...Diabetes transition Assessment of current best practice and development of a future work programme to improve transition processes for young people with diabetes. Transition in healthcare is only one part of the evolution from dependent child to independent adult (David, 2001). Submitted by Ruth Gordon, Ruth Gordon Associates Ltd to NHS Diabetes. Supporting, Improving, Caring August 2012 Acknowledgements This project was funded by NHS Diabetes and supported by Gillian Johnson, North East Regional Programme Manager. The expert panel was made up of a group of clinicians and others who provided information, commented on the process and contributed to the views included in this final report. Others have influenced the later stages of the work and will be involved in planning how to take this project forwards. Therefore thanks go to: • Fiona Campbell • Deborah Christie • Chris Cooper • Julie Cropper • Gail Dovey-Pearce • Jane Edmunds • Gavin Eyres • Sue Greenhalgh • Peter Hammond • Gillian Johnson • Susannah Rowles • Carolyn Stephenson • Helen Thornton • Peter Winocour • Alison Woodhead Without the two clinical leads, Peter Hammond from Harrogate and Fiona Campbell from Leeds, this work and report would not have been possible. Contents Executive summary Context Background and rationale Aims of the project Timing of the project Process undertaken for the project Evidence base and policy background Results from the snapshot research Good practice Examples of good practice...
Words: 11252 - Pages: 46
...| Presentation Outline . General purpose: To demonstrate to the audience the importance of taking care of their teeth, as well as how to brush their teeth properly. Speaker’s goal: That the majority of the audience will remember the demonstration that I showed them so they may maintain healthy oral hygiene. Thesis: Taking good care of your mouth and teeth will provide you with a healthy smile. INTRODUCTION I. As you know, my name is Melanie and I am incredibly excited to share my passion with you tonight, healthy teeth. II. Ice breaker- Story about bumping into an attractive person and then seeing their horrible teeth and losing interest. III. According to the American Accreditation Healthcare commission, taking care of your teeth helps prevent plaque, which is a clear film of bacteria that sticks to your teeth within 20 minutes after eating. IV. In the Harvard Health Letter it is stated that tooth brushing may be the most ingrained of all other health habits but unfortunately, just because most of us brush our teeth at least twice a day, it is more often than not that it is not done incorrectly. The inadequate job leaves behind the bacteria causing plaque that will cause cavities and gum disease. BODY Transition: let me start by explaining the importance of having an appropriate toothbrush for your oral care. I. The toothbrush itself will help you maintain healthy gums. A. Check to make sure the toothbrush bristles aren’t too hard. ...
Words: 947 - Pages: 4
...Objective III. Errors due to fatigue of nursing personnel IV. Healthcare Associated Infections V. Personal Protective equipments VI. Hand Hygiene VII. Transitions of care and Patient Handoffs VIII. Conclusion IX. References Hospital Workplace and Patient safety: The first interventions for positive outcome Background Safety of any workplace is very important in optimizing productivity and preventing the incidences of accidents and casualties. Hospitals are one of the significant areas where safety is of prime concern not only for the employees and care givers, but also for the patients who are admitted for receiving health care. A compromise on safety jeopardizes the goodwill of the hospital and delays health outcome in patients and prolongs their stay in the hospital. Apart from that if safe methods and interventions are not followed it ca impact the nursing personnel, other health care providers and administrative staff, that will lead to the economical and financial burden of the hospital. Hence ensuring safety in hospitals is of prime importance (ISMP,2010). The present article will discuss some of the avenues which can jeopardize the safety of the patients and the care providers and possible interventions that can improve the safety aspects of a hospital. Objective The article describes the...
