...Enhancing end-of-life care (EoLC) is a core component of international governments’ health policies. Across the globe, nurses make significant contributions to EoLC and, at this delicate time, have the power to positively influence the health and wellbeing of those facing death. Indeed, health promotion is a core component of the nurse’s role. Originating in the UK, EoLC pathways have been adopted around the world.Their broad aim is to optimise the quality of the dying process, enabling people to ‘die well’ across care settings. This paper examines EoLC pathways in terms of promoting health and wellbeing in this discrete stage of the dying trajectory. Concepts of health and health promotion are described briefly and the idea of health-promoting palliative care and its association with a good death examined. The ensuing discussion relates to two EoLC documents. While acknowledging that much has been achieved it is argued that, despite the potential for promoting health and wellbeing, a professionally led, biomedical approach predominates, and in terms of promoting health and wellbeing at the end of life there is a pressing need for proactive advance care planning at an earlier point in the illness trajectory. Key words: End-of-life care l Care pathways l Terminal care l Health promotion Michael Allen is Staff Nurse, Chemotherapy Day Unit, Singleton Hospital, Abertawe Bro- Morgannwg University Hospital Board, Swansea, Wales; Tessa Watts is Senior Lecturer, Swansea University,...
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...Running head: HEALTH PROMOTION Health Promotion Marissa Krick Grand Canyon University: NRS 429V February 12, 2012 Health Promotion According to the United States Public Health Service, health promotion is the process of promoting health in order to increase the probability that private, public, and personal support of optimistic health habits will become the societal norm (Kreuter & Devore, 1980, p. 26). The perception of health promotion is fairly new and has continued to grow since the early 1980’s (Edelman & Mandle, 2010, p. 20). Health-promotion holds the best possibilities for helping in dropping healthcare prices while allowing people to be accountable for their personal health and safety (Edelman & Mandle, p. 20). Individuals, communities, and families must be active members in the course so that programs are socially related, economically possible, and accommodating to changes at the individual level (Edelman & Mandle, p. 20). Health promotion entails three levels of prevention, which are used to offer nurses with starting points in creating effective changes in patient’s health, throughout life, and in the prevention of diseases (Edelman & Mandle, p. 19). The three levels of health promotion include primary, secondary, and tertiary. With each level of prevention, there is a specific emphasis to the health promotion, and can have the tendency to overlap in practice. As the nurse, he/she must openly realize the goals of each level to...
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...UNIT 1 In this unit it was critical to understand that health has different levels of socio-ecological levels. • Interpersonal Level • Intra Personal Level • Institutional level • Community Level and; • Policy Level. I love the categorization given to the ecological factors influencing health by CDC (The Social-Ecological Model: A Framework for Prevention, 2013). According to WHO(1948) definition of health which says “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. I had a previous notion that when I feel fine, strong, eat well, sleep well, no pain or weakness then I am healthy. It brought about a sense of clarity to me that I was influenced by my environment, My...
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...FORTY-SECOND REGULAR SESSION OEA/Ser.P June 3 to 5, 2012 AG/doc.5242/12 rev. 2 Cochabamba, Bolivia 20 September 2012 Original: Spanish/English SOCIAL CHARTER OF THE AMERICAS (Adopted at the second plenary session, held on June 4, 2012, and reviewed by the Style Committee) THE GENERAL ASSEMBLY, CONSIDERING that the Charter of the Organization of American States (OAS) provides that integral development encompasses the economic, social, educational, cultural, scientific, and technological fields through which the goals that each country sets for accomplishing it should be achieved; TAKING INTO ACCOUNT that the Inter-American Democratic Charter recognizes that democracy and social and economic development are interdependent and mutually reinforcing, and that promotion and observance of economic, social, and cultural rights are inherently linked to integral development, equitable economic growth, and the consolidation of democracy and the rule of law in the states of the Hemisphere; RECOGNIZING that social justice and equity are essential for democracy; CONSIDERING that the Charter of the OAS establishes among its essential purposes to eradicate extreme poverty; CONSIDERING AS WELL that extreme poverty constitutes an obstacle to development and, in particular, to the full democratic development of the peoples of the Hemisphere; and that its elimination is essential and constitutes a common and shared responsibility...
