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University Degree: Nursing
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Handwashing. The hand hygiene practices of nursing students are an important area to examine because nursing students are the future work force and pre-registration training provides the opportunity to address any factors leading to non-compliance with h
It is from this background that I want to explore more and find out if student nurses comply with hand hygiene practice whilst in clinical areas. In order to have the answers to the above inquiry, I am going to examine various academic research studies that have been carried out on hand hygiene among nursing students in clinical areas. I intend to outline the main themes identifiable in the literature reviewed as well as give a short summary of the main issues and identify the gaps in current academic knowledge.
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Identify an area of nursing practice and demonstrate an understanding of its importance in patient care.
(whether by speech, writing, or signs)." (Oxford University Press, 2008). One integral part of communication in nursing which can be overlooked, is listening. Often this is an area where nurses assume it is something that is done automatically. However, there is a distinction between the physical function of hearing, which can be a passive activity, to listening that is an active process. When listen actively, meaning is attached on to what the patient is conveying (Dougherty & Lister, 2008). Listening can be seen a basic nursing skill, and is needed to demonstrate a fundamental understanding of the patient's needs and feelings.
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This assignment is based upon an experience encountered where a patient admitted to the Accident and Emergency department died suddenly and was later transferred to the mortuary.
John's (2000) describes reflection as a window through which the practitioner can examine oneself in relation to their own lived experience in ways that allows for understanding towards resolving the contradictions within their practice between what is desirable and actual practice. To protect patient confidentiality as stated by the Nursing and Midwifery Council (2000) the patient concerned will be referred to as David throughout the assignment. David was a married man in his early seventies, he had enjoyed good health until recently when he started to suffer with hypertension and angina.
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According to Reed and Sanderson (1999) Occupational therapy could be described as the use of purposeful activity with individuals from various types of backgrounds who may be limited by physical injury or illness, psychosocial dysfunction, developmental or learning disabilities, poverty and cultural differences or the aging process in order to maximize independence, prevent disability and maintain health. According to Holland et al (2008) maintaining a safe enviroment is a basic human survival skill and the assessment and provision of the correct aids is essential for normal everyday life to be achieved.
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Literature review. In this academic assignment the student will critically review the following article Verbal abuse experienced by nursing students. The student will attempt to critically review the article by using an evaluative framework.
However one point in which it lacks information is as to where and by whom to the abuse occurs. It should have made reference to the fact that the survey was conducted on third year students and that the abuse occurred in the various disciplines and clinical areas. The Authors According to Graham (2004) it is important to know the authors credentials when reading an article. It can help to define the trustworthiness, the significance, or the importance of the conclusions reached in the article.
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Both of his parents are smokers and the family live in a two storey house which has carpets throughout. According to Kirschmann (2006) dust mites which are regularly found in carpets are an allergen known to cause asthma attacks. David shares his bedroom with his younger brother. Also his mother suffered from the condition as a child. Naspitz et al (2001) suggests that a family history of asthma greatly increases a child's chance of inheriting the condition. Patho-Physiology During an asthma attack a number of changes occur in the person's respiratory tract. The symptoms of an asthma attack usually begin when the person is exposed to an allergen which causes their body to go into a process which is known as inflammation.
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Many people face prejudice and discrimination. It is like a dichotomy - division 'us' and 'them' (Magyary 2002, p.332). Concepts of normal/abnormal; good/bad; beautiful/ugly is defined (Sayce, 1998, p.331). But how can normal be defined? E.g.: societies and cultures define concepts of moral, normal, and beautiful differently (Reynolds et al, 2007 p.1611). It appears, we try to fulfil our basic needs of physical and mental health, safety, and sense of "belongingness" (Maslow 1970) (appendix 1); believing, in the normality concept of behaviour and actions, conditioned to us by culture and society (Reynolds et al 2007, p.1611-1612).
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Reflect upon the development of your clinical skills in relation to the assessment and management of a patient who was acutely unwell. Vikki is a sixty-eight year old woman who has had a total hip replacement athroplasty one day ago following a diagnosi
Prior to surgery Vikki's hip had caused severe disablement and had impacted greatly on her daily living activities. According to Adams and Hamblen (2001) a total hip replacement athroplasty is when the femoral head is excised and replaced with a metal prosthesis. Description of Event: It was a usual day on the ward; I was once again responsible for six post-operative patients under the supervision of my mentor. On observation Vikki seemed to be having difficulty in breathing and was sitting in an upright position looking very distressed.