Words: 1387 - Pages: 6
...Literature Review Patient Education for Post-Hospitalization Home Care Debra Scully Walden University NURS 6010-11 Advancing Nursing through Inquiry and Research April 8, 2012 Patient Education for Post-Hospitalization Home Care Changes in health care delivery brought on by financial constraints have affected the length of stay for certain patient procedures, resulting in an early discharge. Patients discharged from hospitals sooner than anticipated are finding themselves ill prepared, regarding insufficient education and instructions on self-management for home care, post-hospitalization. Patient education in nursing should be a focal priority, yet is often slighted due to time constraints, and lack of staff, preparation and materials. The purpose of this paper is to discuss the importance of sufficient patient education prior to discharge for patients with residual home care. Research on this topic could have beneficial implications for patient satisfaction pertaining to quality education for home care prior to discharge. Evidenced-based research has illustrated that the development of educational tools to aid nursing in providing succinct and pertinent information of discharge criteria has attributed to a rise in patient satisfaction. Considerations for educational materials were preferred language, specificity of patient concerns, and simplicity of educational materials. Summary Contemporary day surgery: patients’ experience of discharge and recovery ...
Words: 1527 - Pages: 7
...Abstract This paper is about the socialization of nursing, which includes the internalization of the attitudes and values of the role. The importance of role modeling the applied behaviors and skills through preceptor experiences to aid the new nurse is discussed. The importance of the socialization process and its impact on staff recruitment and retention is touched on. The author also shares her experience upon entry to the nursing profession and how it helped her socialization. According to Creasia and Friberg, socialization is the process of becoming- acquiring knowledge and skills and internalizing attitudes and values specific to a given social group. (Creasia & Friberg, 2011) The term socialization used here refers to the process through which novice practitioners are merged into the profession to become professional practitioners (Mooney, 2007). Socialization into nursing is recognized as more than just acquiring the skills and knowledge necessary to performs a role, but as also including understanding the values and norms that are fundamental to the essence of the profession. (Price, 2009) The process of socialization into nursing should occur through role modeling and reinforcement of applied behaviors and skills. Research shows that in order to progress successfully into a professional nurse the early parts of socialization to that role is significant. The socialization into nursing can be a very intense stressful experience. Upon reviewing the reports...
Words: 1119 - Pages: 5
...The published document, Aging out of foster care: The experiences of former foster youth who successfully navigated this transition by Margot Hedenstrom explains the experiences of former youth who was successful when transitioning out of foster care. She was able to study this by using participants ages 20-25 that transitioned out of foster care. Hedenstrom studied the risk and outcomes of youth who have transitioned. Some of the risks include drug abuse, early parenthood, and, as well as violence toward other individuals (Hedenstrom, 2014). Those who were unable to become self-sufficient often lack family or social support. Which supports the use of extended foster care because if some of those youth were able to stay in foster care longer...
Words: 462 - Pages: 2
...Later Adulthood Development Report BSHS 325 04/22/2014 Later adulthood can be a struggle for some individuals. What we do here is try to ease the transition and provide a healthy way of living. This report will explain changes in role and social position, living accommodations (accessibility and health care needs), adjustment and transition from work to retirement, changes in marriage, family, and peer relationships, and our social policies. We strive to be the best at what is done here, which means being professional and building rapport within our clients. After reading this there will be a better understanding of how we value clients and their overall well-being. As individuals age, they face many obstacles that can put limits on their lives. For example: “When older adults lose the capacity to drive a vehicle, it severely restricts their social interactions, is an assault on their mental well-being, and lessens their independence.” (Biological Aspects of Later Adulthood, Chpt. 14, pg. 590) After losing the basic abilities that enabled them to venture on their own some begin to go into withdrawal and sometimes even depression. Their roles have been shortchanged and their knowledge is undervalued or seldom used. While getting older seems to get more and more discouraging, there are individuals out there that will take matters into their own hands. They are still working even after retirement fulfilling many positions in society...
Words: 817 - Pages: 4
...Brushing Your Teeth Properly | Presentation Outline . General purpose: To demonstrate to the audience the importance of taking care of their teeth, as well as how to brush their teeth properly. Speaker’s goal: That the majority of the audience will remember the demonstration that I showed them so they may maintain healthy oral hygiene. Thesis: Taking good care of your mouth and teeth will provide you with a healthy smile. INTRODUCTION I. As you know, my name is Manus and I am incredibly excited to share my passion with you tonight, healthy teeth. II. Ice breaker- Story about bumping into an attractive person and then seeing their horrible teeth and losing interest. III. According to the American Accreditation Healthcare commission, taking care of your teeth helps prevent plaque, which is a clear film of bacteria that sticks to your teeth within 20 minutes after eating. IV. In the Harvard Health Letter it is stated that tooth brushing may be the most ingrained of all other health habits but unfortunately, just because most of us brush our teeth at least twice a day, it is more often than not that it is not done incorrectly. The inadequate job leaves behind the bacteria causing plaque that will cause cavities and gum disease. BODY Transition: let me start by explaining the importance of having an appropriate toothbrush for your oral care. I. The toothbrush itself will help you maintain healthy gums. A. Check to make sure the toothbrush bristles...
