health care agency - any legal or other obligations that the health record must meet ▪ Content of documentation needs to be: - relevant - appropriate - accurate - requirements will vary according to pt acuity - content may be guided by framework (assessment, intervention, response) ▪ Documentation framework: - assessment: conclusions reached utilising subjective and objective data - intervention: reflects the action taken - response: reflects the pt’s response to the intervention ▪ Example of using framework to case: Mrs Pat Martin, a 28y/o lady has been admitted overnight via Casualty accompanied by husband. She is 16 wks pregnant and has been diagnosed with appendicitis by Dr Chan. At the moment she is only experiencing mild pain and has a low grade fever of 37.7. IMI Pethidine 50mgs was given at 2am, and may be repeated PRN. Shes been added to the theatre list at 9.30am. She remains NMB and has IV normal saline running over 10hrs. IV Keflin QID commenced, is next due 12md. Her husband remains at bedside. It is now 630am and Mrs Martin is resting, however she has not had much sleep overnight. Her 6am vital signs are: BP: 120/80 Respirations: 16, Ward urinalysis shows no abnormalities Temp: 37.7. Pulse: 80 (reg). ASSESSMENT: - Mrs Martin aged 28 - new admission via casualty overnight under Dr Chan - accompanied by husband - provisional diagnosis is...
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...A NOVEL APPROACH FOR AN EXCEPTIONAL CONDITION “PUMPLESS” KEYHOLE ASD HYBRID DEVICE CLOSURE IN A PREGNANT LADY (First of its kind in India) Unusual circumstances call for innovative ideas and more so, when it comes to save lives. This is such a case where the doctors at Global Health City, Chennai were confronted with a rare medical condition that tested their ultimate expertise and gave them an unspeakable pleasure of achievement. 31 yrs old Intisar Kareem Naser from Iraq had an episode of minor Cardiac stroke along with seizures and transient weakness of the left hand. The diagnosis revealed that she was having a 25 mm Atrial Septal Defect (ASD) with transient Ischemic attack and Paradoxical embolism. She was advised to undergo the ASD closure procedure in Iraq. But, the challenging part was that she was into her third month of pregnancy and the operation could prove fatal for the unborn baby. In an emotional despair Ms. Intisar & her husband Mr. Akran approached Global Heal City, where their case was reviewed by Dr. Nandkishore Kapadia (Senior Consultant & Cardiac Surgeon) and Dr. R. Ravikumar (Senior Consultant & Interventional Cardiologist). There was a brainstorming on the treatment approach with a sole objective to save both the lives i.e. the mother and the child. The traditional Open Heart surgery on Cardiopulmonary Pump was ruled out because of high risk of blood loss, which might lead to abortion. Closure of ASD in Catheterization laboratory was...
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...| Argumentative Analysis | Teenage Pregnancy | | Alisha Hunter | Core 201 | | In 2009, the first season of 16 and pregnant aired (a show to prevent teen pregnancy) and right after, it leads to a follow up of several spin-off shows of Teen Mom (after life of the girls on 16 and pregnant and where they are with their kids). After the first episodes of 16 and Pregnant and Teen mom many more seasons began to come out; four episodes of 16 and pregnant in 2009, 2010, 2011 and 2012 and then leading to three seasons of Teen Mom (Teen Mom 2 and Teen Mom 3). Shortly after the shows aired it was said that girls were getting pregnant on purpose just to be on the new television show. The newly show for pregnant girls isn’t helping girls prevent pregnancy. But more of leading girls on to become pregnant just to be a star get their 15 minutes of fame. Is the show really coming off as educational and realistic or are the shows making the girls make bad decisions. It all started with Maci, Farrah, Amber and Catelynn on the first season of 16 and Pregnant. The show was made to be educational and prevent teen pregnancies, to show young girls and boys about the real struggles of being a teen parent, showing the real struggles of parenting. It went into great and deep detail of the everyday lives of the girls. The show started off as a good educational show but then lead into more drama than just teen pregnancy. Catelynn had more than just issues with dealing with her adoption...
