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  1. Research Project - the male perspective of miscarriage

    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.

    • Word count: 5276
  2. 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).

    • Word count: 9360
  3. 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.

    • Word count: 6195
  4. 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.

    • Word count: 3292
  5. 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).

    • Word count: 3069
  6. My chosen policy is the code for best practice standards for the use of urinary catheters (2009). The research evidence underpinning this policy consists of many research articles.

    Catheter policies and their recommendations are therefore of paramount importance as they can affect the service user's experience immeasurably. From a personal perspective I have become increasingly aware of the emotional ramifications urinary catheterisation can have upon a patient. Catheterisation, examined as a clinical skill, requires a high level of technical precision and anatomical knowledge (Haberstitch, 2005). However, catheterisation; examined as an experience requires an even deeper level of understanding and empathy. This policy was based on approximately sixty research articles.

    • Word count: 4039
  7. Ulcerative colitis. The young gentleman I took part in his care had an underlying condition of ulcerative colitis but was admitted as suffering from acute nephritis. This is normally a condition that exhibits itself in the form of inflammation of the kid

    It is just but one of the many conditions lumped together as inflammatory bowel disease. In most cases, the ulcers form in places where cells lining the colon have died due to the inflammation. It can happen to anyone regardless of age but mostly starts among the population between 15 and 30 years of age (Thomas 2006, pg 623). The most common symptoms associated with this condition is bloody diarrhea and pain in the abdomen. In most severe cases, it is always necessary that the physicians offering care remove the colon! The term idiopathic is always used in reference to this condition because its etiology is really never known clearly.

    • Word count: 4898
  8. The aim for this literature review is to use specific information on the use of cannabis and cannabis based products to reduce pain in the patients with multiple sclerosis (MS). The rationale for choosing this subject was that the author had experienced a

    Background Multiple sclerosis(MS) is an inflammatory disease in which the fatty myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring of the brain and spinal cord as well as a broad spectrum of signs and symptoms(MS Society 2011). It affects the ability of nerve cells in the brain and spinal cord to communicate with each other. Nerve cells communicate by sending electrical signals called 'action potentials' down long fibers called axons (MSID 2011), which are wrapped in an insulating substance called myelin.

    • Word count: 4018
  9. The focus of this assignment will be on a case scenario of an elderly lady with signs of a chronic venous leg ulcer. It will discuss the epidemiology, aetiology and the pathophysiology in relation to venous leg ulcers,

    The action of the leg muscles assist in this movement of venous blood back to the heart. The muscle pumps are located in the gastrocnemius and soleus muscles, these pumps can be compared to the pump action of the heart (Porth 2002). Chronic venous insufficiency is when the valves become damaged or deformed preventing them from closing; this is often caused by a deep vein thrombosis (Tortora and Grabowski 2000). When this damage has occurred and the valves cannot close the normal flow of blood cannot occur (Porth 2002). The muscle pumps can also become ineffective due to immobility and drive blood in retrograde directions, also the blood does not empty from the deep veins.

    • Word count: 4209
  10. This locality essay is intended to help you learn how the social context of your patients affects their health. Locality Project - How Homelessness affects Health in Hackney.

    State the information you found on the topic and health in your borough in this section, without comment. You can include photographs of the borough (but not of patients) and specific data in appendices at the end of the essay, if relevant. 5. Draw conclusions commenting on how your findings show the influence of your topic on health in the chosen borough. You also need to indicate how this activity has helped you consider how aspects of everyday life can influence people's experience of health. You are not required to: 1. You should not try to cover more than one of the seminar topics except in a passing reference that demonstrates relevance.

    • Word count: 4846
  11. Community Profile

    It is know by the Welsh assembly as a first area due to long-term social and economic disadvantages. The area is dominated by council housing but, despite the impact of 'right-to-buy' legislation, the levels of home owner housing is low. History The City's Population in the 18th century stood at 6,000 which grew as the city industrialized into a busy seaport, thriving as a centre for trade in tin-plate, steel tin-plate, copper smelting and coal export (Inglis-jones, 1954). In the 19th century overcrowding became a major issue as people flocked to the city to gain work. As a result poor housing and sanitation led to major demographic problems such as outbreaks of cholera and tuberculosis and the health of the city was compromised.