Words: 326 - Pages: 2
...Acknowledgements This report would not have been possible without the support of two research assistants, Caroline Scott and Karin Barty. We thank them for their enthusiasm for the project and the many hours they spent searching the literature. The Early Childhood Education Research Team would also like to acknowledge the parents, primary school teachers, school principals, early childhood professionals and other support staff who were willing to provide their views on what they considered to be a successful transition to school. A very special thank you to the kindergarten teachers who, at the time, were very busy writing Transition Learning and Development Statements yet somehow put time aside to answer our questions. Finally, we would like to acknowledge the support and colleagueship provided by the Department of Education and Early Childhood Development, especially Pippa Procter, Gina Suntesic and Karen Weston. This has been an interesting and stimulating project for us all. The Early Childhood Education Research Team Victoria University December, 2009 Table of Contents Acknowledgements Introduction • Background • Purpose Methodology • Literature Review • Participants • Data Collection • Victorian Early Years Learning & Development Framework (Victorian Framework) • Outcomes • Indicators • Measures • Tables Outcomes & Indicators of a Positive Start to School • For Children • For Families • For Educators • Table 1: Outcomes & indicators of a positive start to school...
Words: 22052 - Pages: 89
...Institute of Medicine (IOM), (2010) report on transforming education, nursing practice, and the role of nurses in leadership is to benefit the advancement of nursing, but has some key factors needing to be addressed in order to transform the future of nursing. There are barriers to change and the system is fractionalized. As reported by the IOM, (2010) “Nurses have great potential to lead innovative strategies to improve the health care system. However, a variety of historical, regulatory, and policy barriers have limited nurses’ ability to generate widespread transformation. Other barriers include fragmentation of the health care system, high rates of turnover among nurses, difficulties for nurses transitioning from school to practice, and an aging workforce and other demographic challenges.” (Institute of Medicine [IOM], 2010. p. 5). The IOM, (2010) report recognized the need to bring it more together for the benefit of quality healthcare. A key factor to transform education where the IOM, (2010) committee envisions change is to ease the transition to obtaining a higher degree level and a focused goal of having the workforce contain a baccalaureate level degree (BSN) of 80 percent by the year 2020. The report expresses barriers to this goal that include: not enough prepared nurse faculty to meet student enrollment demands and clinical placement settings, the cost of undergraduate education, and the curriculum necessary to strengthen nurse competencies to meet the needs of patients...
Words: 1105 - Pages: 5
...Annotated Bibliographies Lisa Stevens Kaplan University Annotated Bibliographies Au, A., McAlister, F., Bakal, J., Ezekowitz, J., Kaul, P., & vanWalraven, C. (2012). Predicting the risk of unplanned readmission or death within 30 days of discharge after a heart failure hospitalization. American Heart Journal, 164(3). 365-372. Retrieved from: http://www.medscape.com/viewarticle/771215_print This article sought to find an appropriate model to predict the risk of unplanned heart failure readmissions. The primary outcome from chart reviews also included death of heart failure patients within 30 days of discharge. The study looked at Centers for Medicaid and Medicare Services (CMS) models and the LACE+ index, to mention two of many that looked at prediction ability. The LACE+ index is a model that looks at length of stay, acuity, the Charlson comorbidity score and age, to predict readmissions. They found that no one model was appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were...
