Scholars have argued that there is no “right” answer to an ethical dilemma. Therefore, what is an ethical dilemma or issue? It is a predicament without a satisfactory answer. The consequence of an ethical issue lays in the truth that very diverse ethical choices concerning the same ethical issue can be made resulting in neither decision being a right or wrong choice (Henderson, 2009).
From the review of the article, it can be apparently observed that similar to other health-oriented occupations, nursing has shifted from traditional intuition oriented paradigm to evidence oriented practices. The article depicted a cross sectional survey on sample of 243 nurses in Northern Israel for comprehending the interrelation between contextual variables and evidence-based nursing activities.
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In the year 2011, more than 26 million American citizens were reported as living with diabetes, and 1.9 million out of the recorded number were new cases for that year alone. Such high and undesirable figures call for the creation and implementation of effective policies in the prevention of new cases as well as caring for those already with the condition.
Most of the children affected by this condition are not able to combine words into meaning by normal age, and in some cases others are able either to repeat same phrases or words over and over or just speak single words only. A number of studies have indicated that Down syndrome can affect considerably the progress of children in their social, academic, and personal development especially within a standard environment where other normal children are growing and developing in.
This technology not only has many advantages over manual documentation, but rather endows the nurses with many possibilities and benefits. However, to be able to cope up with these new technological possibilities, the nurses need to be computer literate and conversant with the requisite hardware and software.
This section momentarily addresses the five strategies that one can apply. These are, coming into legislative area, knowing activities and the procedure, knowing the players of power, getting law makers and knowing committees (Abood, 2007). 1) Coming into the legislative arena The arena for legislation is where most supporters focus their tasks to air their viewpoint on specific known issues.
This paper analyzes the Nursing Education history in both countries which is characterized by some comparisons. The difficulty in classifying the in-service trained nurses, according to their level of their training and the scope of their skills and experience forced both countries to establish a formal system of educating nurses. The comparison in the nursing education patterns for both countries, is on the issue of nursing education and training upgrade.
Medication administration process includes getting medical orders, writing medical orders on the (MAR) medical administration record, comparing the medical orders with the ones on the MAR to ensure they are correct, delivering and administering the medication to the patients, monitoring the patient’s progress and recording, storing and getting rid of expired, unused and contaminated medication.
A strong communication function boosts the morale of employees, helps achieve satisfied and happy employees, increases productivity and allows the management to develop corporation and brand ambassadors. Internal communication goes beyond people talking to each other.
While prevalent to certain race origins, the treatment of, control and reduction of pain among SCD patients has become an integral approach towards delivery of equitable health care services. The patients with SCD has been identified to be mainly from marginalized groups – poor and ethnic minorities
The most influential experiences for me in this course were Florence Nightingale’s opinions on ventilation and warming of houses, Patricia Benner’s levels of nursing evaluations, the Vietnam War nurses’ stories of survival, and my experimental learning project.
However, there are still debates on the causal links between GERD and chronic cough, prompting the writing of this state of the science paper, which seeks to explore the already researched and published findings on the subject. Hopefully, the literatures and study findings reviewed will highlight the causal link between these conditions so that the management and treatment of infants, children, and adolescents with GERD and GERD-related chronic cough could be made more accessible and effective.
4 1. Introduction P. 6 – P. 9 2. Background P. 10 – P. 15 3. Methodology P. 15 – P. 20 4. Methods P. 21 – P. 24 5. Critique of the Six Articles P. 25 – P. 36 6. Reviews P. 24 – P. 34 7. Analysis P. 34 – P. 41 8. Discussion P. 42 – P. 46 9.
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The primary objective of this department was to collect information and statistics about schools in the US. However, fearing that this department would exercise undue control over the functioning of the schools, it was later demoted to an Office of Education in 1868.
A Just Culture: A Culture of Safety Introduction Human error, especially in the medical field, can have serious consequences to the patient, hospital employee and the hospital as a whole. The traditional approach to errors in such a setting focused on punitive measures often aimed at the employee.
This process essentially involves the introduction of a foreign DNA into an organism. The introduction of new DNA into an organism does not require use of classic methods but traditional breeding methods are used for the propagation of recombinant organisms (Lemaux, 2006).