    • Word count: 4796
  12. This essay will discuss the effect of a panproctocolectomy with a permanent ileostomy on a 65 year old lady and explain the different physical and psychological changes Alice has had to adjust to.

    Alice has been diagnosed with a cataract to her left eye; this has caused her to be partially blind in that eye and could cause future problems when caring for her stoma after discharge. Alice's colorectal cancer has reached stage two. "Colorectal cancer is the third most common cancer in the UK affecting people ages 60 to 70 and kills up to 16 000 people a year" Cancer Research (2006). And Alice falls within this age criteria. There are many different physical and psychological changes that Alice has had to Adjust to.

    • Word count: 3664
  13. What is Sociology

    The author will be talking to a variety of people from all age groups to see if there is naivety or lack of understanding in certain age categories. To see if the patients and the family know the different aspects surrounding heart disease and how many problems can be avoided in everyday life by doing simple things to help themselves, for example, a change in diet. The author would like to find out how the families think about how they can change their daily life to improve quality of the patients' life.

    • Word count: 3345
  14. Counselling. Peplaus Theory Peplau has given four phases of nurse-patient relationship i.e. orientation, identification, exploitation and resolution. And during these phases nurse has to perform variety of roles and from which one of the most importan

    Neither do he / she attempt to delve into the unconscious. Rogers describes counseling as a process of freeing a person and removing obstacles so that normal growth and development can proceed and the person can become more independent and self-directed. Counseling is a dynamic and purposeful relationship between two persons, who approach a mutually defined problems with mutual considerations of each other to the end that the troubled one or less mature is aided to a self determined resolution of the problem. (Wren 1962). Counseling is helping relationship that includes someone seeking help ,someone willing to give help who is capable or trained to help in a setting that permits help to be given and received .(Cormeir & Hackney 1987).

    • Word count: 6619
  15. The Role of the Nurse in Health Promotion

    The development of this definition by WHO will now be explored. In 1977 the WHO started its Health for All (HFA) Campaign, this concept was introduced at the 1978 International Conference on Primary Healthcare where the Declaration of Alma-Ata was signed (WHO, 2003). This declaration noted that good health and the ability to participate in the planning of one's own healthcare was a fundamental right of all people. It also stated that the difference between the health of those in developed and developing countries, specifically the poor nutritional status of those in developing countries, was unacceptable and that it was the responsibility of all governments to cooperate and address this issue.

    • Word count: 4500
  16. Management of Cancer Pain. When pain is chronic and poorly controlled it produces anxiety and emotional distress, interferes with functional capacity, and can affect a patients social, family and professional life. I have chosen this aspect of nursing

    Evidence based nursing predisposes research. Without it evidence will remain elusive and no credence will be given to clinicians who base their work on routine and tradition alone. According to LoBiondo-Wood (2006) we can think of evidence-based practice (EBP) as the collection, interpretation, and integration of valid, important, and applicable patient-reported, clinician-observed, and hierarchy of grades for robustness and validity. The Levels of Evidence according to Melnyk (2005) are: first strong evidence from at least one systematic review of multiple well designed randomised controlled trials; second strong evidence from at least one properly designed, randomised controlled trial of appropriate size; third evidence from well designed

    • Word count: 3966
  17. Free essay

    Therpeutic Interventions

    (Dixon, Lehman and Levine, 1995). This patient currently experiences many extra-pyramidal side effects from being on Depixol. The British Medical Association and Royal Pharmaceutical Society of Great Britain (2008) and Long (2008) both state that Depixol is among the conventional antipsychotics that may cause a higher incidence of extra-pyramidal reactions. The National Institute for Clinical Excellence (NICE) (2002) recommend that people experiencing side effects with older antipsychotics should be offered an atypical antipsychotic. NICE advise that the oral atypical antipsychotic drugs amisulpride, olanzapine, quetiapine, risperidone and zotepine are considered as first choice treatments for schizophrenia, but Aripiprazole was not considered as part of this guideline as it was not approved until 2004.

