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University Degree: Nursing
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Carry out an assessment of a patient and present a plan of care of a specific problem that the patient has encountered.
(Roper et al 1996). It emphasises on prevention and helps patients with problems relating to activities of living. The model consists of two parts, 'A Model for Living' and 'A Model for Nursing'. The Model for Living has five interrelated elements, twelve activities of living lifespan, independence-dependence continuum, influencing factors and individuality. (Roper et al 2001). The activities are based on the idea of basic human needs and can be used as the criteria for assessment. (Roper et al 1996). Lifespan influences the individual's behaviour in each activity of living, as each person has a lifespan from birth to death such as childhood and adolescence.
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Discuss the student nurse role and the clinical skills used to meet the moving and handling needs of patients nursed on a module one mental health clinical placement.
The code advocated a 50kg (8 stone) weight limit for a patient being lifted by two nurses and set out 'ideal conditions' which must first apply. The effect was to exclude virtually all manual lifting by nurses and the policy has helped change attitudes to patient handling (RCN 1999). This has been addressed by the use of mechanical hoists and other lifting equipment. Additionally the N.H.S trust now adopts a policy of no lifting, among other concerns this was highlighted by the amount of sickness caused by injury to the back.
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Later, he compares Dr Emerson to doctor Frankenstein and himself to the monster who should now be released. This image of him shows he is angry about not being able to function like a normal human being. Ken Harrison is angry because his verility is in question. Ken lets everyone involved with him know how he is feeling through his sexual jokes aimed at the nurses. He seems to do this because this is the one part of him the medical profession cant repair. Ken twists the sister's words when she renters the room: - Sister: "Have you finished nurse?"
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Margaret Sanger was a pioneering advocate for birth control in the United States, along with Asia and Europe, during the 20th century. Review of her autobiography,
Soon after the birth, Margaret would be bombarded with questions, from various mothers, on what they could do to prevent having another child to soon. Besides her patients, even though her father disapproved of her being a nurse, the ideals, of generosity and equality, set by her father and the death of her mother along with their struggles financially in daily life were the underlying force that drove her. Margaret believed that the right to decide and choose when to have children was the key to independence, along with economic stability, for women.
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Discuss how psychological and sociological concepts and theories can inform health promotion in nursing practice.
infirmity.? The WHO's 1986 Ottawa Charter for Health Promotion (cited in Naidoo and Wills 2009), broadened that health is not just a state, but also a supply for normal life, not the objective of living. Health is an optimistic concept highlighting social and personal properties, as well as physical abilities. Therefore these statements of health can be viewed differently in the different views of health and therefore health promotion as a holistic view is preventing disease, education, communication of health messages, giving information and facilitating self-help, and tackling issues to make healthier choices easier (Wills 2007 in Wills 2007).
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Osteoporosis, which means porous bone, is a disease in which the density and quality of bone are reduced.
Figure 1 showing Bone with osteoporosis and bone without (menopausehealth.org, 2007) The condition of Osteoporosis The condition of osteoporosis develops gradually over several years. It is probable that there will be no warning signs or symptoms until a minor fall or sudden impact causes a bone fracture. Healthy bones should be able to endure a fall from standing height, so a bone that breaks in these circumstances is known as a fragility fracture. The most common injuries in people with osteoporosis are wrist fractures, hip fractures and fractures of the spinal bones (vertebrae).