Causes of anxiety can be divided into two broad categories as biological or environmental factors. The biological factors are regulation and deregulation in the brain chemistry, changes in the brain activity, genetic, or medical factors whereas the environmental factors include trauma, abuse, neglect or stress of different types (Calm Clinic, 2012).
The patient is a 50 year old female born in 13 March 1961 Kyoto Japan and moved to US 30 years ago. The patient is a mongoloid, is a widow and is a University graduate with a degree in special education.
According to the paper, the other steps include being able to effectively work under pressure and complete tasks in time. By writing down objectives, one’s goals and dreams are turned into plans, provided the plan is thought out, acted on and reflected upon. A timetable would ensure a nurse’s action plan.
These uncontrolled growths and divisions spread to other parts of the body through bloodstream or lymphatic system. Causative factors or agents for cancer directly damage genes or combine with existing genetic faults in a person resulting malignant growths.
The risk factors associated with obesity such diabetes, bone ailments, and lowered self-esteem demonstrates the need for an effective plan for the management of the problem both within states and across the nation. The “Let’s Move” initiative startedby Michele Obama is visionary in providing children and their parents with suitable and relevant information on obesity related health lifestyle changes, such as healthy eating and exercising.
Payne (1983) indicates that the concept of health has been evolving over the years. Traditional health paradigms, in which the disease is the central focus, have evolved into complex model that center on a positive approach towards the healthy phenomenon.
An informatics nurse specialist, on the other hand, is a nurse who uses a blend of nursing skills and proficiency in computers to run information systems in medical offices, hospitals and clinics (Englebardt, 2002). This paper will discuss informatics nurse specialists and why they should be incorporated in all health facilities.
This should be done with reference to the individual patient’s circumstance as part of decision-making process by clinicians. In that case, clinicians have to appraise and select scientific literature that is appropriate to the field, understand research finding implications for specific patients, obtain client’s preferences and establish a management plan that is appropriate.
We think that he may have ingested some kind of drug during his friend’s birthday party which happened two weeks ago.” HPI: Two weeks ago, Gerald began insisting on keeping all the lights on in the house 24 hours/day and staying up most of the night. Over the past week he has become increasingly frightened, claiming his ex-girlfriend has bugged his room so she can blackmail him and that an old roommate is sending him threatening messages on the radio.
However, the other purposes of nursing include assisting speedy recovery of the individuals or the patients, facilitating independence in terms of health, complying with the needs of the patients and most importantly enhancing the well being of the individuals
The access that people have to healthcare depends on the conditions of an economy be it social or economic, and the health policies also play a large role. (Gordon & Hohenadel, 1992) Countries usually design policies in accordance with the goals of health care within their community.
It has been discovered that testosterone levels affect mood, especially in men. There are several proofs that decline in testosterone levels could be related to depression, specifically in older men, and it has been hypothesized that testosterone could be helpful in the treatment of depressive symptoms in instances wherein there is a decrease in the amount of testosterone (Kaplan, 2012).
This essay assesses my professional, clinical development through an analytical reflection from a patient seen in the Emergency Care Centre (ECC), as part of the holistic health assessment module. The assessment model used in the consultation will be examined, together with theoretical and evidence based practice, and how this has helped developed my approach, linking decision-making and best practice outcomes.
Using randomization, two study groups were formed: the test group with induced labor (n=166); and control group with expectant management (n=110). It was found out patients under the test group delivered on the average 5 days earlier than in the control group.
Increasingly few nations remain isolated in the business world. In addition to purchasing products from and selling resources to alien countries, global firms in the US presently conduct direct investment in highly incorporated activities that involve various products and services.
The title ‘The Path to Self-Management: Qualitative Study Involving Older People with Multiple Sclerosis’ describes the study clearly and concisely. The title indicates that the study is qualitative in nature, with the topic being the path to self-management.
This normally leads to hidebound skin as well as the damage of lungs, heart, gastrointestinal tract and kidneys (Vlachoyiannopoulos, 2009). Symptoms In gastrointestinal manifestations, the symptoms include bloating, abdominal cramps and distension due to aggravation of reflux.
The design requirements include; case report of a diagnosed patient or patients, Acupuncture treatment that will involve the use of Narcotic such as morphine. A report prescription of the process should also be available. A physician or pain specialist to conduct the experiment should also be present.
