...various mental health difficulties on a daily basis. From the mild symptoms that can be easily resolved by their General Practitioners to more severe problems significantly affecting their everyday functioning and participation in daily activities. These problems may need to be dealt with the referral to a specialist service. According to Mental Health Act (2001) each person in care of Mental Health Service must have an individual care plan (MHA 2001; art 15&16). Mental Health Commission in its document related to individual Care Planning in Mental Health Service outlined that recovery of a client needs to be at the centre of all that nurses do and care plans are here like a key tools, guiding nursing work in this process (MHC 2012, p.8). Presented essay attempts to explore how nursing care and interventions support the process of patient’s recovery. In further part of it focus will be on how individual care plans reflect process of recovery and how they guide nurses towards it. Concept of ‘recovery’ in Mental Health slightly differs from adopted definition. Usually a person with severe mental health problems such as Schizophrenia or Bi-polar cannot fully recover from the illness like it takes place in most of the patients with physical illnesses. The concept of recovery in Mental Health addresses issues related to building-up self-esteem, learning to control the illness; recognizing symptoms of relapse; returning to normal life and enjoying it as much as possible. It is a...
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...effective manager not only encourages, but listens to input of the workers; an effective manager not only instructs the worker, but shows how the instruction should be carried out; the effective manager eliminates inspectors, and instead teaches the worker the value of doing their own inspection, fostering their own self-worth on the job and their part in making the company works. Effective leadership thus enhances job satisfaction, efficiency and work production (Huber, 2006). Leadership Theory I believe that I would be a good leader because I believe that all effective leaders recognize that their power to achieve organizational objectives comes from having a motived workforce who shares in the organization’s vision. In addition to my ability to establish clear visions and identifies ways to achieve goals, I am a people-oriented individual who believe that people perform at their best when the work that they do enables them to achieve their highest potentials both as human beings and as employees. This means that I do not take an authoritative approach to leading. Rather, I believe in empowering every employee. For these reasons my leadership style is best reflected in the transformational model of leadership. By definition, a transformation leader is a “leader who motivates followers to perform to their full...
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...AMA Computer Learning Center St. Augustine School of Nursing A Case Study Presented to the faculty of AMA Computer Learning Center Guagua, Pampanga Cerebrovascular Accident Submitted to: Mr. John Eric T. Salvador B.S.N, R.N Submitted by: Almario, Jeanette Cayanan. Gemmalyn Joy Quitaleg, Mary Jane Santos, Cariza Joy M. 3k-PN October ‘09 Table of Content Page Introduction 1 Personal History 2 Lifestyle and Diet 3 Complete Physical Assessment 4-9 Neurological Assessment 10-11 Laboratory Procedure 12-13 Diagnostic Procedure 14 Anatomy and Physiology 15-17 Pathophysiology of Cerebrovascular Accident 18-19 Drug Study 20-21 Diet and Activity 23 SOAPIE (actual) 24 SOAPIE (potential) 25 Conclusion 26 Recommendations 27 Bibliography 28 NCP (actual/ potential ) 29-33 Introduction A stroke is damage to part of the brain when its blood supply is suddenly reduced or stopped. A stroke may also be called a cerebral vascular accident, or CVA. The part of the brain deprived of blood dies and can no longer function. Blood is prevented from reaching brain tissue when a blood vessel leading to the brain becomes blocked (ischemic) or bursts (hemorrhagic). The symptoms of a stroke differ, depending on the part of the brain affected and the extent of the damage. Symptoms following a stroke come on suddenly...