    • Word count: 4000
  18. Accountable Practitioner- Consent

    This principle reflects the right of patients to determine what happens to their own bodies, and is a fundamental part of good professional practice (Department of Health, 2001). Expressed consent can be given in writing or verbally. Dimond (1995) suggests that, written consent is by far the best form of consent. The Department of Health (2001) declares that for consent to be valid, it must be given voluntarily by an appropriately informed person who has the capacity to consent to the intervention in question. Acquiescence where the person agrees but does not know what the intervention entails is not consent.

    • Word count: 3500
  19. Describe what is meant by the term `social determinants of health'. Discuss the evidence of how work has an impact on health. Outline the implications for nursing practice.

    Lastly, the implications of work as a social determinant of health for nursing practice will be outlined. Main body Social Determinants of Health Social determinants of health are the economic and social conditions under which individual's live which can determine their health. WHO (1946) have identified ten different social determinants (stated in the introduction) of health that can all have an effect on a person's physical and mental wellbeing. The identification and research of social determinants of health have helped extend awareness and encourage action from healthcare workers and advocates.

    • Word count: 3367
  20. This essay aims to discuss the main aspects of what I have learnt after attending the IP2 conference held in Bath and my learning after the group work I undertook with students from different professions. In the second part of this assignment I will discu

    I believe our team established effective dialogue and allowed for open communication (Cook, 2001) and given this, each member of the team was permitted to choose which seminars to attend and feedback to the team. All members of the team respected one another's opinions and it was interesting to learn different viewpoints and experiences of IP working. Regarding appraisal of my own actions, I believe I could have improved my own contribution to the team with critical analysis of the information discussed.

    • Word count: 3515
  21. My chosen skill is to assist the patients to feed and drink. I have chosen this skill because I believe that it is a very important task, research and my personal experience has showed me that it is common in the hospital setting for patients to need ass

    Moreover, I will explore the importance of understanding and respecting other cultures to overcome barriers when feeding the patient and will give some examples of how other cultures perceive food. Finally, I will identify the professional, legal and ethical issues related with assisting the patient to eat and drink being aware of codes of practice and personal accountability. I will also speak about "protected meal times" policy that was implemented to focus on the patient's individual needs. Newton (1991) believes that nursing models provide the foundation to nursing practice but also using the same nursing model can guarantee validity and "continuity" to patient individualised care.

    • Word count: 3991
  22. Systematic approaches to client care

    I was also nervous about giving injections. The only injection that has been available for me to administer is Enoxaparin. The session that I attended at university provided me with the knowledge to administer the subcutaneous injection safely but it wasn't until I had to administer on in practice that I became nervous. After discussion with my mentor on how to administer the medication and knowing that he was there to supervise me provided me with the confidence to give the injection to the client. Afterwards my mentor praised me on my effort and after that the procedure for giving subcutaneous injections became second nature, as there was plenty of opportunity to practice.

    • Word count: 4029
  23. Systematic approaches to client care

    For the purpose of this assignment I gained consent form the client that I wish to study. From the evidence that I gather for this case study I hope to identify and plan to meet care needs based on an assessment of a client whilst providing evidence that shows that I recognise the importance of providing and maintaining accurate records. The client that I will be basing this case study on was admitted on to the ward where I was on placement with exacerbation of Chronic Obstructive Pulmonary Disease (COPD).

    • Word count: 4734
  24. A critique of a research article from a professional journal

    Therefore, as an adult nurse, I can see that the correct education in relation to asthma as a child can only benefit the patients that I take care of in the future. A possible specific question that the researchers aim to answer is presented as part of an introductory sentence. The overall aim of the study appears to be to improve asthma care by trying a different method of information-giving (i.e. multimedia presentation). The question appears to be equivocal: according to Cormack and Benton (2000)

    • Word count: 4240
  25. Reflective Essay

    The patients on the ward did not require help with their personal cleansing and feeding as those previously cared for. Consequently, I felt some confusion as to the skills required in the care of these apparently self caring patients. Upon reflection I was still working and thinking in a task orientated way and to be exposed to an area where other nursing skills were required left me feeling a little unsettled. Douglas (1999) suggests that the task approach is often taken by student nurses as a "haven" that offers security.

    • Word count: 5426
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