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...GREENER INDIA A report on promoting cycling in the country PEDALLING TOWARDS A Study supported by All India Cycle Manufacturers’ Association (AICMA) Pedalling Towards A A report on promoting cycling in the country GREENER INDIA All India Cycle Manufacturers’ Association (AICMA) Study supported by the The Energy and Resources Institute © The Energy and Resources Institute 2014 All rights reserved Published 2014 For more information Akshima T Ghate TERI Darbari Seth Block IHC Complex, Lodhi Road New Delhi – 110 003 India Tel. 24682100 or 24682111 E-mail akshima@teri.res.in Fax 2468 2144 or 24682145 Web www.teriin.org India +91•Delhi (0)11 Contents Project Team ...................................................................................................................................................... v Acknowledgement ............................................................................................................................................vii Foreword ........................................................................................................................................................... ix Preface ............................................................................................................................................................... xi Executive Summary.............................................................................................................................
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...“baby boomer” generation (those born from 1946-1964) are now our retirement-age elderly that we healthcare providers are challenged with caring for. The Population Reference Bureau estimates that there are 76.4 million baby boomers (as of April 2014). About 3 million baby boomers will hit retirement age every year for the next 20 years (Barr, 2014). Healthypeople.gov estimates that 60 percent of this population will be managing more than one chronic condition by 2030. The American Hospital Association notes that the over 65 population will nearly triple as a result of the aging Boomers. What this means for us healthcare providers is that our healthcare system will be challenged with caring for a significantly increased amount of elderly with chronic ailments that we are seeing now. This will increase healthcare costs as chronic disease management increases and transitions are made from private insurance carriers to Medicare. I interviewed a baccalaureate nurse who works on the geriatric medical surgical unit in my hospital and asked her to identify the special needs of the Baby Boomer Generation. She has been a nurse for 25 years and has worked on that unit for the past 12 years. Looking back on her experience and the current trends of problems she encounters with this generation, specifically with the lower income minority population that we work with, she was able to point out five issues that she sees as lingering problems in this population. The first one would be their ability...
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...Literature Review: Our thesis aims to evaluate work based learning approaches in developing acute skills for nurses in critical care wards. In this section of the literature review, we will discuss policies in the nursing profession, case studies and various approaches to work based acute skills learning programmes. For our purposes we conducted a literature search using popular medical databases and terms such as ‘acute skills’ ‘learning programmes’ and ‘critical care learning’. Our review highlights on the several important approaches to work based learning ranging from reflective practice to experiential learning and work based formal practical training to enhance professional skills. A learning programme for acute ward nurses responsible for caring of critically ill patients has been the central focus of nursing practice development. According to Coad et al (2002), a work-based learning approach has been found to empower ward staff with the necessary skills of nursing and the authors studied the efficacy of a five-day competency based high dependency skills course in enhancing professionalism and quality of care in nursing. The aims of comprehensive critical care are developing leadership potential and enhancing networking opportunities for nurses within critical care and acute ward areas. Critical care is the most challenging aspect of nursing care and acute skills in nursing are enhanced not just by work-based learning programs but also from first hand nursing and...
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...Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses nuf_237 256..268 Lisa A. Lawrence, PhD, RN Lisa A. Lawrence, PhD, RN, Instructional Faculty, Nursing Department, Pima Community College, Tucson, AZ Keywords Critical reflective practice, education level, moral distress, registered nurse, work engagement Correspondence Lisa A. Lawrence, PhD, RN, Nursing Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally, in the neonatal intensive care unit, a positive direct...