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...analysis and evaluation will be provided. Reflective practice is defined as an ability to reflect on experiences, to employ conceptual frameworks, and to relate these to similar and dissimilar contexts to inform and improve future practice, Gibbs (1989). Problem Based Learning (PBL) is one way of teaching and learning. It involves students working, in small groups, on some carefully written problems; according to (Glen and Wilkie 2000).According to Fogarty (1998) everyone in favour of the group brings valuable resources to a classroom. They suggest that most healthcare work is undertaken by small groups of staff and that we should all ‘learn how to learn’ from each other (Glen and Wilkie 2000). Stogdill (1950) is of the opinion that leadership may be considered as the process of influencing the activities of an organized group in its efforts toward goal setting and goal achievement. Of the same opinion is Bryman (1996) who states that leadership is viewed as a process of inducing others to behave in certain desired ways, the process of influence is seen as occurring in a group setting and the direction of influence is usually towards preconceived group goals. In the same vain Goodwin (2005) states that leadership is a dynamic process of pursuing a vision for change in which the leader is supported by two main groups: followers within the leaders own organisation, and influential players and other organisations operating in the leader’s wider external environment According...
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...Nursing 122 Fundamentals of Neuro-Sensory nursing --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Review major structures and functions of both central and peripheral nervous system. (Carolyn Jarvis, Physical Examination and Health Assessment, 3rd ed., pages 688-692 Structure and function of the CNS and PNS --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Potter and Perry, Fundamentals of nursing (8th), Chapter 16 p. 210-211 Types of Data --There are two primary sources of data: subjective and objective. Subjective data are your patients’ verbal descriptions of their health problems. Only patients provide subjective data. For example, Mr. Jacobs's report of incision pain and his expression of concern about whether the pain means that he will not be able to go home as soon as he hoped are subjective findings. Subjective data usually include feelings, perceptions, and self-report of symptoms. Only patients provide subjective data relevant to their health condition. The data sometimes reflect physiological changes, which you further explore through objective data collection. --Objective data are observations or measurements...
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...Proposal to: Mayor and Chief Medical Officer Proposal Title: Nursing Care Center By: Nightingale Nurse Recruit, Nursing Director: Anesta Parris; Medical Information Technology Directors: Dawn Froemel & Ernestina Ayon; Laboratory Services Director: Andrea Dabney April 12, 2013 Introduction Please accept this proposal for the new Riverview Hospital Nursing Care Center. Key health care directors have contributed to this plan. Each director’s perspective is shared as related to his/her department. The following pages of this proposal contain their ideas and touch on the following considerations for the planning of this new facility: The specific department services provided How nursing care center services coordinate with the services the hospital provides How nursing care center departments interact and coordinate with each other to provide efficient and effective care Potential grants to assist with funding the nursing care center project How departments demonstrate consideration and application of the nursing care center code of ethics Executive Summary Nursing Director Executive Summary Nationwide, nursing staffs is changing in today world include not only long-term to care for their patients’. The population of people receiving treatments in the hospital is becoming highly trained and committed to health care staffs. The goal is to make a difference and to take action to improve the nursing staffs. Highly recommend to improve the nurses to limited access...
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...Family Health Promotion in Nursing Practice February 22, 2014 Family Health Promotion Health promotion is defined as the science and art of helping people improve their lifestyle to move toward a state of optimal health (Edelman & Mandle, 2010). The World Health Organization (WHO) believes health promotion allows health to be a resource and not the objective of living (WHO, 2012). This paper will review the purpose of health promotion as related to nursing practice, and how nursing roles and responsibilities have evolved in regards to health promotion and implementation on the prevention, management and long term maintenance and rehabilitation on Stroke patients, including preventing education to the public and communities, on a primary, secondary, and tertiary prevention level (Edelman & Mandle, 2010). A stroke is caused by the disruption of the blood supply to the brain, usually related to a blood vessel ruptures or blocked by a clot, as define by World Health Organization. The blockage of oxygen and nutrients to the brain’s tissues can cause permanent damage to the brain tissue. Warning signs of stroke are, sudden weakness or numbness of the face, arm or leg, most often on one side of the body. Other symptoms include: confusion, difficulty speaking or understanding speech; difficulty seeing with one or both eyes; walking, dizziness, loss of balance or coordination; severe headache with no known cause; fainting or unconsciousness. The effects of a stroke...