Words: 3254 - Pages: 14
...youth that are transitioning from care to independent living. The programs were used in training sessions over the course of 5 months, with eight one-day training sessions. The training sessions took place in Massachusetts. U.S. Department of Health and Human Services, Children's Bureau funded the project (Collins, Hill, Miranda, 2003, p. 43). The purpose of the training programs were to train group home workers in assisting foster care youth in the transition from care to independent living. The authors realized that there's very little attention paid to staff in group homes and training programs toward supervisors. "The training program was, therefore, designed with the assumptions that community-based group home staff members are fundamental to the preparation of youth for later independence," (Collins et al, 2008, p. 43). The training was in collaboration with a school of social work and public care welfare agency. The attendants include a total of 186 that were mainly group home supervisors and workers. Also in attendance were staff of Massachusetts Department of Social Services Adolescent Outreach Program (Collins et al, 2008, p. 44). The training sessions intentionally took in consideration the challenges of transition youth from care to independent living. Four main topics were covered during the training sessions; positive youth development, utilizing relational and task models in youth work, the use of transition planning framework, and building...
Words: 918 - Pages: 4
...Middle Range Theory Continues to Guide Nursing Practice Judy John Maryville University Middle Range Theory Continues to Guide Nursing Practice Nursing theory has three distinct categories to describe the level of abstraction: Grand, Middle-Range, and Situation-Specific (Meleis, 2012, p. 33). Hugh McKenna (1997) defined these three categories, stating: Grand theory is highly abstract and is broad in scope. Middle-range theory is more focused and is normally the end product of a research study. Narrow-range theory is even more specific and while also being based on research findings, it guides specific actions in the achievement of desirable goals (p. 17). When thinking about nursing theory, one might ask: What is the purpose of theory? Is it even relevant to current nursing practice? The best response to answer these questions I have found is from Meleis (2012): The primary uses of theory are to provide insights about nursing practice situations and to guide research. Through interaction with practice, theory is shaped and guidelines for practice evolve. Research validates, refutes, and/or modifies theory as well as generates new theory. Theory then guides practice (p. 35). This explanation of theory by Meleis identifies nursing as a profession. Without theory to shape and guide nursing practice and research, nursing would not evolve and would remain stagnant. Additionally, without theory could nurses really claim that we are a profession...
Words: 1366 - Pages: 6
...Health Care Communications Methods Susan Anderson HCS/320 January 26, 2015 Terri De Wees Option 1: Nursing Home Administrator As the administrator of a nursing home, I have recently received notification that this nursing home has been bought out by a national long term care facility. There are new policies that will be put in place, causing some of the current residents to be displaced. As the administrator it is my responsibility to communicate these changes to the residents, clients, and members of their families. Unfortunately, there are some residents that have difficulty communicating and have no family, friends, or next of kin in the area that can help with the communication process of the changes that will be made and they have not indicated they approve of the release of their medical information. Ultimately it is my responsibility to make sure the needs of the residents for arrangements are made to make this transition as painless as possible. Verbal and oral communication are more traditional forms of communication. There are advantages and disadvantages to both of these types of communication. Verbal communication includes all behavior conveying messages with language (McDonald, 2006). This is a form of internal communication. Internal communication is any communication that is done within a company or organization. One advantage of verbal communication is the ability to have an understanding of information and the ability for quick responses and...
Words: 1046 - Pages: 5
...Later Adulthood Development Anna Silva February 27, 2015 BSHS/325 Laura Cobb Later Adulthood Development The transition into later adulthood can be very rewarding and fulfilling by learning to accept the new changes ahead. Psychological, social, and biological changes begin, each varying from person to person. Many experience retirement in this stage and it can have an effect on the individual’s entire world. For many individuals, work is the main aspect of their lives and making a transition to suddenly having so much time on their hands can be difficult for some to cope with. The role in society as a working individual is different and it can be focused on other activities like volunteering and travel. Such adjustment may require help from friends and family for support and for new living accommodations. As the world around is transforming, the body is also taking a toll with the increase risk of disease and disabilities. Possible living accommodations may be needed to help keep as much independence for the aging adult. The transition can be positive with many new relationships and experiences, however, the transition can also be a negative alteration. Acknowledging what is to come with the aid of those around can make later adulthood be worth the wait. The stage of retirement is intertwined with the development of later adulthood and the change in role in society. With the ability to no longer work, there is a drastic...
Words: 1096 - Pages: 5