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...Andre Ferguson English 120 September 30, 2014 Argumentative essay Promoting Sexual Education between Doctors, Parents, Schools, and Children as Early as Elementary School The debate over whether or not comprehensive sexual education ought to be schooled in faculties is not any less heated than it absolutely was once it 1st became a recent disputation within the 1960’s. Some argue that it shouldn't be schooled in the slightest degree, in or out of the house. What several area unit unaware of is that sexual education has been a significant ethical perplexity since the year 1892, once the National Education Association passed a resolution citing the necessity for “moral education within the schools” (Cornblatt). This hot-button issue has created notably slow progress over the course of history, mostly as a result of spiritual principles implementing political theory. Today, sexual education is obligatory publicly faculties in twenty two of fifty states within the U.S. as a result of very little advancement created within the administration of sexual education schemes, voters of the U.S. have unnoted a deeper underlying issue – which is, at what stage in adolescence is it necessary and most helpful for this difficult, life-long learning method to begin? Additionally due partially to the slow progress these programs have revamped time, some oldsters have even neglected to the touch upon the difficulty entirely. What’s a lot of, these continued failures to be proactive have...
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...for the degree of Bachelor of Arts in Development Communication. Adviser: Karlos Jerome N. Llorin, MDC The 4Ps is a human development program and the poverty reduction strategy of the national government that provides CCT grants to extremely poor families in order to improve their health, nutrition and education especially the children aged 0- 14. The said program has two objectives: 1) Social Assistance, which aims to grant cash assistance to the poor to address their immediate need; and 2) Social Development, which aims to break the intergenerational poverty cycle through investments in human capital. One of the conditions under the said program before the beneficiaries will receive their CCT is the Family Development Session (FDS). It aims to widen the knowledge and boost the skills of parents and help them to understand and meet the health and education conditions of the program. The FDS is being done by the 4P’s workers through home visits, the use of modules on modular sessions guide for parents, family drug prevention program, parent effectiveness service and empowerment and viii reaffirmation of paternal abilities. The role of the parents in helping their children attain their health and educational growth is very important, the mothers or the heads of households are required to attend the FDS at least once a month. The study used the qualitative method wherein the researchers utilized the interview method and observation method. In order to gather the data needed...
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...Neonatal Abstinence Syndrome in the Neonatal Intensive Care Unit Neonatal Abstinence Syndrome (NAS) is the withdrawing process that occurs in the postnatal life of newborns after being born to drug addicted mothers. Heroin, codeine, oxycodone, methadone and buprenorphine are opiates and narcotics that are commonly abused throughout pregnancy. Symptoms that an infant may exhibit within the first 24-72 hours of life are: hyperirritability, excessive sucking, inconsolable crying, sweating, diarrhea, sneezing (3-4 times within 30 minutes), tremors/seizures, poor feeding/regurgitation and mottling of the skin. The Association of Women’s Health, Obstetric and Neonatal Nurses, (AWOHNN), convene on an annual basis nationally and provide monthly webinars on various topics. The organization is subcategorized into multiple chapters within each of the 50 states, in which Pennsylvania has six divisions. “Care of Newborns Prenatally Exposed to Opiates” has been a webinar within the last year based on AWOHNN’s webinar calendar. I chose this committee based on their mission statement of improving and promoting the health of women and infants to support the nursing profession through research and education. The name of the journal published by AWOHNN is the Journal of Obstetric, Gynecologic and Neonatal Nursing (JOGNN). My research was done through CINAHL under Drexel’s library resource and by using the keywords of “neonatal abstinence syndrome”...
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...BTEC Level 3 National Health and Social Care uncorrected first proofs issued by marketing 2010. This material is © Hodder Education 2013 and should not be redistributed. Contents Walkthrough About the authors and Photo credits Core units vii ix Unit 1 Developing Effective Communication in Health and Social Care Understand effective communication and interpersonal interaction in health and social care Understand factors that influence communication and interpersonal interaction in health and social care environments Understand ways to overcome barriers in a health and social care environment Be able to communicate and interact effectively in a health and social care environment 1 2 13 15 18 Unit 2 Equality, Diversity and Rights in Health and Social Care Understand concepts of equality, diversity and rights in relation to health and social care Know discriminatory practices in health and social care Understand how national initiatives promote anti-discriminatory practice Know how anti-discriminatory practice is promoted in health and social care settings 21 21 30 34 39 Unit 3 Health, Safety and Security in Health and Social Care Understand potential hazards in health and social care Know how legislation, policies and procedures promote health, safety and security in health and social care settings Be able to implement a risk assessment Understand priorities and responses in dealing with incidents and emergencies 44 45...