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...Teenage Pregnancy: Acceptance as Pop Culture Our society comprises of many gender niches and roles. Women are sisters, daughters, and most importantly mothers. Motherhood is one of the most cherished roles that a woman can take on. In the past, women were meant to be seen and not heard as their value depended on their ability to bear children and raise them thoughtfully. Even though that has changed and women are expected to gain an education and lead a career, motherhood can still be a main part of their life. However, motherhood does spring upon on some by surprise. Teenage pregnancy in the last few years have been on the rise and has become a problem for some to live up to that expectation of an education and career (Peck). In the past, teenage pregnancy was a taboo. However its discussion has become more widely accepted. Through analyzing the Candie’s Foundation ad in the October 2011 issue of Teen Vogue, it can be seen as an example of the shift in perception of teenage pregnancy in the United States. The Candie’s Foundation is a philanthropic branch from the clothing line Candie’s. The clothes from the Candie’s brand are meant to appeal to teenage girls who dress girly and traditionally feminine. Focusing on the same demographic, the foundation was founded with the goal to raise awareness about teenage pregnancy in 2001, according to their website. The print ads from their current campaign mainly feature female celebrities such as Fergie, Hilary Duff, Ciara, Hayden...
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...Heart disease and stroke Goal Improve cardiovascular health and quality of life through detection, prevention, and treatment of risk factors for heart attack and stroke. The leading adjustable risk factors for heart disease and stroke are: High blood pressure High cholesterol Diabetes Cigarette smoking Overweight and obesity Poor diet and physical inactivity The risk of Americans dying from cardiovascular disease would be significantly reduced if major improvements were made across the U.S. population in diet, physical activity, control of cholesterol and high blood pressure, smoking and drinking cessation, and appropriate aspirin use. Cardiovascular health is very much influenced by the physical, social, and political environment, including: Maternal child health: Encompass the health of women, children, and families across the life course. This approach embraces the principles of health equity, cultural competence, community empowerment, and social determinants of health in a family-centered, intergenerational approach to maternal and child health. Promotion of healthy kids and families: Availability of healthy foods, extracurricular activities in schools and physical education can do much by improving physical strength thereby reducing overweight and increasing strength and stamina. Encourage kids to develop safe and healthy habits to prevent disease and injury. Make them aware of eating nutrients for growth. To stay healthy, be active...
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...Utilization Paper An ongoing discussion for many years now has been on men’s health. There have been discussions regarding the lack of men making and keeping appointments with their physicians as well as acquiring a physician before receiving a diagnosis leaving life changing results and the need of seeking health care. We know that men usually refuse to simply visit a doctor unless he is already badly feverish and unstable or lying on his sick bed. Responses such as the situation of that it will take care of itself, or the hours worked will not allow him to see the doctor right now, and he will go when it is necessary always has been a valid excuse in their opinion. After the time that the appointment is made, he is already worse than he would have been if he went before the symptoms occurred or at the early onset of any indications of sickness. Researches show that the life expectancy of men as compared to women is five years if comparing to life at birth, and three years difference if the comparison is when both genders are 65 years old. Women are known to seek health care and remain consistent as long as she lives. “In United States, men are more likely to be regular and heavy alcohol drinkers, heavier smokers who are less likely to quit, non-medical illicit drug users, and are more overweight compared to women. Men are less likely to utilize health care visits to doctor's offices, emergency departments (ED), and physician home visits than women. They are also less likely...
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...NURSING MANAGEMENT OF A STROKE PATIENT INTRODUCTION Stroke is the only largest cause of adult disability which leaves a devastating and lasting effect on people and their families (DoH, 2007a). The government of the United Kingdom had recognized stroke as a health care priority. Several government agencies developed clinical guidelines which are being implemented today in local health care settings (Williams et al, 2010a). This essay will focus on stroke as the cause of impaired mobility and will tackle on the patient-centered rehabilitation care plan along with its evidence-based rationales. Health and social care policies and its effect on the patient’s chosen journey will also be discussed. PATIENT PROFILE This is a case of a 68 year-old, married female who lives in the south of England. Mrs. G was admitted on 12 October 2010 with a presenting complaint of left-sided weakness. Prior to admission, she experienced persistent pain on the back of the head for 2 days, which was unrelieved by Paracetamol intake. On the morning of admission, she collapsed in the bathroom and was found by the husband after 3 hours. She was brought to the hospital via ambulance and upon initial assessment, no shortness of breath, slurred speech, dizziness, palpitation and chest pain were noted. Her vital signs were as follows: blood pressure of 169/59 mmHg, pulse rate of 80 bpm, respiratory rate of 18 breaths per minute, body temperature of 37.5 degrees...