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...Indeed I found out that stroke in very sudden in onset. She was alright when we left the house and on walking to the bathroom she fell and had stroke immediately. She developed hemiplegia of the right side. She was rushed to the hospital and treatment commenced immediately but as it is known that stroke always leaves a mark. She is affected on the right side and cannot do anything on her own. She developed speech problem, blurred vision, initially there was respiratory problem but after treatment it resolved. She also lost consciousness for about 5 hours, her urethral sphincter was affected and she is presently using adult...
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...A comprehensive assessment is done to establish a data base for developmental assessment and for nursing diagnosis and treatment. Information is needed on (1) the development of each functional pattern and anatomical growth, (2) current health patterns, and (3) family health and the home environment in which the infant or child is developing. The questions/items listed below can be used selectively for problem screening. Questions should be directed to the primary care giver. NURSING HISTORY 1. Health-perception – health management pattern Parents’ report of: a. Mother’s pregnancy/labor/delivery history (of this infant, of others)? b. Infant’s health status since birth? c. Adherence to routine health checks for the infant/child? Immunizations? d. Infections/illnesses in the infant/child? Child’s absences from school/day care? e. If applicable: Infant’s/child’s medical problems, treatment, and prognosis? f. If applicable: Actions taken by parents when signs and/or symptoms were perceived? g. If appropriate: Has it been easy to follow doctors’ or nurses’ suggestions? h. Preventive health practices (e.g., diaper change, clean clothes, hand washing)? i. Do parents smoke? Around children? j. Accidents? Types? Frequency? k. Infant’s crib toys (safety)? Child's toys? Carrying safety? Car safety? l. Parents’ safety practices (e.g., household products and medicines) Parents (self): a. Parents’/family’s general health status? Illnesses? Injuries? 2. Nutritional-metabolic...
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...Family Nursing Diagnosis Susan Kenney, RN NUR/405 June 9, 2014 Beth Edwards, MSN, FNP-BC Family assessment, roles and structure The family I have been working with consists of three sisters who live in a house owned by the eldest of the three, C.H. C.H. is a 64 year old Caucasian female who was born with cerebral palsy and mental retardation. She has never been able to walk, and her mentation never progressed past the age of an approximately 4 year old child. She lived at home with her parents and two sisters and one brother until the age of 11 when she was institutionalized in a facility notorious for the mistreatment and neglect of its residents. The facility has long since closed, and in 1991, C.H. was placed with our organization, Community Vision Inc. (CVI). Her parents were both deceased by that time, and her sister D.H.C. assumed legal guardianship, with sister N.W. helping with her needs. CVI is a non-profit organization that assists disabled individuals to live as independently as possible, and enables them to purchase and live in their own homes if possible. We provide caregivers and in collaboration with social services and interdisciplinary personnel facilitate the supported individual to live to their maximum potential. Each person has their own individual service plan with health, safety, and vocational goals, and staffing is provided as required to meet the individual’s needs. Assessment of C.H. and her living situation The home the sisters...
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...each topic will be discussed. Diagnosis A diagnosis for a stroke will be determined by a doctor who will look at “the signs and symptoms, the severity of the stroke, medical history, physical exam, and test results” (National Heart, Lung, and Blood Institute, 2014). During the medical history and exam, the doctor will take into account any “risk factors that may be present such as smoking, heart disease, history of previous stroke or family history, and blood pressure issues” (National Heart, Lung, and Blood Institute, 2014). The doctor will also look to see if you are alert and oriented to time, place, person, and situation. Any numbness or weakness in the extremities will also be noted. The doctor will also check your speech, understanding of speech, and vision. Some tests that may be performed include a CT scan, MRI, CTA, MRA, carotid ultrasound, carotid angiography, EKG, echocardiography, and blood tests. (National Heart, Lung, and Blood Institute, 2014). A CT scan will take an image of your brain to see if there is bleeding in the brain or if damage to the brain has been done. A MRI will look at the structure of the brain to also see if there is damage to the brain. A carotid ultrasound will determine if your arteries are blocked or narrow from plaque buildup. Another type of ultrasound can help detect a blood clot and movement of blood in the arteries (National Heart, Lung, and Blood Institute, 2014). An important test will be an EKG, or electrocardiogram. This test will...
