Delegation of Care in Public schools

Running head: DELEGATION OF CARE IN PUBLIC SCHOOLS Case Study: The Delegation of Nursing Care in Public Schools The Delegation of Nursing Care in Public Schools This case study will examine the proper role of the delegation of nursing care in public schools. Specifically, it will examine the ability of school nurses to use delegation functions to administer medications to students. Delegation has become a necessity for managers in today's health care environment. This need is especially evident in a public school setting where there is typically one nurse to meet the demands of thousands of students. In a climate affected by shortages in staffing, it is crucial for nurses to hand nonessential tasks to others in order to utilize their own time effectively. The appropriate use of unlicensed assistive personal (UAP) allows any medical care facility to accommodate a growing number of patients. However, delegation is more than simply handing down orders and awaiting the results. As Cherry and Jacob (2005) definite it, delegation requires "succinct" communication, clearly dictated guidelines, and constant monitoring to make sure that the task is completed properly. 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

  • Word count: 1288
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay

Discuss how integrating knowledge of biology, psychology, sociology and social policy contributes to the delivery of holistic nursing care.

discuss how integrating knowledge of biology, psychology, sociology and social policy contributes to the delivery of holistic nursing care. For this assignment I am going to be discussing the biology, psychology, sociology and social policy surrounding Tardive Dyskinesia, and I will explain why these factors are important things to consider when caring for a person with Tardive Dyskinesia which is a disorder which develops from the usage of Typical Antipsychotics, like Haloperidal. The concept of caring for a person and considering all factors of their health, including physical, social and mental health is called Holistic Care. Beck (1988) believed that physical, emotional, intellectual, social and spiritual dimensions constantly interact with each other and the environment and are at the centre of holistic philosophy. Firstly I will begin with the physical effects of Tardive Dyskinesia, of which, are commonly associated with Parkinsons disease. Tardive Dyskinesia is a, potentially irreversible condition, which is brought on by the long-term usage of typical antipsychotics and trycilic antidepressants, of which are commonly used to treat mental illness, such as Schizophrenia and Bi Polar. Antipsychotics main purpose is to block Dopamine receptors in the brain, and it is this block which is believed to be the cause of the development of Tardive Dyskinesia. During the

  • Word count: 1278
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay

From a service users perspective discuss their experiences of care and consider ways in which this knowledge can help you develop your own (nursing) practice

From a Service user's perspective discuss their experiences of care and consider ways in which this knowledge can help you develop your own practice. Katie Mulholland AA0074 This essay will discuss one aspect of care, from a service user's perspective, and consider the way in which the knowledge gained can help a student to develop their practice. The aspect of care chosen for discussion was the advice given to a service user who visited his general practitioner complaining of the symptoms of depression. The rationale for the choice was the fact that depression was considered to be a significant current issue since it is a common condition. According to Depression Alliance and SANE (2007) depression is the most common mental health problem in the UK, affecting as it does, between eight and twelve per cent of the population in any year. Moreover, the majority of people with depression receive almost all their care from their general practitioner (GP). The National Institute for Health and Clinical Excellence (NICE) (2004) found that eighty per cent of depression was managed in primary care. Therefore, it was considered relevant to interview a client who had recent experience of visiting their GP for advice on depression and to discuss the patient's experience of care. Additionally, Faulkner (1997) postulated that depression is thought to be responsible for seventy per cent

  • Word count: 1269
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay

Urinalysis is executed as part of a routine physical evaluation. It is an inexpensive and easy method to indicate whether further follow up tests may be needed. These tests may include blood tests for diabetes via secretion of glucose in the urine or bloo

Urinalysis Urinalysis with a reagent strip is a beneficial technique for indicating whether further tests are needed for bladder, kidney or urinary tract infection, pregnancy, dehydration or diabetes only if carried out in an aseptic and patient centred manner. Urinalysis can be broken down into four stages: communication, preparation, testing, and recording results (Kozier, 1998). Urinalysis is executed as part of a routine physical evaluation. It is an inexpensive and easy method to indicate whether further follow up tests may be needed. These tests may include blood tests for diabetes via secretion of glucose in the urine or blood tests for white blood cell deficiencies via secretion of white blood cells in the urine (Rosdahl, 2003). Other abnormalities that the nurse could be investigating via urinalysis are an indication of the presence of pathogens in the kidney, bladder or urinary tract (Rosdahl, 2003). In the case of an infection, further tests and the use of urinalysis may determine the appropriateness of antibiotic prescription (Simerville, 2005). An analysis of the solute composition of urine may aid in the diagnosis of dehydration, which may inform the prescription of oral or intravenous dehydration solution (Higgins, 2007). Ransmayr (2008) illustrates that an important part of the process of urinalysis is communication with the patient. It is important to

  • Word count: 1258
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay

Compare Elizabeth Gaskell’s “The Old Nurse’s Story” with “The Call” by Robert Westall. Which do you think is more successful?