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...Family Health and Nursing Practice University of Phoenix NUR 542: Dynamics of Family Systems May 25, 2010 Traditional hospital based nursing care is most often care provided to individual patients. Individual patients, however, are members of a family. Family nursing practice has evolved over the past 20 years as a way to approach and work with families. Effective nursing care ensures that the entire family’s situation, not only the illness of the loved one, is considered (Maijala & Astedt-Kurki, 2009). A goal for family nursing practice in the hospital setting will be to focus on three areas simultaneously; care of the ill patient, the interpersonal aspects of the family and the family as a whole (Eggenberger & Nelms, 2007). This paper will discuss the importance of the family as a system to promote health, define family in a hospital based setting, and identify the family nursing theory applicable to care for the hospitalized patient and family. The Family System and Promotion of Health for its Members The importance of family in the health of our society is directly related to our smallest community of society-the family. “Family transmits society’s demands and values and furthers its preservation” (Burchard, 2005). Family has a goal of meeting the needs of its members and is the main source of information, learning behaviors, thoughts and feelings. Healthy growth and development has been viewed as the most vital role of the family, providing crucial development...
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...Running head: UNIT 3 ASSIGNMENT MT450: Marketing Management Tim Byington Haas Chiropractic Clinic Haas Chiropractic Clinic and the services that they provide is the chosen subject for this paper. The four P’s will be discussed and how they relate to Haas Chiropractic Clinic. They include product (service), place (distribution), promotion and price. The first of the four P’s is product or service. According to the text the product includes “not only the physical unit but also its package, warranty, after-sale service, brand name, company image, value, and many other factors (Winer & Dhar, 2011).” For Haas Chiropractic Clinic this includes the many services they offer, their image as a clinic that is always giving back to the community and the value of their services. At the clinic there are several services that are offered. Obviously, this includes chiropractic care such as adjustments, spinal decompression, Graston and corrective care. They also offer corrective exercises, lifestyle advice, nutritional counseling. The physiological therapeutic procedures include interferential electrical muscle stimulation, ultrasound and mechanical traction (www.haaswellness.com). Haas is constantly finding new ways and continuing to give back to the community. They do this is several way several. One is to have fundraisers for things such as school supplies and coats for kids. This last fall they raise $2500 worth of school supplies. As of now, they...
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...leadership, addressing definitions and theories underpinning leadership, factors that enhance leadership in nursing, and the nature of leadership content taught in undergraduate programmes. Highlighted are differences between leadership and management, and the notion that leadership can be ‘learned’. The authors also point out that there is a discrepancy between how leading undergraduate nursing programmes prepare students primarily in the transition of education to practice, and the suggestion from a number of nursing publications that leadership in nurses should be fostered throughout their education. Key words: Nursing leadership n Management n Factors that enhance leadership n Undergraduate programmes he importance of effective leadership in health care has been emphasized by a number of authors (Dunham and Fisher, 1990; Hewison and Griffiths, 2004; Carney, 2006; Greenfield, 2007; Sutherland and Dodd, 2008), and nursing leadership is pivotal to this as nurses represent the largest discipline in health care (Oliver, 2006; Marquis and Huston, 2009; Roussel et al, 2009; Sullivan and Garland, 2010). Research on leadership has demonstrated a positive relationship with improved patient safety outcomes (Tregunno et al, 2009); healthy work environments (Shirey, 2009); job satisfaction (Heller et al, 2004; Sellgren et al, 2007); lower turnover rates (Gelinas and Bohen, 2000); and positive outcomes for organizations...
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