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University Degree: Nursing
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Delegation, to a great extent, involves the controlling function of management (McConnell, 2007). This study will compare the appropriate use of delegation to the appropriate use of empowerment. While McConnell (2007) argues that the two are closely related, empowerment is seen as a form of supervision that allows employees to solve their own problems. The ability of "empowered" employees to supervise their own work offers a key difference to the concept of delegation. Further, empowerment can be seen as the riskier option in a health care setting.
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Review of my performance in a nursing situation. Scenario 3 is about a 11 months old child who is looked after by 18 years old nanny while parents are at work. He was brought to the A&E department by the mother as the nanny had reported he fell down th
As a student, it is important I understand why I need to wear my uniform in a professional manner this include the use of name badge, fob watch, flat black shoes, removal of jewellery, tying back of hair securely off my face and also ensuring finger nails are of appropriate length, clean and without nail vanish. I learnt about these skills from www.infectioncontrol.nhs.uk which was part of my online learning activities at the university. One other thing I was supposed to have which I had to borrow was a pen, as a nurse it is compulsory to always have a pen.
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A study was conducted by an independent contractor to assess the proficiency of drug monitoring programs. The research showed that in states where a drug program was in place the supply of illegally obtained pharmaceuticals and the likelihood of abuse was significantly reduced. The study also showed that if law enforcement, rather than health oriented officials, were the ones to monitor the information there was a greater chance of success in reducing pharmaceutical abuse. Florida is currently one of the only states that does not have a drug monitoring program in place.
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In fact, with older age, the dura's adherence to the skull increases, the vessels become more brittle, and cerebral atrophy occurs (Thompson, McCormick, & Kagan, 2006).Thus, it is becoming increasingly important to acquire knowledge about this type of trauma and its respective management. The application of preventive measures and teaching this category of the population is also crucial, when taking into account that falls is one of the most preventable causes of TBI (Thompson, McCormick, & Kagan, 2006) (other causes include: MVAs, assaults...etc).
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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.
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A key part of the mentor role is confirmation that the student has or has not met the assessment criteria required for the placement.
(NMC 2006 pg17). This position requires huge responsibilities and is accountable for supporting and guiding students in the clinical setting. Nearly 2000 states that a mentor assists and supports an adult student who is pre-registration course. Every nursing student requires a mentor. The responsibilities of the mentor are to encourage learning and to assess ongoing progress and achievement. Effective mentorship enables nursing students to strengthen their personal and professional qualities to develop the knowledge and skills required of a competence and practioner. The NMC produced standards to support learning and assessment in practice in 2006 and where updated in 2008.
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The need to obtain a valid consent is a fundamental principle of medical ethics and law (Department of Health (DOH), 2001). A patient was admitted unto a ward with orthopaedic problems. Towards the end of the treatment she encountered grave secondary complications that required immediate treatment. After all relevant information was presented to the patient and the benefits and risks of the treatment examined, the patient initially consented to the treatment. After commencing treatment however, the patient decided that it would be in her best interest and that of the family to discontinue treatment.
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In this assignment, the nursing problem of fluid overload will be discussed, with respect to one particular patient who was admitted to the medical ward, on which I did my recent clinical placement. The holistic impact on the patient as a result of this
Volume overload may present itself in innumerable ways (Majorowicz and Hayes-Christiansen, 1989) and may cause a huge problem for the patient and their families (Wallace, 1998). Dyspnoea on exertion, increased fatigue, weight gain and oedema are all features of fluid overload. The above mentioned symptoms impacted negatively on the physical, psychological and social aspects of the patient's life. Faulkner (2000) recognizes oedema as the main visible effect of fluid overload. Oedema is described by the Dictionary Of Medicine (2001) as "swelling of part of the body caused by the accumulation of fluid in the intercellular tissue spaces."
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Critical Incident and Professional Awareness I have chosen to focus this reflection on an issue arisen at a meeting with myself, a client and his social worker whilst on placement with an nhs drug and alcohol service
Having a meeting at a public caf� brings about confidentiality issues on its own (C.O; 1, 2, 3). I realised I would have to be careful not to divulge any personal information and be aware of other people in the caf� listening in intently and of the need then to adjust the manner in which the appointment was proceeding. I was also aware of my client's own potential feelings about his care being discussed in such a public place and remained vigilant as to his state of mind, in particular paying attention to his body language with regards what he was saying (C.O; 5).
