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University Degree: Nursing
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Nursing education and training is being questioned as the debate continues what is the most effective way to prepare nurses for the demands of the 21st Century (Newland, 2008). The article by Roberta J. Emerson, On Becoming a Nurse presents
In light of this information, this essay will argue the main reasons as to why education better prepares nurses for the demands of the 21st century when compared to training. Today, people generally enter a workplace either educated or trained. Consequently in nursing there is an ongoing dispute as to whether education or training better prepares nurses (Newland, 2008). Education and training have two different meanings and therefore develop nurses in different ways. It is evident, however, that the knowledge and competencies of nurses are a result of education (Rosseter, 2012).
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Would cognitive behavioural therapy in conjunction with routine diabetic treatment be more efficient in managing depression in patients with Type 2 diabetes than routine treatment alone?
The risk of developing cardiovascular disease and retinopathy is greater in patients who have depression. The importance of psychological support for people with diabetes is becoming increasingly recognised in the UK as adding psychological treatment in addition to routine diabetes care seems to be beneficial for patients. In order to find valid data on the topic, I started searching for quantitative studies relevant to Type 2 diabetes and CBT, by conducting a systematic literature search. Working with quantitative studies like clinical trials would minimise the possibility of biases and help me obtain more valid results (Song et al.
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This assignment looks at mental health and mental illness. It defines the differences between them, looking at the stress vulnerability model as well as the Government blue print regarding mental health. In the case study I look at how Mrs
(Cross-Government commitment to mental health and employment policy, 2009) The ability to enjoy life is essential to good mental health. Taylor (1977) wrote that 'The secret of life is enjoying the passing of time. Therefore we need to consider how we maintain our mental health, by enjoying life and learning how to deal with the stress and strains of everyday life, learn how to maintain a work life balance, develop self confidence and the ability to be flexible and adapt to change.
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Health Promotion and Policy This assignment will look at an 18 year old girl who is two months pregnant, and a smoker. It will be a reflection on a real life situation from practice,
This shows that Hannah's situation is not uncommon among pregnant women throughout the UK. It was acknowledged as an issue by the government, and in 1998 the Department of Health (DOH) set a target to reduce the number of women who smoke during pregnancy, from what was then 23 per cent, to 15 per cent by the year 2010 (DOH 1998). Hannah lives in Devon, and according to the statistics shown on the Department of Health website for the first quarter 2006/07, the south west has the second highest number of females who smoke during pregnancy, totalling almost 12 per cent of pregnancies in the area (2007).
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Appraisal of Evidence Skin tolerance and effectiveness of two hand decontamination procedures in everyday hospital use
From a focused question you can choose key words. These can be used as search terms in data bases to retrieve pieces of specific research. Each data base contains some different pieces of information (Craig and Smyth 2002), so it is important to keep a list of the data bases and search terms used. You may only want resent research so specifying a year to search from, and also setting language limitations helps to facilitate the search. From the above focused question, I choose the search terms, 'nursing staff, hand disinfection, everyday', then entered these terms into MEDLINE.
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Over the past few decades many new stigmas have occurred within our society. One example of this modern stigmatisation is the wearing of hooded tops by teenagers. In recent years hooded tops have been banned by the police in shopping centres across the UK. This is due to instances of theft where the thieves in question were teenagers wearing this type of jumper. According to police, teenagers were consistently using "hoodies" to disguise their identities when breaking the law (Goodchild and Lyons, 2003).
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The following care plan will be based on a personal experience with a patient who was nursed in a private sector care home. This interaction took place during a practice placement in the care of the elderly area.
It essential that such assurances and permissions are sought before embarking on an assignment such as this (NMC, 2002) Mr X is a retired 85-year-old man, who had previously lived with his sister. He had never married. Mr X had enjoyed a long career as an officer in the British Army and had pictures of himself as officer commanding of various military establishments where he had served in the 1940 and 1950's. Mr X used to be a keen golfer and fisherman, although he had not actively enjoyed these activities for many years.
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The aim of the report is to critically analyse the assessment of health needs for a chosen individual patient within the community. The rationale for this is to demonstrate an understanding of the theoretical and practical links in caring for individuals
Community care may be seen to have a much wider meaning, not necessarily relating to sickness, but to other aspects of care delivery which could be applicable to the whole community (Watson and Wilkinson, 2001). Community health nursing is professional nursing directed towards communities or population groups as well as individuals living in the community. It includes assessment of the whole environmental, social and personal factors, which influence the health status of the targeted population (Royal College of Nursing (RCN), 1992).
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This communication report will support the idea that with a little understanding of communication and knowledge of good practises of communication one can enhance and develop their interpersonal skills within the healthcare provision setting.
The Process Recording Sheet shows how significant interactions between myself, the Nursing Student and Mr Hugh Ashcroft, the Patient. This sheet is designed to show verbal and non-verbal communications and my reflections on the events that took place. My placement in a busy Acute Medical ward started at the beginning of January so I thought it might be a good idea to introduce myself to my preceptor prior to Christmas. This gave us both a chance to communicate to each other the what we were expecting from each other and to settle any final practical issue (what time do I start?
