...need for significant improvement in medication practices and processes. In addition that this health care issue will only improve with the participation of all disciplines working towards a common goal of improving the safety of those in our care. Introduction Medications play a key role in healthcare but can also be a significant key cause of medical error and of adverse patient outcomes. Nurses by the nature of their roles in medication administration can be the last line of defense in eliminating or reducing adverse medication events. The administration of medication is a common and almost routine activity in a nurse’s daily work, yet it is fraught with complexity and risk for both the patient and nurse. As a student nurse working in partnership with a registered nurse I have observed a variety of practices in medication administration that have varied from what I have been taught in class. On reflecting on these practices and questioning nurses why such practice has been adopted has illustrated to me both the flawed processes and environment that nurses provide care in. Nurses will need to develop an understanding of how the environment they work in and within the systems that are currently in place can impact on their ability to provide care in a safe manner. Nursing must play a central role in reducing the number of adverse medication events. As pivotal health care providers nurses will need to re examine their...
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...health and social care organisations Task 3: Report Explain how the communication process is influenced by values and cultural factors………………………………………………………………………………………………2.1 Explain how legislation, charters and codes of practise impact on the communication process in health and social care………………………………………………………………………………………………….2.2 Analyse the effectiveness of organisational system and policies in promoting good practise in communication……………………………………………………………………………….2.3 Suggest ways of improving the communication process in health and social care setting………………………………………………………………………………………………2.4 The Report Introduction. This assignment is about communication which is a two way process involving the sender and receiver. Communication in health and social care connects people of different aspects. I will explain how legislation, charters and codes of practise impact on the communication process and analyse the effectiveness of organisational systems policies in promoting good practise in communication and Suggest ways of improving communication process. Culture and values consists of customs, ideas and social behaviour of a society (Anon, 2016). Values and cultural are influenced by beliefs, religion and ethnic background. As a health worker I have a duty of care to respect people’s values and cultures, when people of different cultures are discriminated or ignored they react to it with anger and emotionally. In regard to the case study sengupta’s family...
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...Are Controlled Clinical Trials Really Ethical? Case Study In 2009, two cousins, Thomas and Brandon were diagnosed with the same type of deadly skin cancer within a 2 month time frame of each other. To date, here is no cure for skin cancer and once diagnosed the average life expectancy is approximately 8 months. Current standard of care treatments are aimed at shrinking the tumors and prolonging life. Unfortunately, these standard of care treatments only work in a very small percentage of patients and are very toxic with terrible side effects. Thomas learned of a new Phase 3 clinical research trial sponsored by Roche with an unapproved yet promising drug. His doctor explained that in earlier trials, a majority of volunteer patients who took the wonder drug had seen a drastic reduction in the size of their tumors with very few side effects. The only way ill patients can get the drug is by participating in this trial. The trial is a randomized controlled trial (RCT) which means half of the volunteers will get the experimental drug while the other half will be treated with another standard of care treatment. The purpose of the standard or control arm is to allow researchers to compare the long term effects of the new drug to that of the current standard treatment and determine whether it actually shrinks tumors and prolong remissions. Participants have a 50/50 chance of being placed in either arm of the study. Arm assignments are random and cannot be changed. With limited options...
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...ABC Unified School District Tracy High School Cal- SAFE Teen Parent Program Part I: Program Summary Sonja Robinson PPA 696 - Research Methods in Public Policy and Administration Dr. Michelle Saint-Germain Thursday 7:00 p.m. - 9:45 p.m. California State University, Long Beach May 22, 2010 Table of Contents Executive Summary 1 Introduction and Background 2 Cal-SAFE Teen Parent Program Description 3 Purpose of the Evaluation 11 A Logic Model for Cal-SAFE Teen Parent Program 12 Literature Review 13 Evaluation Design and Methods 19 References 29 Appendices 30 Executive Summary This summary provides an overview of the key findings from data and feedback collected during the course of an evaluation design on ABC Unified School District Cal-SAFE Teen Parent Program at Tracy High school. The program supports the academic success of pregnant and parenting teens, increases the availability of support services for enrolled students, and provides child care and developmental services to their children. The purpose of the comprehensive evaluation is to assess recent and longer-term impacts of the program on its participants. The evaluation requires a multi-phase approach that involved a series of data collection which includes, individual surveys, interviews, program...