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The objective of this assignment is to critically evaluate the following research article: Bowes, S., Lowes, L., Warner, J., & Gregory, J. W. (2009). Chronic sorrow in parents of children with type 1 diabetes. Journal of Advanced Nursing
Whilst a continual process of grieving, such as chronic sorrow, draws attention to concerns about depression, there have been no published studies that have distinguished the difference between chronic sorrow and depression. This particular article was chosen in order to gain more knowledge surrounding the impact that diabetes has on the individual?s family as it is apparent that the emotional needs of the parents are not being met by the healthcare service. Conducting research-based evidence is fundamental to the use of evidence-based practice (Polit and Beck, 2004)
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This assignment will examine the management of one acute problem of illness for an adolescent I have helped to nurse whilst on clinical placement
In addition, another recessive form associated with renal tubular acidosis is due to carbonic anhydrase II deficiency. In severe form, bone density is increased throughout the skeleton but bones tend to fracture easily. Jyoti had had her one cycle of multi agent Chemotherapy and had been discharged home with out any complaints, Jyoti presented in Accident and Emergency with pyrexia due to infection. Acute nursing care was provided to Jyoti to identify and manage underline infection. Whilst Jyoti presented in Accident and Emergency with pyrexia, I intend to focus on infection, solely on the first 4hours of Jyoti?s care.
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Secondary Traumatic Stress Disorder (STSD) is a similar condition to Post Traumatic Stress Disorder. The experience of stress and the continuous deterioration suffered through the burnt out continuum can be so severe that becomes pathological. The nurses own traumatic experiences combined with the vicarious feeling of patients? emotional pain exhaust coping mechanisms and conduce to the appearance of symptoms of STSD. Question 2: How do you deal with your own grief following a patient? Death is not what distresses me the most, suffering is.
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Mary was a 50 year old lady who had been experiencing some numbness and tingling in her arms and legs which was causing difficulties in her daily life, therefore she had been asked to attend the clinic to have a lumbar puncture. I introduced myself as a student nurse and explained my role and involvement in the procedure. Her vital signs including blood pressure were recorded and we waited for the doctor to arrive. When the doctor entered the room she too introduced herself and began to explain the procedure to Mary, after which Mary signed the consent form and the doctor prepared the necessary instruments.
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Critically analyse the potential impact on attitudes to cancer on the psychological well being of those effected by cancer
This suggests that personal experience is a stronger former of attitudes than formal education. Much of attitude research I have found emphasized the importance of affective or emotion components. Emotion works hand-in-hand with the cognitive process, or the way we think, about an issue or situation, Attitudes are part of the brain?s associative networks, the spider-like structures residing in long term memory that consist of affective and cognitive nodes. Any discrete emotion can be used in a persuasive appeal; this may include jealousy, disgust, indignation, fear, blue, disturbed, haunted and anger.
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Loxley (1997) defined inter-professional collaboration as a group of professionals ?who will work across boundaries, work with difference?. Successful collaboration depends on the group of professionals? positive strategies as to what specific outcome they want to get. (Loxley 1997 cited by Hogston 2002:p.454) Thanks to the work of the multidisciplinary team, different experts can cooperate with each other in order to benefit the patient and deliver person-centred care. The Nursing and Midwifery Council (NMC) code of professional conduct (NMC, 2008)
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Research Awareness. As a student nurse, my research will be searching for articles relating to respect and dignity in end of life care,
And finally included in the report will be a reflection on how I found my search of literature and what I would do differently next time together with what I have learnt. Research is important to the nursing profession and any other medical and health profession, because it can provide new insights into nursing practice, develop and improve methods of caring and test the effectiveness of care. Significant changes have happened over the years, medical technology has improved which has led to more positive health outcomes and at the same time have raised public expectations of healthcare services.(Gerrish,k and Lacey,A,
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Within this assignment I will be looking at effective discharge planning to include all members of the Multi Disciplinary Team in order to meet all needs of the individual
He has a carer who comes in twice daily to help him with his personal care. Mr S cooks his own frozen microwave meals for lunch and his family or carers? help with other meals, his family do his shopping. Mr S was admitted to hospital following a series of transient ischaemic attacks (TIA?s) , his most recent attack lead him to stumble from which he suffered a wound to his leg, the wound became infected and is not healing very quickly.
