HOSPITAL CASE ANALYSIS. This case study takes place at a hospital and is based on the care of well being of how each floor and how it is run from the nurses to the patients.
HOSPITAL CASE ANALYSIS: FLOOR A AND FLOOR B For JIM TEHRANIAN Prepared by Group 1 Members: CAITLIN CROMWELL GILL BANDHANA GRETCHEN KRAUSE LAM YUK PON JIA YU MIKE NAKHLEH LEANDROSS HENDERLIN Class: BUSM 1321, Section 03 Langara College Nov 22nd, 2004 Letter of Transmittal Jim Tehranian Teacher Business Management Langara College Dear Mr. Jim Tehranian: The following report was written at your request as an analysis of the hospital case study provided. Assigned at the beginning of the term, September 13 2004, The Hospital Case Study, Floor A & Floor B, is presented to you. The report is regarding floor A and floor B of the hospital. We have outlined the problems on each floor and come up with constructive solutions. We recommend that those areas in which the floors are already proficient not be altered and that our suggested solutions be carefully implemented. Thank you for your time. Sincerely, Leandross Henderlin Student Enclosure: Report Table of Contents Part 1 Executive summary 4 Part 2 Introduction 5 Part 3 Problem/decision approach * Step 1 Identification of key factors 6 * Step 2 Identification of central problems
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.
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. In this essay names and places have been altered, to uphold the professional requirements, of the Nursing and Midwifery Council (NMC, 2008). The pseudonym Mrs Jones will be used. The essay will then proceed to define what health is and then critical analyse the bio-medical and the biopsychosocial models approach, to individual health and social well being. It will then be explained what has happened accurately to Mrs Jones biologically, with regard to any pre dispositional disturbances in her physiological processes. This essay will then explore psychological and sociological factors that have had an impact on Mrs Jones as an Individual, which include grief and perceived loneliness. This essay will then summaries and formulate a conclusion based on the findings that have been established throughout the essay. Mrs Jones individual patient profile is included, foremost to give prospective readers an understanding of the biopsychosocial influences that have contributed to Mrs Jones ill-health. The World Health Organization, (1948), defined health as "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity," (p100). "Complete physical,
Pain Assessment. The implementation and rationale for using pain assessment tools is focused on within this essay, with limitations of use being discussed and analysed.
Pain is a common experience for most people (Kingdon et al, 1998). McCaffery (1980) states “pain is what the patients says it is and exists when the patient says it does”. This is one of the most widely used definitions of pain (Cunningham, 2001) however, if a patient does not say they are in pain how can a nurse identify their pain? Seers (1987) argues that patients do not always tell the nurse that pain has arisen and that they often expect the nurse to know. Therefore effective assessment of pain is a vital part of nursing care. Lawler (1997) maintains that good communication skills are vital in assessing pain in patients. The implementation and rationale for using pain assessment tools is focused on within this essay, with limitations of use being discussed and analysed. Pain management is optimised by increasing our understanding of the neurobiology of pain, combined alongside interactions with the patient, coupled with science and knowledge combined with empathy and humanity (Ducharme, 2000). Since the publication of Melzack & Walls (1965) gate control theory of pain, psychology has been accepted as an integral discipline in the study of pain (Skevington, 1995). The physiological and pharmacological aspects of acute pain, and its management are discussed and analysed within this essay. Acute pain management is more than a collection of interventions, it is
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
INDEX S.no Topics P.no. 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 20 21 COUNSELLING * Definition * Concept * Meaning * Models of counseling * Behavioral counseling * Rogerian counseling * Elements in the counseling process * Elements that hinder counseling process * Need of counseling * Attributes & skills required for a counselor * Qualities of a counselor * Principles of counselling * Techniques of counselling * Phases of counselling * Types of counseling * Genetic counseling * Family counseling * Psychoeducation programme * Peplau theory * Counseling in HIV/AIDS * Role of nurse COUNSELLING Counseling denotes "giving advice". It is a wider procedure concerned with emotion as well as giving information. Peplau (1952) said that the "counseling" in nursing have to do with helping the client to remember and to fully understood fully what is happening to him in the present situation so that the experience can be integrated with rather than disassociated from life." Peplau (1962) believed that nursing interventions should aid client in recognizing their dysfunctional behavior, help them to describe the behavior verbally, connect to the causes and consequences of their behavior, search for more functional behavior and transfer the improved behavior to other situation. Nurse therapist has developed skills through intensive supervised
The Impact of Policy on Practice-analysis of a critical incident related to interprofessional delivery of health and/or social care (LO3,4) which demonstrates ability to set the situation in context (LOs 1,2) Evidence contained within PPPD
The Impact of Policy on Practice A 3000 word analysis of a critical incident related to interprofessional delivery of health and/or social care (LO3,4) which demonstrates ability to set the situation in context (LOs 1,2) Evidence contained within PPPD, 1000 words equivalent. Assessment of Practice Tool, 1000 words equivalent. Introduction This assignment will analyse a critical incident relating to inter-professional delivery of healthcare, and will draw upon local, national and international perspectives whilst incorporating Political, Economical, Sociocultural, and technological (PEST) factors. A critical incident can be described as an event that creates an emotional impact (Ghaye and Lillyman 1999). Pseudonyms will be used to maintain anonymity and confidentiality in accordance with The Nursing and Midwifery Council (NMC, 2008) Code of Professional Conduct Guidance on confidentiality and permission has been given by the patient, staff and all participants' involved to discuss the case. . Identify and incident The incident unfolds as follows. Mr Taylor was a 75 year old man who had experienced difficulty urinating for many years. Unbeknown to him it was a common problem for men his age, yet embarrassment and naivety prevented him from consulting a doctor immediately. Eventually, he consulted his GP and was referred to a hospital, where the Urologist gave him a full