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...Health and Safety in the Health and Social Care Workplace Student: PETAGAY CONWAY Lecturer: CATHY MANDAZA Group: 50 Definition of health and safety management is planned work and actions to identify dangers in workplace so you can reduce incidents and dealings to situations and substances that is harmful. As well as training of workers in prevention of accidents, incident responses, readiness for emergency, and use of protecting equipment’s and clothing. (Business dictionary, 2014) My assignment will show an understanding safety legislation how it’s implemented, responsibility and priority in the health and social care industry; outline understanding how health and safety requirements impact on patients and practitioners in the health and social care settings, illustrate kinds of monitoring, reviewing , own contribution in health and safety in the healthcare work settings. 1.1Task facing director at North Staffordshire Combined NHS Trust is ensuring information on H&S is effectively communicated to employees, service users and visitors to premises. The director will therefore need to look at the schemes, legislation’s, policies and procedures currently in place for communicating information, review them to ensure they are working efficiently. (ALDWORTH.2010.pp .101.106) Legislations is a group of laws design to rule or control behaviour. Policy is a document explaining the expected standards of establishment’s, procedures instruct how to carry out a duty to particular...
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...education. The use of high fidelity simulators, promotes problem solving, critical thinking and communication skills development (Stokowski, 2013). As high fidelity simulation is emerging to address the 21st century, clinical education in nursing must be aligned with the current trends without compromising patient safety and curriculum. This technology of simulation will foster learning as a catalyst into the new era of learning and critical thinking needed for the evolving profession of nursing. Some debate has been raised over replacing clinical hours with high fidelity simulation. Passive learning occurs through passive teaching methods such as dictated lectures. Active learning strategies such as high fidelity simulators are usually more effective and can largely affect new graduate nurses when entering the profession. Impact According to Stokowski (2013),...
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...Graduate School of Business Pamantasan ng Lungsod ng Maynila A Study on the Attitudes of the Female Residents of Pureza, Manila towards the Reproductive Health Law In Partial Fulfillment of the Requirements for Research Methods and Case Writing Submitted to Dr. Dolores Garcia Submitted by Arien Marie A. Guda I. Introduction Population control or population management has been one of the rallying cries of Filipino economists since Pres. Ferdinand Marcos signed the United Nations Declaration on Population in 1967. With an estimated population of 92,337,852 in 2010 according to the National Statistics Office (National Statistics Office [Philippines]), and a land area of 300,000 sq. m., lawmakers and civic groups have been clamoring for a solution to address the constant growth rate vis a vis the dwindling natural resources in the country. While the population growth rate continues to hold steady(estimated to be at 2.36% per annum in 2008) (National Statistics Office [Philippines] and ICF Macro), the country’s resources, has suffered the same fate as that of the rest of the Asia Pacific region, which, the Asian Development Bank, in collaboration with the WWF, says is, “consuming more resources than its ecosystems can sustain, threatening the future of the region’s beleaguered forests, rivers, and oceans as well as the livelihoods of those who depend on them.” In an effort to help address this issue, stakeholders have sought to offer various methods...