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What is the role of the family in influencing the health of family members and delivering health care
This is taken into nursing as Wright and Leahey (1990) believe that a holism by taking in consideration the patients as a family member but traditionally nursing was an individualistic approach. As family is an important part of patient care you need to look at what contributes as a family, the reason for this is because over the years what is classed as a family has changed, Macionis and Plummer (2005) descried a family as a "social institution that unites individuals into co- operative groups that over see the bearings and raising of children" but Hanson (2005)
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A discussion of the communication needs of a surgical patient for whom English is not their first language.(Level 1)
Ledger (2002) suggests that involvement leads to more successful post operative outcomes for the patient. Where a patient speaks little or no English a trained health interpreter can empower them to discuss such decisions, and reduce both the communication barrier between nurse and patient (Paneser and sheik cited in Pellatt 2007) and the potential for ineffective or inappropriate treatment. Patients may need to be informed that they are entitled to free interpretation, as they may be new to the healthcare system and be unaware of this (Health Scotland 2008).
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There are complimentary elements to the leaflet, such as a website where resources, for both patient and health care professionals, including current research on Hepatitis C can be accessed (NHS 2009); this was also a deciding factor in choosing this leaflet. Lastly, this leaflet was chosen as it highlights the complimentary role of patient information leaflets to the role of the nurse as educator (Boyce 2009b). As treatment for chronic hepatitis has become more effective and more widely available, it becomes more important that early prevention is facilitated by health service providers particularly nurses (Panou & Catt 2009).
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It is imperative as a Nurse to be accountable for ones actions and not do anything that undermines ones ethical and professional values or is unlawful. Because it could lead to being struck off the NMC register and could also result in legal action being taken against the Nurse. So how does a Nurse establish if an action is unethical, unprofessional or unlawful? According to Hope et al (2008) Ethics is about how a person should act or think. However, according to Tschudin (2003)
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People respond to situations such as illness, bereavement and stress differently, because they are unique individuals. However, vulnerability can also apply to groups, due to factors that include: race/ethnicity, sexual orientation, gender, drug addiction, disabilities, infirmity and age. These groups may also experience inequalities in health based on their socio-economic status. Although these groups can be classed as high-risk, individuals that belong to these groups may not be vulnerable. It may depend on the circumstances and the environment which they reside or encounter (Burbank 2006). For example a homosexual person living in Soho, London may not experience homophobia because it has a large gay community.
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Also the grandparents were able to provide childcare if the parents worked. Furthermore being in an extended family has certain advantages in relation to health care. There is always a family member available to look after the children in case of an emergency, health advice is easily obtainable from family members and other family members are able to observe if another family member is ill. The nuclear family is the most common in British society today. It is a smaller unit than the extended family, consisting of parents and their children.
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With the medical model suggesting that mental illness is caused by underlying biological or physical factors. These factors include structural abnormalities of the nervous system, bio-chemical imbalances and genetics. Psychology suggests abnormality is a product of faulty thinking or emotions. This in turn leads to abnormal behaviours. (Beazley M, 1997) Social disadvantage where the major contributing factor is poverty. All these theories contribute a valid explanation. There are no hard and fast boundaries between these categories, however psychotic people are out of touch with reality. They may have a view of the world and themselves, which is quite unreasonable (irrational).
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His vital signs were as follows. Blood pressure, 145/89mm Hg, pulse 80 beats/min. Urinalysis showed no protein or glucose. He had no ankle oedema. The patient had a family history of coronary heart disease. His father was diagnosed with coronary heart disease at 60 years of age. He subsequently underwent triple bypass surgery. The patient's paternal grandfather died of a heart attack at the age of sixty. The patient is married. He is employed as a bus driver. Although he enjoys his work, he works long hours and takes few holidays. His wife accuses him of being a chronic workaholic who is always under considerable stress.
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When we weighed Adam and his weight was entered onto his centile chart it was noted he had lost 4oz. It is reported that most babies will lose 5%-7% of their birth weigh in the first weeks, usually regaining the weight by week three (La Leche League 1997). With the consent of mum, Adam was checked over physically to see if there was any medical reason why he was not feeding. Mouth ulcers, sores, teeth and thrush can often be painful for the baby when feeding which in turn may cause them to reject the breast (Eiger and Olds, 1999).