In the past, Jo tried suicide after experiencing emotionally painful incidences. For instance, he had tried to harm himself after getting into arguments with his mother who disapproved of his friendships. It appears that Jo has a history of falling into deep depressions after such upsetting altercations that result in his trying to take his own life.
It can be caused by bacterial and viral infections, allergic reactions, contact lenses, corneal injury, glaucoma and orbital cellitis (Gigliotti 353). The signs and symptoms of conjunctivitis include redness of the conjunctiva, cornea inflammation, impaired vision, itching and in some cases sensation of a foreign body in the eye because of allergic reactions.
It is a common respiratory condition and affects population of all age groups irrespective of race and gender. It constitutes about 2 percent of emergency room visits (Smith and Goldman, 2012). If left unattended and in the presence of severe symptoms asthma can contribute to significant morbidity, mortality and economic costs.
The level of application of patient safety differentiates similar services offered within different healthcare establishments. The policy development and implementation within different organisations depends heavily on the organisational systems, enhancing the utilisation of patient safety.
Every medical unit nowadays requires such leadership and such excellent behavior especially within the setting of hospital-based emergency units where focused performance is necessary to provide satisfactory delivery of healthcare (Connor, 2007). As result and outcome-oriented kind of leadership behavior is embed in healthcare performance, practitioners therefor need to be equipped with variegated theories and praxis on leadership in order to demonstrate high level management and delivery of services for patients and for co-medical workers (Connor, 2007).
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Delegation Nursing Responsibilities: Improvement of Patient Outcome and Increasing Patient Satisfaction: Considering the delivery of healthcare to patients, registered nurses are the most accountable for their delivery of care and the consequent outcomes on the patients.
AHCP is part of the American Health Care Home Group Inc that was established in 1995 in Northern Virginia to offer medical services such as surgery, geriatrics, psychiatry and health care education in the international market (American Health Care Professionals, 2013).
Advanced Pathophysiology What is the pathophysiology basis for the signs/symptoms and lab results that are seen in this case? The patient has a white blood cell count of 250 000 which higher than the normal of 3500-10500cells/mcL (Harrison, 2011). Understanding the pathophysiology of this lab result requires a further insight on the definition of ALL which is a cancer located in the bone marrow and blood affecting the WBC and is associated with the presence of immature lymphoblasts which do not mature to become lymphocytes.
From this research it is clear that the nurse has to adapt different ways in handling the children to foster the relationship and trust in order to treat them since the cognitive and perceptions are still young and do not comprehend everything. The abilities of the grownups are more advanced and need no evaluations to understand.
The study will be able to obtain the most relevant information that could be used to develop quantitative studies on the subject matter. The findings of the case study will be complimented by a survey of a range of related literature on the effect of magnet hospital characteristics on work-related stress, burn-out and empowerment of the nursing fraternity. Preference will be given to the most recent literature in order to align the substance of the study to the prevailing challenges of the industry as understood together with the objectives of the study.
Workplace Violence from an Organizational Perspective. Following the incident that involved three armed men attempting to enter the Monroe City ED, searching for a gunshot patient, it goes without saying that a lot of measures need to be taken to curb or ultimately avoid workplace violence.
In fact medical science in general and the nursing profession in particular have given much attention in recent years to this oft neglected area of clinical practice. This paper will discuss not only the nature and causes of infections, but also the efforts for infection prevention and control with special reference to defence healthcare.
These includes abnormal respiration pattern, auscultation of breath sounds, measurement of arterial blood gases, and chest X-ray (CXR). The first key assessment data and the most observable symptom in the case of Mr. Bukowski is abnormal respiration pattern.
With an effective medical record system, it is possible to transfer the treatment of a patient to another health practitioner without any hassle at all. An effective medical record is actually a guarantee that a patient can be assured of quality healthcare delivery (Gardner, 2001).
However, there are major health issues that are experienced by a majority of people in a particular population and even all over the world, and they are therefore regarded as issues of major concern. Health concerns in Canada have classified alcohol as a major health issue among citizen, although majority of the citizens are reported to be moderate alcohol drinkers.
Pain can be classified into two types, neuropathic pain, which results from damage to the nerve fibers in the peripheral or central nervous systems and nociceptive pain, which results from thermal, chemical, or mechanical tissue damage (Becze, 2010). Injury and disease are often accompanied by pain which has to be relieved at the earliest.