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
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 whilst under our care. The author will discuss how the situation arose and why there was a need to covert her medication and will look at law and ethical issues surrounding covert medication. Laws on consent and mental capacity which are in place to protect patients will also be looked at. A model of reflection will be used to reflect back on the incident, looking at each of the stages of Gibbs model of reflection to help breakdown the incident. Moral theories and principles and how they influence decision making in nursing will be discussed and related to the patient. For the purpose of this assignment and to comply with the NMC, (the code 2008) on confidentiality my patient will be called Mrs M. Nurses are required to work within the law and according to the requirements of the NMC the code. These rules and legal obligations are set out for nurses and midwives who have a legal and professional duty to care for patients when under their care and are accountable for their actions; this is to protect patients so they are not harmed by your acts or omissions (Griffith & Tengnah 2008). Fremgen (2009) quotes that law is a system of principles and rules of
DIABETIC NURSING ENB 928 INTRODUCTION - 500 WORDS LITERATURE REVIEW - 1000 WORDS CASE STUDY - 1500 WORDS EVIDENCE BASED PRACTICE - 1500 WORDS EVALUATION - 1000 WORDS CONCLUSIONS - 500 WORDS REFERENCES APPENDIX - SUBMIT RECORD OF DEVELOPMENT & LOG OF CLINICAL PLACEMENT VISITS (2) INTRO. Far from the "mild" disease it has traditionally been thought, diabetes is a chronic, progressive disease process with potentially life threatening complications (NSF, 2001). There are currently more than a million people in the UK diagnosed with diabetes, and the number is steadily rising (NSF, 2001). In fact, it is estimated that there may be as many as 50% of people with type 2 diabetes who are undiagnosed, perhaps suffering only mild symptoms that they live with as "normal" for them (Krentz, 2000). In nursing practice it is vital to understand the condition and to be aware of the health implications for all affected patients. It is a condition that affects all ages and races, and both sexes. The aim of this essay is to examine the disease process, to discuss the impact of diagnosis on the physical, mental, social and emotional health of a patient, and to evaluate the care of one patient, especially during his changing therapy requirements. Research has shown that good glycaemic control throughout the whole life of a person with type 1 or type 2 diabetes will prevent or delay
Counselling Case Study
Counselling Case Study The following intervention analysis will utilise a planned verbal interaction, which occurred as part of ongoing care, during a 15-week placement on a Psychiatric Acute ward catering for Women aged 18-65. The client's informed consent was gained verbally, to use this conversation within my assignment. The client will be referred to as Carol. These measures are in accordance with the UKCC (1998) guidelines regarding consent and confidentiality. A client centred approach is to be employed as an aid to critical analysis of the intervention. It will firstly give a rationale for why this particular intervention was chosen and for the theoretical approach utilised. Biographical details of the client including events leading up to this point, previous conversations and incidents which are relevant to the chosen intervention, can be found in Appendix A. It will outline what a client centred approach involves. Firstly by defining its beliefs and essential core conditions, then by calling on the more practical micro-skills involved. The interaction will be analysed as each of these core conditions and skills are stated, thus helping in illustrating the helpful and not so helpful aspects of the interaction. Throughout the analysis, I will reflect upon how the intervention could have been more effective offering alternatives, which could have been more
The aim of this paper is to show the development attained within the following four areas: Professional/Ethical Practice; Care Delivery; Care Management and Personal/Professional Development. Through the use of case studies I will attempt to outline these developments from experiences gained whilst on placement. The names of the people referred to throughout this paper have been changed to maintain confidentiality, in accordance with the NMC Code of Conduct, Clause 5. Care Management The domain Care management will be addressed within this paper using a long term condition case study to highlight the development and learning of this student. The Long Term Medical Conditions Alliance (2002) defines the term long term condition as "a condition of prolonged duration that may affect any aspect of the person's life". A literature search was carried out using the terms care management and long term conditions and the results of which appeared to show that care management is an area of long term conditions that spans the Inter Professional Teams (IPT). From hospitals to primary care they all have input from the IPT and the focus appears to be increasing support for self care, strengthening primary care, responsive specialist care and management of vulnerable patients (DoH, 2004). The NSF for Long Term Conditions, as released by the DoH in March 2005, aims to bring about a
Research Project - the male perspective of miscarriage
MALE PERSPECTIVE OF MISCARRIAGE Literature Review A miscarriage or spontaneous abortion was described by Niven and Walker (1996) as a psychologically challenging for couples. It is the loss of the expected child (McCreight, 2004; Kimble, 1991; Murphy, 1998) for the period of pregnancy with the opportunity of hopes and dreams; and possibly, the disruption of relationship with one's partner (Speckhard, 1997) can be as depressing for women and also with men. This phenomenon exists before the legal age of the fetus life viability, which is 24 weeks gestation. According to reports, the rate of early miscarriage is something like 30% at four weeks gestation, while 20% between four and about thirteen (13) weeks gestation (Rajan and Oakley 1993). Moreover, it has been estimated that about 80% of all conceptions closes stage in fetal death, and the sad thing is that, majority of these happen without the knowledge of the woman (Rajan and Oakley 1993). Miscarriage continues to be a significant problem among women. In fact, in most literatures, grief, ethical dilemmas, depression and health effects are some of the topics which are strongly associated among women as far as miscarriage are concerned, and very limited studies tackle and measured the involvement and perspective of men on the issue. During pregnancy as well as birth, the impact of the role of fathers is not clear and