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Perform a patient case study that will focus on the appraisal of the nursing model used in practice, culturally specific components of care, health education and promotion, and the multidisciplinary approaches to care provision.
The ward is a mixed adult ward taking mainly planned surgical patients for urology and ear, nose and throat. The ward also had orthopaedic patients awaiting surgery, and any patients requiring surgery from accident and emergency. The admission process is done through a pack, which contains wristbands, waterlow score, nutritional score, bed rails assessment, Clexane assessment, drug board, patient notes, early warning score, Roper, Logan and Tierney model, and a disclaimer for property. This pack is used routinely for all patients and is to be filled in with patient present. The nursing model used in the packs was the Roper, Logan and Tierney model of nursing.
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I chose Gibbs (1988) reflective cycle for the assignment and to satisfy the requirements of the Data Protection Act (1998) and the NMC (2007) Code of conduct, all names and identities in the scenario have been changed. Description During handover, I was informed "Betty", who had a history of dementia, short-term memory loss, deafness, aggression and general deterioration, had been admitted for treatment of a fractured wrist, resulting from a fall at home. Whilst handover was taking place, Betty wandered over to the nurses' station looking upset and anxious.
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The letter 'P' refers to the personal level, in the form of individual thoughts, actions and feelings and attitudes. This level interacts with and is influenced by the 'C'(cultural) level, which is embedded in the structure of society which operates within the 'S' (structural) level, the structure of society. It highlights the problems that show discrimination operating at different levels, each reinforcing and being reinforced by other levels. The Disability Discrimination Act 1995 states that Disability Discrimination is the act of unlawfully treating someone less favourably because of his or her disability, this links into the Nursing and Midwifery Council Code of Professional Conduct stating that as a registered nurse you must not discriminate in any way against those in care.
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offering integrated education, health care, family support and health services. The wider extended family still lived in Pakistan The rationale for selecting this family is that the author had visited Sarah and Emma on numerous occasions with the health visitor, and therefore formed a relationship of mutual trust and respect with them. This enabled the author to offer the family advice, help and support during the weaning process and also to offer social support. According to the Department of Health (2008)
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"Cognitive neuropsychology is that a cognitive process can be characterized as a set of sub-processes that are sequentially computed in the course of cognitive performance" (Basso, 2003, p.121). Cognitive neuropsychology approach is aimed at understanding the details of individual's behaviour from scientific modeling (Howard, 2000). It has developed a great diversity which included reading and cognitive disorders such as perception and semantic. It is an interest in investigating and understanding single subjects using explanation from information processing model rather than in explanations at neurological levels.
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conditions as those which there is no reasonable hope of cure and from which children may die. Many of these conditions cause progressive deterioration, rendering the child increasingly independent on parents and/or carers. The children's unit offers a holistic approach to its Palliative care offered. "Palliative care for children and young people with life limiting conditions as an active and total approach to care, embracing physical, emotional, social and spiritual need. It focuses on enhancement of quality of life for the child and support for the family and includes the management of distressing symptoms, provision of respite care through death and bereavement."
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This essay aims to identify the challenges faced by general nurses caring for patients with a mental health problem. The focus of this essay will be on Schizophrenia.
Schizophrenia affects an estimated one percent of the population in every country of the world (Rowden 2006). Victims share a range of symptoms that can be devastating to themselves as well as to families and friends. They may have trouble dealing with the most minor everyday stresses and insignificant changes in their surroundings. They may avoid social contact, ignore personal hygiene and behave oddly (Janosik, Davies 1996). Many people outside the mental health profession believe that schizophrenia refers to a "split personality". The word "schizophrenia" comes from two Greek words, schizo, meaning split and phrenia, which means mind (Angermeyer, Matschinger 2004).
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which called for public participation to improve health. The emphasis was on redistributing social capital by empowering the disadvantaged and minority groups via skills training, action groups and lobbying (Naidoo and Wills, 2000). Definitions It is clear that participation is an important process within the UK's healthcare system, but how do we define public involvement? The Oxford English dictionaries' (2006) definition of involvement is "to include as necessary" or "to be part of". They also use the definition: "to experience or participate in an activity or situation". Therefore public involvement in healthcare, is where the public are actively involved in the decision making process regarding their health and healthcare services in general.
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