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The author agreed with the husband to name the patient Mrs. Smith. It is essential that such assurances and permissions are sought before embarking on an assignment such as this (NMC, 2002). Mrs. Smith is a retired 62 year old lady, who lives with her husband. She has been married for almost forty years and has two sons who both live abroad. She has enjoyed a long career with a well known Market Research Company as a mentor to both new and experienced interviewers, a position that enabled her to travel around most of the country.
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A 2000 word reflection on one specific conversation where personal communication and interpersonal skills has had a direct impact on the patient's nursing care.
I am going to change the name of the gentleman for confidentiality reasons and therefore will name him Frank. Frank was admitted to the ward for rehabilitation due to his condition of Huntington's disease (HD) which is an inherited disease causing rapid un-coordinated jerking movement of limbs, personality changes and dementia (Waugh & Grant 2010). He had been admitted to the ward the previous evening and this was my first interaction with him. Along with another nurse I was assigned to Frank to get him washed, dressed and have breakfast. I asked Frank if he would like a wash in his bed or if he would like a shower, Frank just looked at me so I smiled and asked him again thinking that he didn't hear me properly.
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Obesity. The purpose of this assignment is to analyse how an individuals lifestyle and cultural influences has been an underlining factor in causing their medical condition. I will be looking at their lifestyle and the environment in which they
The categories are set out are overweight being over the 85th percentile and obese being over 95th percentile. Nursing and Midwifery Council (NMC) have set out a code of conduct on how to maintain confidentiality within a healthcare setting and state that we must treat information about patients and clients as confidential and use it only for the purpose in which it was given (NMC Code of Conduct, 2008a). Throughout this piece of work I will be maintaining confidentiality at all times by not mentioning the real name of the client, or the trust that they live in therefore I will name him Lewis.
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This paper presents a Portfolio of exemplars from nursing practice, which explores the professional role of the nurse as an advocate with adult patients, where ethical dilemmas are central.
A, 59 yr old widow, was admitted with shortness of breath and acute exacerbations of COPD. Doctors suggested Bipap treatment twice in the course of treatment but both the times Mrs A was alert and she refused consent. The daughters were aware of this situation. When Mrs. A became unresponsive on the fourth day, the daughters agreed with the doctor and Mrs. A. was put on Bipap. As an advocate for Mrs. A, the student nurse and her mentor felt that the treatment was ethically and legally inappropriate. 3. Exemplar 2 - Empowerment Empowerment is defined by Hokansan (1992)
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Thus, to explore the experiences and perspectives of men following miscarriage is the concern of this study. Much as miscarriage has been considered as one major event in women's lives, this is just as the same for men. All this time, men may have accepted that no one have understood their experience of emotional upheaval due to the situation. There may be those who believe that family, their friends or even the society did not consider their experience of miscarriage also as a loss of their hopes, aspirations and dreams, to some extent, so as their fatherhood role.
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The aim of this essay is to critically evaluate the bio-psycho-social perspectives and influences on the health and well being of a patient, who has been nursed during an acute placement.
These two definitions conversely give an understanding of what health is, however the Jadad and O' Grady (2008) definition implores a more holistic approach to health by using terms such as "adapt" and "self manage," thus this proposed definition, seems to be based on concepts of the biopsychosocial model of health. Depp, (1999), suggested that many individuals understand that disease is "bad" and health is "good", conversely an individual's experiences and perception of disease and their health are subjective in nature. The first to explore the concept of biological, psych, and social factors, to illness as separate identities were Greek philosophers Rana and Upton (2009).
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The purpose of this assignment is to look at psychosocial factors which have influenced an individuals perception and behaviour towards their health and illness. The focus will be on a patient who is a non compliant type II diabetic who is reluct
The district nurse believes that George is not taking his insulin as recommended which is causing side effects of his diabetes to exacerbate. George is a solemn looking man; he is unkempt and takes no pride in his appearance. He comes across as quite depressive in nature and in general in low spirits. Whilst on the ward, it was quite difficult to make conversation with George. He did not converse with other patients and only communicated with the health professionals when needed.
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Law and Ethics in Nursing. The aim of this assignment is to reflect back on a critical incident that happened whilst on placement. The incident will include an ethical issue with an elderly lady who has dementia and refused to take her medications whils
Nurses need to understand the law and to make sure they are making the right decisions for their patients. The NMC the code (2008) states that 'As a professional, you are personally accountable for actions and omissions in your practice and must always be able to justify your decisions'. Knowledge of legal principles helps nurses to recognise and understand lawful boundaries and act within the law should a situation arise. It is also important for nurses to keep up to date with new legislations.
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Burns Case Study. The pathophysiology involves both local and systemic responses which Klein et al. (2009) explains affects skin or other tissue and is dependent on the cause of the injury and extent.