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...Running head: HEALTH PROMOTION Health Promotion: Reduction of Stroke Deaths Jeffrey M. Heist Indiana State University Introduction The development of health care policy in the United States has historically, been based on the fact that clinicians were responsible to treat primary illness rather than the promotion of health as it related to personal health behaviors (U.S. Preventative Services Task Force, 2011). This paper will examine the Healthy People 2020 objective HDS-3, Reducing Stroke Deaths (U. S. Department of Health and Human Services, 2011), and how the promotion of this objective has progressed since it’s Healthy People 2010, 12-7, predecessor. History The Healthy People initiative was introduced in 1979, by the Department of Health and Human Services (DHHS), in an effort to provide a systematic approach to improving health (Koh, 2010). The plans, known as HP 1990-Promoting Health/Preventing Disease (Centers for Disease Control, 2011), Healthy People 2000, Healthy People 2010 and the current Healthy People 2020 have focused on identifying health priorities and aligning the strategies to effectively implement those strategies. The goals related to each version of the initiative have changed, as have the number of objectives/measures. HP 1990 goals were to decrease mortality in infants and adults and to increase the independence among older adults while the Healthy People 2020 goals were aimed at: ...
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...When his big frame fills the doorway, heads turn and folks mutter. On a weekday evening none of the New Yorkers in the International Bar on 3rd and 7th in Manhattan expected to be sipping their drinks next to "the coolest man in rock". Doe-eyed, floppy-haired Julian Casablancas takes his place in as unassuming way as you can when you have been told so often that your music represents this very city. But perhaps the frisson of cool abates a little when he opens his mouth. You see, Casablancas doesn't sound like the ultimate hipster. He has slipped in at 6pm for an early-evening drink after a photo shoot and he orders a Coke in a distinctly nerdy nasal tone. On record with his band, The Strokes, Casablancas's vocals often sound as if they were recorded down an ancient, buzzing telephone line. It comes as quite a shock to realise that these are not special studio effects. This is what he sounds like in real life. "I'm trying to shrug off a cold I think," he says. He's ordering "soft" because of this but also because he no longer likes boozing it up. Also, his wife, Acacia, is expecting their first child within four weeks. Besides, Casablancas famously got into his rock 'n' roll meltdown quite early. He was 13 when he first got drunk, and his father John Casablancas, the founder of the Elite modelling agency, sent him for counselling and then packed him off to his own former private school, Le Rosey in Switzerland. "Ah, they thought I had an issue but I did it because I thought...
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...Narrative Report - Left sided hemiparesis due to an ischemic stroke by Clifford Choi on Saturday, December 3, 2011 at 12:47am · I thank my mentors in neurology, integrative medicine, and my patient for his determination to overcome this. He is an atheist but believed in me and himself. The patient reports full recovery. Here is his letter 4 months later. He has given permission to publish the report. He is back to work, travelling, driving, and has no known deficits. 80% of ischemic strokes survive the stroke, but it is uncertain how many fully recover 100% function. _________________________________________________ Dear Dr. Clifford Choi, I tried to call the number you once gave me, but they told at the hospital SEIMC that you were not working there anymore. Anyway I just wanted to touch base and say hello to you and thank you and the colleagues you had at the hospital. The recovery has been very amazing. I was last week at this intensive rehabilitation (or so it was called) session at the _________ University hospital. I was supposed to be there the whole week, but they said that I’m actually in too good shape to gain anything from this anymore, so I left Wednesday morning. I’m allowed to drive now, and officially I will be back to work on August 26th. I can call you, if you want. But then I would need your phone number. The world is a small place, so maybe we some day run into each other. You never know. Best regards, patient x The report below was submitted...
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...Causes and Effects of Stroke Thesis: To gain better knowledge and understanding of the disease called stroke, one must be familiar with how it is caused, its forms, symptoms, facilitators, how it is diagnosed, treated, and prevented. I. Introduction II. Stroke A. Definition B. Types C. Causes III. Demographics IV. Symptoms V. Diagnosis, Treatment, and Prevention VI. Conclusion Causes and Effects of Stroke Many individuals know or have friends, relatives, loved ones, or someone close to them who have either experienced firsthand or have seen the effects of a stroke, in addition to the toll it takes on the victim and the victim’s life. However, what remains unclear to most families is exactly what the condition is and what causes it. To gain better knowledge and understanding of the disease called stroke, one must be familiar with how it is caused, its forms, symptoms, facilitators, how it is diagnosed, treated, and prevented. By definition, a stroke is a condition where a blood clot or ruptured artery or blood vessel blocks the flow of blood to a specific area of the brain. It is a lack of flowing oxygen and glucose to the brain that leads to the deterioration of brain cells and the start of brain damage, thus resulting in the person developing speech impairment, memory, and movement. There are two main categories in which strokes are classified, ischemic stroke and hemorrhagic stroke. The ischemic stroke is what accounts for...
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