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She believed she no need to use the face mask just like other people. The parent might wear the face mask as well. Then Brianna might think that everyone needs to wear the face mask not just herself. She has no asthma treatment before, so it may cause misunderstandings and misinterpretations. It may cause much anxiety in Brianna. They may be encouraged to do pretended healthcare procedures on her doll beforehand such as thermometers, blood pressure equipment and play needles. For example, Brianna can place a face mask over her doll. It may give her a better understanding about the procedures and help her to cope with her feelings.
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Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles"( ICN 2010). The contemporary nursing requires the nurse to possess knowledge and skill for a variety of professional roles and resonsibilites includes clinician, manager, teacher, researcher, counselor and advocate. Clinical nursing provide direct care and the holistic healthcare needs of the person, including measures to restore emotional, spiritual, social wellbeing and helps the patient and family set goals and meet those goals. As a manager, the nurse coordinates the activities of other health professionals.
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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.
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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).
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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.
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In this essay I intend to look at the concept of holism, why it is important, how it is supported in legislation and codes of practice and the possible benefits to the nurse patient relationship.
Stevenson, Grieves & Stein-Parbom (2004, p16) suggests that holism is knowing more about a person rather than deciding on a clinical pathway. It could be argued that the holistic approach is a humanistic approach focussing on growth and individualism/wholeness. The NMC recognises the importance of wholeness and holistic care by specifying in the 2008 code of conduct that we should treat people as individuals and respect their dignity. From this statement alone it is possible to see that holistic care requires a positive regard and requires all practitioners to consider all dimensions of a person. Brown and Libberton (2007, p.99)
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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
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(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.
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Observation and reflection. Measuring vital signs - Temperature, Pulse, Respiration and Blood Pressure.
l also had to have the MEWS Chart where l would record the vital signs data. MEWS is acronym for the 'Modified Early Warning System'. In the Nursing and Midwifery Council (NMC 2008) Code of Professional Conduct, a range of professional and ethical issues are addressed including the need for practitioners to respect the patient as an individual, to obtain consent before the implementation of any assessment/treatment or care, to cooperate with others in the team, to protect confidential information, and to act to indentify and minimise risk to patients. I thoroughly washed my hands with soap and water and dried them before going to the patient's bed so as to minimise the risk of cross infection from one patient to the other(DH 2005: C).
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This assignment discusses the recent experience of a close family friend with professionals. It will also discuss their experiences relating to communication and professional values.
Moira was born with a right duplex kidney with an upper pole obstructed megaureter and hydronephrosis. Moira has been on trimethoprim prophylaxis ever since she was born. Everything was explained in detail to the Moira's parents as to why Moira was on antibiotics and why she was going to have an operation. They both understood the situation and happy to proceed down this line. Moira was booked in for her first ultrasound and the appointment card was given to her parents and it was going to be when she was two weeks old.
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The aim of this essay is to look at how infection control and the theatre environment impact on a patient undergoing surgery. The first part of the essay looks at infection control in the hospital setting in general; touching on issues such as hospital ac
Today, most surgery takes place in operating theatres that are specially designed for that purpose. There are two types of infection, the endogenous and exogenous infection. Endogenous infection occurs when microorganisms that normally exist harmlessly in one part of an individual to become pathogen, whereas exogenous infection happens when microorganisms from other source or from other person, object, animal or the environment (Woodhead 2005). Infection control refers to policies and procedures used to minimise the risk of spreading infection especially in hospitals. Nosocomial or hospital acquired infection (HAI) occur in approximately 5% of all hospital patients.
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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.
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Main Body What is Reflection? Reflection is characterised as learning through experience towards gaining new insights or changed perceptions of self and practice (Boud et al, 1985, Boyd and Fales 1983, Mezirow 1981) Taylor (2000) also gave a similar definition which defined reflection as throwing back thoughts and memories, in cognitive acts such as thinking, contemplation, mediation and any other form of attentive consideration in order to make sense of them to make contextually apparent changes if they are required. Through both definitions it can be drawn that via a process of thinking and learning from experience, reflection may be beneficial to some practitioners.
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Compare and contrast the contribution of two theories of development to one stage of the human lifespan.
from a particular behaviour, this usually encourages them to repeat the behaviour, which Skinner described as reinforcement. However if the consequence from a particular behaviour is unpleasant ("punishments") the behaviour is rarely repeated. Behaviourists are usually reluctant to use words such as "rewards" and "punishments" because some people can perceive what seems to be a reward as a punishment and vice versa (Berger 2005). For example a child may be sent to their room by a parent as a punishment for misbehaviour but the child may perceive this as a reward because all their toys are in their room and they can play.
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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.
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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.
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