The stasis stage is the area characterized by a decrease in tissue perfusion which is viable unless prolonged hypotension, infection, or edema, occur. Hyperemia is the outermost area, which has increased tissue perfusion, this tissue will often recover. Immediately after a burn injury cytokines and other inflammatory mediators are released at the site of the injury. This can result in an increased capillary permeability and leads to a shift of intravascular proteins and fluids into the interstitial space. According to Doenges et al.
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Pacncreatitis Case Study. This paper summarizes the publishings of Doenges, Moorhouse, and Murr (2010) and Christenson and Kockrow (2011) which describes the disease process pancreatitis. Christenson et al. (2011) discusses common signs and sympt
He described the pain as cramping and wrapping around to his back, worse on the right side. He has nausea, but has not experienced vomiting. In the emergency department he was given diluadid, which relieved the pain. He has had four episodes similar to this since June and has not seen improvement since the cholecystectomy in August. Christenson et al. (2011), states that the pancreas is a gland located in the upper posterior abdomen which is responsible for both endocrine and exocrine functions. The endocrine function refers to the Islets of Langerhans, which produce and secrete insulin into the bloodstream where they travel to distant organs.
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The following reflection will analyse the issue of post natal head moulding which has been observed in practice in very low birth weight (VLBW) infants especially those born at 23-32 weeks gestation.
Dc Myer 2002 supports this finding also stating that when young babies lie too much on their back, the occiput becomes symmetrically flattened. Cubby (1991) observed that due to the weight of a large head resting laterally on the hard surface and because of poor neck muscle tone, progressive head flattening occurs in preterm babies. This results in cranio facial deformation which is caused by local deforming forces as the preterm infant lies with the head to one side or other, is relatively immobile and the skull bones are thin and soft.
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Encouraging parental participation in the NICU. According to Wigert et al (2006) the most difficult aspect of having a baby in NICU for mothers is being unable to take the important first steps to attachment: Haut et al (1994) states that family bonding
Once the baby is admitted to NICU the parents lose the images of having a normal delivery and taking the baby home, holding, feeding, and changing nappies (Dyer 2005). Further stress was added in this case, because the baby is a surviving twin. According to Hazinski (2009) and Shaw et al (2006) parents may display initial coping strategies which they describe as serenity on entering NICU; performing a visual inspection of the machinery and layout, pulling out from the environment, over protectiveness, over focusing on small things like tapes or blood stains on sheets or clothing.
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Consequently, I studied the use of plastic bags, and other techniques at delivery in relation to the physiology of new born skin and the need for thermoregulation at birth in order to better understand these techniques at my workplace. The definition of hypothermia varies depending on the study, but Macintosh (2003) states that temperatures of less than 36 �C can be classed as hypothermia. The normal axillary temperature for preterm infants range between 36.3-36.9 �C (Philip 2005). Costeloe (2000) suggests that for neonates less than 26 weeks gestation, a temperature of less than 35 �C on admission to a neonatal unit could be associated with death.
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Nursing case study. The aspect selected is pressure area care and nursing models, knowledge, and theories necessary to deliver care when assessing the risk of developing pressure ulcer will be discussed. In accord with NMC Code (2008), confidentiality wil
In this ward, nurses use the model developed by Roper, Logan, and Tierney in the 1970s. This model is based in 12 activities of living ( appendix 1) which are linked with biological, social, or psychological needs required for health (Kozier et al, 2008). It is a way of identify and evaluate the care needs of the patient. The nurse's interventions are based in the prevention, resolution, and management of actual or potential problems related with the activities of living, not forgetting that the activities of living may me influenced by biological, psychological, socio-cultural, environmental, and politico-economic factors to some degree (Alexander, Fawcett and Runciman, 2007).
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The aim of this essay is identify the factors which may help or not on person centred care in relation to a chosen incident. .
Jane is aware that older people can be difficult and confused but says that discharge assessment is not just asking question and ticking box and nurses need to understand the people and their situation. WAS DOTTIE PERSON CENTRED CARED OR NOT? The person centred care approach was 'derived from Carl Rogers' (1951) client-centred theory which encourages professionals to adopt a bio-psychosocial model - understanding that a person is shaped by his or her biological, psychological, and social environment and, consequently, treating him or her as an individual'(Kelleher, 2006).
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HIGH DEPENDENCY CARE OF THE NEW BORN. The following discussion will analyse the care of a baby who I have recently looked after in the high dependency who developed necrotising entero colitis(NEC) and consequently had to be re admitted to the NICU.
He had also had a blood transfusion the previous day and his mother had prolonged rupture of membranes. She had also received two doses of steroids prior to delivery. The actual cause of NEC is unknown but there are factors that are thought to contribute to the development of NEC such as birth asphyxia, umbilical catheterisation, artificial milk feeding and early feeding (Thomas and Harvey 1997). Blood transfusion, polycythemia and patent ductus arteriosus are other factors (Pearse and Roberton,1998). Lin &Stoll (2006)
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