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The importance of effective communication between doctors and nurses and its impact on patient careCritical Analysis of a Clinical Incident.
Mc Hugh Schuster (2010) claims that: ?communication is the use of words and behaviours to construct, send and interpret messages?. Ellis et al. (2003) state that communication is a basic human need and according to them, lack of communication can have adverse consequences on one's psychological, social and physical health (Ellis et al, 2003). Inter-professional learning (IPL) can be described as the process where two or more professionals who share a common subject, work together whilst understanding and respecting each other?s roles (Cullen et al., 2003).
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were processed. (LeMone, 2012) ________________ There are two parts of the treatment, debulking and chemotherapy. Debulking contains total abdominal hysterectomy, omentectomy and partial oophorectomy. It prevents the spread of cancer and enhances the effectiveness of chemotherapy. (Cancer Research UK, 2012), (Wakabayashi, Lin, & Hakim, 2008) Chemotherapy contains two combinations of drugs, the new combination of Carboplatin & Gemcitabine for the recurrence, the traditional combination of Carboplatin & Paclitaxel for primary. (Stan Kaye, 2010) Carboplatin and Gemcitabine are genotoxic and antimetabolite respectively. They interfere with the DNA replication in mitosis. Carboplatin prevent the unzipping of DNA by forming cross-link within it.
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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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A critical appraisal of LevettJones, T., Lathlean, J., Higgins, I. and MCMillan, M. (2009) Staff Student Relationships and their Impact on Nursing Students Belongingness and Learning.
The article being evaluated was published in the Journal of Advanced Nursing. It has an impact factor of 1.527 and an ISI Journal Citation Reports Ranking of 14/101. This increases the credibility of the research as published articles are ?double blind? peer reviewed to prevent bias while improving the standard of published material. (Royal College of Nursing 2013). Furthermore, it should not be assumed that because a report is published in a credible journal it is reliable and valid (Ryan et al).
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It is it essential that nurse as managers possess the qualities of good leadership to effectively manage contemporary clinical nursing teams. Critically analyse this statement with emphasis on the impact good leadership has on the performance of clinical nursing teams and on patient care.
Within the nursing environment we acknowledge this is represented by Clinical Governance (DoH 2010). The Clinical Governance guidelines acknowledge that the healthcare environment is such that this environment will not only be affected by, but also influenced and sensitive to constant change. It is for this reason that the specified requirements reflect the changes as they occur so as not to stifle innovation (DoH 2010). ?Clinical Governance? describes the structures, processes and culture needed to ensure that healthcare organisations - and all individuals within them - can assure the quality of the care they provide and are continuously seeking to improve it (DoH 2013a).
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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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The first stage of Driscoll?s reflective mode (Johns 1994) describes what happened. The main purpose of this simulation is to increase student confidence and also to prepare student for real clinical setting.We were paired up where one took the blood pressure and the othertook the temperature, the respiration and the pulse rate. According to the (NMC, 2010) communication is the key element therefore I introduced myself, informed patient about the procedure and asked for patient consent to ensure that decisions are made on behalf of the service user (NMC 2010)
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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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A Critical Appraisal of a Published Piece of Research Related to Practice. Patient Dignity in an Acute Hospital Setting, by Dr. Lesley Baillie (2008)
The author Baillie (2008) sets out in the abstract her objectives for the case study. There are very clear and precise aims to the study which all relate to patient dignity i.e. what dignity means to patient?s, the threats and how patient dignity can be promoted in an acute hospital environment. The relevance of this case study was to investigate how a patient?s dignity is affected by situations that they are not in complete control of, which can ultimately result in how the patient?s outcome is determined. Following the (DoH, 2010)) Essence of Care report and the National Service Framework (NSF)
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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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Within this assignment the author has chosen the subject of Dysphasia to discuses while using the nursing model of Roper, Logan and Tierney (RLT)
Dysphasia falls in to two major types, these are, 1/ oropharyngeal 2/ Esophageal There is a 3rd type of dysphasia know as function dysphasia. The author is going to concentrate on oesophageal dysphasia; this is the most comment form of dysphasia. Patients with the condition normally complain of the feeling of food getting stuck within the throat for several seconds after swallowing and they will indicate the suprasternal notch or behind the sternum as part of obstruction. There are a number of causes for oesophageal dysphasia these can be divided in to mechanical and functional courses. Functional causes include: 1.
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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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The aim of this assignment is to critically evaluate the role of a mentor with personal reflection of the mentoring process, looking at four key requirements for mentoring practice.
They suggest that it?s important to tailor your teaching to the style your student prefers for them to have the best learning experience possible. They also describe learners as activists, pragmatists, theorists or reflectors. Honey and Mumford (1989) researched that many students were a combination of these styles but normally one of them stands strongest. When first meeting my student I took into account the learning styles depicted by Honey and Mumford (1989) to try and teaching my student in the best way possible.