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...RH LAW [ REPUBLIC ACT NO. 10354 ] AN ACT PROVIDING FOR A NATIONAL POLICY ON RESPONSIBLE PARENTHOOD AND REPRODUCTIVE HEALTH Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: SECTION 1. Title. – This Act shall be known as “The Responsible Parenthood and Reproductive Health Act of 2012″. SEC. 2. Declaration of Policy. – The State recognizes and guarantees the human rights of all persons including their right to equality and nondiscrimination of these rights, the right to sustainable human development, the right to health which includes reproductive health, the right to education and information, and the right to choose and make decisions for themselves in accordance with their religious convictions, ethics, cultural beliefs, and the demands of responsible parenthood. Pursuant to the declaration of State policies under Section 12, Article II of the 1987 Philippine Constitution, it is the duty of the State to protect and strengthen the family as a basic autonomous social institution and equally protect the life of the mother and the life of the unborn from conception. The State shall protect and promote the right to health of women especially mothers in particular and of the people in general and instill health consciousness among them. The family is the natural and fundamental unit of society. The State shall likewise protect and advance the right of families in particular and the people in general to a balanced and healthful...
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...male was identified for case management during his admission to the hospital for weakness of the left upper extremity and - slurred speech. Claimant was being treated in local hospitals, by multiple physicians without the benefit of currently recommended drug protocol for AIDS, including protease inhibitors. Approval was obtained from the plan administrator and the hospitals agreed to submit claims for prompt payment through the case manager, who would expedite process. The claimant stopped the use of heroin at the time of the HIV diagnosis and up until 1 year prior to the hospital admission had received no consistent medical care. The claimant did agree and the case manager made the arrangements and attended the appointment with him and his wife....
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...November 2000 EAST AFRICAN MEDICAL JOURNAL 599 East African Medical Journal Vol. 77 No. 11 November 2000 SAFE MOTHERHOOD INTERVENTION STUDIES IN AFRICA: A REVIEW M. Luck, DSc, Researcher, Centro de Malária e Outras Doenças Tropicais, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, P-1300 Lisboa, Portugal SAFE MOTHERHOOD INTERVENTION STUDIES IN AFRICA: A REVIEW M. LUCK ABSTRACT Objective: To review the findings of safe motherhood intervention studies conducted in African settings. Data sources: Published literature regarding interventions designed to reduce maternal mortality in African settings. Study selection: Studies conducted in sub-Saharan Africa to assess the effects of interventions designed to reduce maternal mortality. Data extraction: Search of Medline database for the years 1988 to 1998 with additional manual search of references cited in Medline-referenced studies. Data synthesis: Few of the 34 intervention studies identified used a double-blind, randomized controlled trial design (4/34), or outcome measures directly related to maternal mortality or maternal health (7/34). Six of the studies produced reasonably convincing evidence of a positive effect on maternal health outcomes. Of these, three showed that changes in delivery practices brought about improved maternal outcomes, two found that a combined intervention consisting of upgrading of emergency obstetric services and community education increased the number of major obstetric...
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...NURSE PRESCRIBING V150 CASE STUDY COURSE: NURS09125 BANNER NUMBER: B00113677 DATE OF SUBMISSION 13/12/10 COURSE LEADER FRANCES DOWNER WORD COUNT: 3745 CONTENTS PAGE 1. INTRODUCTION & GENERAL OVERVIEW, Pgs3-4. 2. ASSESSMENT PROCESS, Pgs 5-8 3. TREATMENT OPTIONS, Pgs 9-12. 4. EVALUATION, Pgs 13-16 5. CONCLUSION. Pg 17 6. COPY OF PRESCRIPTION, Pg 18 7. REFERENCE SECTION, Pgs 19-23 8. BIBLIOGRAPHY, Pg 24. INTRODUCTION In the following case study, the author will discuss the issues surrounding a seventy-year-old female with a chronic neuropathic ulcer on the sole of her right foot and the rationale and implications of prescribing in the community setting. The author a (trainee nurse prescriber) will display the need for a robust assessment, exploring all areas of health and well-being in order to achieve a safe outcome. The author will further follow current guidelines and be mentored by a senior nurse prescriber throughout the process. The aim of the case study is to display the implications involved in issuing a nurse prescription if deemed appropriate. With regard to writing a prescription as a qualified practioner, the author will adhere to the guidance within the Nursing and Midwifery Council (NMC 2006a) standards for safe prescribing. To protect this patient’s identity and maintain confidentiality, she will be referred to as Mrs X throughout the case study in accordance with the code...