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...industrial robots are estimated to represent a share of approximately 30% of the world market. The service robot industry will grow up to 65 billion yen in 2020. Japan has maintained its high patents rate and achieved rapid growth in the areas of speech recognition and safety technologies as well as technologies related to affinity to human beings. The ministry investing the largest budget for robotics R&D is the Ministry of Economics, Trade and Industry (METI). There are two large scale ongoing projects funded by METI that are focused on next generation intelligent robots and living assistance robots. Introduction For decades, Japan has maintained high competence in developing advanced robotics technologies. The proportion of Japanese industrial robots in the world market has grown steadily, mainly in response to the increased demand for industrial use. Today Japanese industrial robots are estimated to represent a share of approximately 30% of the world market. Faced with a rapid increase in serious concerns about an aging population combined with the decline in birth rate, a growing number of people look to advanced intelligent robots, not merely as suitable for industrial use, but also for service applications for people to support nursing care and housework. The Aichi Expo in 2005 was a big turning point when Japanese service robots were widely praised both inside and outside Japan. Since then, the Japanese government has supported R&D for service robotics with the aim of realising...
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...Health Promotion and the Individual CHAPTER 6 161 Box 6-1 Functional Health Patterns Assessment (Adult) Functional Health Patterns Assessment (Adult) d. Perceived ability (code for level) for: Feeding Dressing Cooking Bathing Grooming Shopping Toileting General mobility Bed mobility Home maintenance Functional Level Codes: Level 0: full self-care Level I: requires use of equipment or device Level II: requires assistance or supervision from another person Level III: requires assistance or supervision from another person and equipment or device Level IV: is dependent and does not participate 2. Examination a. Demonstrated ability (code listed above) for: Dressing Cooking Feeding Bathing Grooming Shopping Toileting General mobility b. Gait ________ Posture Absent body part? (Specify.) c. Range of motion (joints) Muscle firmness d. Hand grip Can pick up a pencil? e. Pulse (rate) (rhythm) Breath sounds f. Respirations (rate) (rhythm) Breath sounds g. Blood pressure h. General appearance (grooming, hygiene, and energy level) HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN 1. History a. How has general health been? b. Any colds in past year? When appropriate: absences from work? c. Most important things you do to keep healthy? Think these things make a difference to health? (Include family folk remedies when appropriate.) Use of cigarettes, alcohol, drugs? Breast self-examination? d. Accidents (home, work, driving)? e. In past, been easy to find ways to follow suggestions from...
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...we need to know the size and holding capacity of the hospital. We assume that ‘Aastha Healthcare, has 100 beds , including 10 ICU beds . This is a small private hospital and expansion is at foresight. ------------------------------------------------- Doctors to Bed Ratio ------------------------------------------------- ------------------------------------------------- 1: 5 (Indian Medical Council) ------------------------------------------------- Nurses to Bed Ratio ------------------------------------------------- ------------------------------------------------- 1:3 Bed Recruitment and Selection Procedure Manpower planning calls for the integration of information, formulation of policies and forecasting of future requirements of human resources so that the right personnel are available for the right job at the right time. Planning job requirements and job description Manpower planning consists of studying job requirements and preparing job description. The requirements of each and every job must be thoroughly studied through job analysis. Job Analysis Job analysis is the process of examine a job to identify its component parts and the circumstances in which it is performed. It is necessary to be familiar with these techniques because its application is quite wide and extends across the whole range of staff management function. 1. Recruitment: Its aims at filing jobs by recruitment of the programme. 2. Salary: It is designed...
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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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