Compare Elizabeth Gaskell's "The Old Nurse's Story" with "The Call" by Robert Westall. Which do you think is more successful? Most ghost stories have certain conventions that we expect them to follow, such as vulnerable characters and supernatural goings on. The ghost stories "The Old Nurse's Story" by Elizabeth Gaskell and Robert Westall's "The Call" both follow some of these conventions. In ghost stories there is often an isolated setting, such as a wood or a house with land all around it and no neighbours. When people are isolated there is no one around to help when help is needed, and sometimes there is no way of contacting people, making people susceptible to bad things. Most of the time the main character of a ghost story is a young woman or a child, because they are seen as vulnerable; children because they are young and impressionable and young women because they are thought of as weak, and an easy target for ghosts and other bad things. Ghost stories are often set in large old mansions or castles with lots of wings and quarters where ghosts can hide. Quite often there is bad weather such as thunder and lightening, heavy rain, fog and snow. The bad weather can create a spooky atmosphere and also a sense of vulnerability and isolation. Sometimes the bad weather in ghost stories brings down telephone lines, so there can be no communicating with people, adding to the

  • Word count: 1252
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay

Much care work in hospitals is done by people who are not qualified or registered. Why does this happen and what are the consequences

Much care work in hospitals is done by people who are not qualified or registered. Why does this happen and what are the consequences The kind of activities carried out by unqualified staff (UQS) can be very broad. UQS include care assistants, domestic staff, porters, voluntary workers. The tasks they undertake may differ depending on what ward or at what time of day they are working. Lizz Hart, an anthropologist, spent time working in a hospital as one of the domestic members of staff (1991, p16). She highlights the many areas in which the domestic staff are giving care, i.e. fetching things, tidying around, helping patients to drink and sometimes lifting. Lifting is very much a nurse's duty. If a nurse is unavailable, a UQS can offer support. This is an example of how UQS can help the running of a ward. Domestic staff recognise that they do more than is required by their job description. Through Lizz Harts observations and conversations with domestic staff (DS) she observes the time DS spend around the patients (1991, p16). Although DS are not supposed to talk to patients, the time spent around them naturally leads to relationships being made - joking with the patients or spending time listening to them. This is acknowledged by nursing staff to be useful and even therapeutic. This example illustrates how these two categories of staff, nurses and DS duties overlap ,

  • Word count: 1242
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay

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.

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. Due to the word limit the focus is going to be centred around the positive aspects of the approach as apposed to negative critique. In order to explore the importance of considering the patient holistically, it is imperative that we understand what the word/concept holistic means. Weller (2004, p44) describes holism as a comprehensive approach to health care that encompasses and considers the body, mind and spirit considering all actions and interventions for the patient, while recognising the concept of uniqueness, individualism and the influence of internal and external environmental factors on health. This can be condensed to suggesting that we should consider the person as a whole in relation to their individual needs. Dryden (1995, p.177) cites that Fitz Perls (1951), based his gestalt approach to psychotherapy on premise that we should take an holistic view in relating to a person in order to help a person grow and ascertain a sense of wholeness. 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

  • Word count: 1233
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay

Obstetric fistula.

FISTULA A fistula is a small tunnel or tract that connects one organ or surface of the body to another. Fistulas can occur in different parts of the body, for example * Between the middle and inner ear ( Labyrinthine fistula) * Between an artery and vein of the lungs ( pulmonary arteriovenous fistula) * Between the esophagus and the trachea ( Tracheoesophageal fistula) * Between two parts of the intestine ( Enteroenteral fistula) * Between the bladder and the vagina ( Enterovaginal fistula) * Between the rectum and the vagina (rectovaginal fistula) * Between the rectum and the skin, apart from the anus ( Anorectal fistula) Obstetric fistula An Obstetric fistula is an abnormal opening that develops during prolonged labour between a woman's vagina and bladder or rectum, through which her urine and / or faeces continually leak. Signs and symptoms of Obstetric fistula * There is passage of bowel content (gas and stool) through the vagina. * Inflammation of the vagina which results in burning, itching, and discharge. * Inflammation of the bladder which causes frequent and sometimes painful urination. Causation Physical causes include; Prolonged or obstructed labour without prompt medical interevention, usually cesarean section. The unborn child so tightly presses in the birth canal that blood flow to the tissues surrounding bladder, vagina, and rectum is cut off.

  • Word count: 1212
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay

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.

COMMUNICATION AND PROFESSIONAL VALUES 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. According to the Nursing and midwifery Council (NMC 2008), confidentiality will be kept throughout this assignment. The patient will be referred to as Moira. According to Silverman el at (2005) communication is the typical process of sending and receiving information between two or more people. The oncoming paragraphs explains the experience of a patient with health professionals paying particular attention to professional values and communication skills of the health professionals involved. Professional values, as defined by Fry and Johnston (2002), are the code of conduct that has been approved as an obligation for professional group. These range from empathy, respect, listening, confidentiality and competence among others. Dignity can be considered both personally, taking into account individual differences and subjectively as the foundation of human rights (Gallagher 2004). 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

  • Word count: 1202
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay

Reflection In Practice

REFLECTION IN PRACTICE Definition Reflective learning is the process of internally examining and exploring an issue of concern, triggered by an experience, which creates and clarifies meaning in terms of self, and which results in a changed conceptual perspective, as suggested by Boyd and Fales (1983). Reflective learning is a key to learning from experience (Journal of Humanistic Psychology,23) The author is going to use The Gibbs Reflective Cycle (1988) to help her in the process of reflection, as reflection can be a difficult experience without the guidance and support of an expert. Description of Incident As usual I started my shift and was assigned an emergency case of laparatomy. I laid up my trolley and counted all the swabs, needles, blades and instruments with my circulating nurse one by one. The swb, tape and the needle counts were clearly written on the board. The patient was an obese Mr Jones. He was anaesthetised, brought into the operating theatre and was transferred to the operating table. The surgeon and his assistant scrubbed, prepped, draped, attached diathermy and suction and started the operation. Mr Jones had an obstructed bowel, which was removed. However the operation did not go well because of an excessive amount of bleeding, due to which the surgeon put small swabs inside the wound, as he felt the larger swabs with tapes would obstruct his view.

  • Word count: 1200
  • Level: University Degree
  • Subject: Subjects allied to Medicine
Access this essay