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Explore in relation to a client you have nursed psychosocial influences on the individuals perception and response to health and illness
On a routine visit to the home, Katy had stated that she had been omitting her insulin at times, was finding it hard to keep to a healthy diet and was not doing as many blood glucose checks as she should be. She felt under a lot of pressure with upcoming exams and the demands of home life were causing to put her health at the bottom of her priorities. Katy was diagnosed with diabetes mellitus type one after an admission to hospital three months ago.
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Research critique of Alun Woodhouse's 2006 article Pre-operative fasting for elective surgical patients
When critiquing, it is important to understand and appreciate the process and the framework used. However, the complexity of theories into practice within the field of research can be challenging as the one critiquing should understand the connection between theory, research and practice. Several frameworks are used to critique research, but the chosen one is by Caldwell, Henshaw and Taylor (2005). Critiquing the research The title of the research paper is one of the leading constituents. It should be developed with positive impression, instil curiosity and attract the reader?s attention and interest. It should be informative, narrowed and formatted correctly to an area of investigation, using current terminology of the field to indicate subject and scope with some accuracy which identifies key variables with substantive words limited from 15 to 20.
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Reflective writing, I have decided to reflect upon the development of my confidence and practical skills, during the case of a stroke patient I treated over a period of time.
After being taught the ?ABCDE? assessment tool, I was asked to perform it with supervision. However, due to hesitation, my C.E. prompted me towards the right answers. Mr A had crackles in most areas of the lungs indicating secretions and no breathing sounds in his left basal segment. Our objective was to clear the secretions, however, Mr A was only responsive to pain and would therefore be unable to follow the breathing commands of ACBT to remove secretions. Initial treatment was the use of ?the bird?, which is a form of non-invasive ventilation that produces intermittent positive pressure we hoped would ventilate the distal areas of Mr A?s lungs.
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Empowerment in Nursing Practice. The relationship between empowerment and health promotion is discussed in the World Health Organisation Health Report by Nutbeam, 1998
This can be linked to Ewles and Simnetts? definition regarding empowerment, about helping people change how they feel about themselves by supporting and encouraging them to change their behaviour to increase their chance of living a healthier and more fulfilled and extended life. They go on to define empowerment as ?modifying the way people feel about themselves through improving their self-awareness and self-esteem. It involves helping them to think critically about their values and beliefs and build up their own values and beliefs system?.
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Discuss the way in which age impacts on peoples health and well-being in Britain today. What challenges does this pose for professional practice and how might you respond to this?
It is important to make sure that every child has a balanced diet to enable growth and development. An inadequate diet can result in restricted growth and development; short-term health can be affected as well as long term. Short term conditions such as dental problems, anaemia and obesity can occur and conditions such as coronary heart disease, strokes, osteoporosis and diabetes in the long term. (Dowler et al, 2001). Meggit, C et al (2008) explains that all children are entitled to basic rights, these include food, healthcare, a safe home and protection: However children need to rely on an adult for their needs to be met and this can vary considerably according to their family?s circumstances.
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Communication is a difficult concept to define, described by Anderson (1959) as a multifaceted phenomenon, involving various means of verbal and non-verbal communication. These interacting factors can be physical, psychological or social; each situation requiring self-awareness and self actualisation by the nurse in order to effectively communicate with the patient (Sully and Dallas, 2010). Interpersonal skills are imperative when dealing with person centred care and creating therapeutic relationships between nurses and patients (Marquis and Huston 2009). Communication has been described by Miller and Nicholson (1976) as an interpersonal activity involving the transmission of messages from a source to a receiver for the purpose of influencing the receiver?s behaviour.
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Specific action plans will be put into place to support people to make healthier choices including: introducing a cooking bus that will highlight the importance of food and nutrition for schools and communities, It will allow people to develop a better understanding on how to eat healthier and what food can do to your health. (Scottish Government, 2008) Hungry for Success was developed by the Scottish Government (2003) and introduced nutritional guidelines for school meals. The Scottish Standards indicate that oily fish should be served at least once a week and processed meat products only once a week; Brown bread
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