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The aim throughout this assignment is to critically analyse, explore and evaluate an element of study that I have used throughout my learning
It offers the opportunity to focus on how you interact with patients and colleagues and obtain a clear picture of people?s behaviour in various environments. ?Reflection involves systematic, critical and creative thinking about action with the intention of understanding its roots and processes and thus being in a position to refine, improve or change future actions? (Fish and Twinn 1997 p52) We use reflection on a professional or personal basis as it forms part of your daily process. In our lives we are constantly reflecting on what if?
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The ability to reflect is a vital part of life that requires a balanced thinking process and the capacity to look at your shortcomings. If an individual is unable to reflect on their past then they will be incapable of making change for the future (Taylor, 2006). Forming therapeutic relationships is an important aspect of nursing; indeed, Videbeck (2010) states that therapeutic relationships should be used to ?build trust, explore feelings, assist the client in problem- solving, and help the client meet psychosocial needs.? This is supported by Chambers (1998)
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SUPPORTING LEARNING AND ASSESSMENT. My experience of mentoring and assessing nursing students took place in demanding clinical area, which provides high dependency and critical care to children.
Concluding with, summarising the main point of the assignment and application to the future practice. Reflection is the process of learning through experience gaining new insights, assisting with changes in perceptions and developing oneself and future practice (Boyd and Fales 1983). I will be using Gibbs model of reflection (1988) please (appendix1) to structure this assignment. It consists of six sequential steps discussing the experience, examining thoughts and feeling, evaluating and analysing the experience, drawing upon conclusions for future practice. My experience of mentoring and assessing nursing students took place in demanding clinical area, which provides high dependency and critical care to children.
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The intention of this essay will be to describe the main features of the therapeutic relationship in terms of the experience between the student-nurse and the service user in a mental health setting.
For the reasons of autonomy and patient confidentiality the patients name will be chosen at random. (Nursing and midwifery council,2004). I will refer to the patient as Stuart. Stuart is a thirty-two African-Caribbean year old male with a diagnosis of paranoid schizophrenia. He lives on his own and is currently unemployed. He was first admitted to hospital nearly five years ago. He has a history of suffering from depression and delusions involving the pope plotting against him. On a daily basis he is prescribed an oral medication of Flupenthixol (Nice,2006). By now the student-nurse had met Stuart on several occasions through ward rounds and home visits with CPN?s of the community, which the stuart-nurse was based on.
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Precordial Thump. In this report, I describe a case of successful cardiac resuscitation at my work place in the Intensive Care Unit, where an uncommon practice was performed and has helped save a patients life.
In the 1980s, The American Heart Association recommended the precordial thump as the initial maneuver in treatment of VT and VF, based on a large report of successful attempts. (Miller J. et all 1984) However, as times progressed, precordial thumps have been deemphasized, and in my opinion, due to the large number, and easy accessibility to medical assistance and an automated external defibrillator, either in public or in hospitals, and also the increasing number of reported studies of failed attempts.
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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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to get over to all staff that violence and intimidation is unacceptable and is being tackled. The Department of Health (1999) defines violence and aggression as, ?any incident where staff are abused, threatened or assaulted in circumstances relating to their work, involving explicit or implicit challenge to their safety, well-being or health?. Violence is not just limited to acts of aggression that actually result in physical harm it can include aggressive behaviour, with the use of gestures and language, that may cause the other person to feel threatened, frightened and abused. Garnham (2001) states that aggression is an act that intends to bring about harm to a person either through pain or loss that can be an active or passive act and further defines aggression into three forms: 1.
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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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The purpose of this paper is to briefly describe leukaemia, provide a discussion of the role of the nurses in the early diagnosis, prevention as well as follow up of patients as far as leukaemia is concerned, provide a teaching plan, and identify local resources within the Wilkes-Barre community in Pennsylvania.
Others are chronic lymphocytic leukaemia such as B cell prolymphocytic leukaemia which mostly affects adults and acute myelogenous leukaemia which includes acute promyelocytic leukaemia, acute myeloblastic leukaemia and acute megakaryoblastic leukaemia which affect adults more than children (Miller, Bellizzi and Sufian, 2008). Chronic Myelogenous leukaemia is another kind of leukaemia which mostly affects adults whereas hairy cell leukaemia affects only adult, mostly men (Cannon, et al, 2008). Large granular lymphocytic leukaemia is rare and not as debilitating and adult T cell leukaemia is a result of the human T-lymphotropic virus (HTLV)
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Preparation for Practice Reflective Account. I have been working with patient A, who has a past medical history and for medical reasons has Dysphasia
Unfortunately due to medical reasons patient A suffered a setback which had worsened there dysphasia and was unable to communicate as well as they had done before. One occasion I want to reflect on is when I struggled to understand what patient A wanted to eat for lunch as everything I had asked, was answered with what sounded like ?yes?. I had seen in the past, a Health Care Assistant (HCA), giving patient A food which they disliked, because they didn?t allow time to fully understand what patient A wanted.
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