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...the ethical issues reflected in the case. The case is about British American Tobacco (BAT), London-based tobacco firm, which is involved in doing unethical activities and hence breaking their marketing code in Africa. BBC had investigated and found BAT is trying to attract more young African buyers of its product by adjusting marketing strategy to meet young people's needs. They are actually promoting and selling cigarettes in form of “single sticks”, which is attractive to young people of poor African countries like Nigeria, Malawi and Mauritius, who cannot afford to buy a whole packet of cigarettes. Now, there is nothing wrong with marketing one's product to target an audience of possible consumers. However, in this case, BAT allegedly targeted African children as young as 11 by aggressively marketing single sticks' to them. The company also hosted events that targeted young people despite their publicly stated commitments. Now, we know that most ethical issues concerning business consumer relations refer to the ‘marketing mix’, ethical issues in product policy, marketing communications, pricing and marketing strategy. Ethical Issues in marketing management – Product Policy At the most basic level, manufacturers should exercise due care in establishing that all reasonable steps are taken to ensure that their products are free from defects and safe to use as well as effective and fit for the purpose. Cigarette may be effective as they claim it to be. It works as stress...
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...Safe Lifting and Movement of Nursing Home Residents 1 Safe Lifting and Movement of Nursing Home Residents 2 Safe Lifting and Movement of Nursing Home Residents Safe Lifting and Movement of Nursing Home Residents by: James W. Collins, PhD, MSME Associate Director for Science Division of Safety Research National Institute for Occupational Safety and Health Centers for Disease Control and Prevention Morgantown, West Virginia Audrey Nelson, PhD, RN, FAAN Director Patient Safety Center for Inquiry James A. Haley Veteran’s Administration Hospital Tampa, Florida Virginia Sublet, PhD, RPh Senior Toxicologist Oak Ridge Institute for Science and Education Windermere, Florida DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health i 3 Safe Lifting and Movement of Nursing Home Residents This document is in the public domain and may be freely copied or reprinted. Disclaimer Mention of any company or product does not constitute endorsement by the National Institute for Occupational Safety and Health (NIOSH). In addition, citations to Web sites external to NIOSH do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Furthermore, NIOSH is not responsible for the content of these Web sites. Ordering Information To receive documents or other information about occupational safety and health topics, contact NIOSH at: NIOSH-Publications Dissemination...
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...requirement here in Arizona was to obtain your certified nursing assistant license. During my experience in the nursing program the common held belief was that hospitals preferred to hire nurses that had graduated from the community college associate-degree level because they were better prepared in the clinical setting than baccalaureate-degree nurses who spent more of their time in the classroom. A focus group study was conducted at the University of North Carolina, Chapel Hill School of Nursing that addressed this very question. Completed by Oermann, M., Poole-Dawkins, K., Alvarez, M., Foster, B., & O'Sullivan, R. (2010). Managers' perspectives of new graduates of accelerated nursing. Journal of Continuing Education in Nursing , 41(9), 394-402, the focus group had identified that new graduate nurses are challenged by the acuity and complex status of their patients, are overwhelmed with the continually changing nature of the healthcare field, the quick thinking necessary to keep up with the pace, complied with the sheer number of patients they are required to care for. The project...
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...ratio improve care? Information for nurses and patients. BY SHINY EDWARD RN UNIVERSITY OF PHOENIX JULY 8, 2012. ------------------------------------------------- BROCHURE ON CALIFORNIA STATE MANDATED NURSE PATIENT RATIO. Does mandating Nurse-Patient ratio improve care? Information for nurses and patients. BY SHINY EDWARD RN UNIVERSITY OF PHOENIX JULY 8, 2012. Explanation of the facts, history, legislative regulations, controversial aspects and opinions Explanation of the facts, history, legislative regulations, controversial aspects and opinions MANDATED NURSE PATIENT RATIO How does it affect you and your loved ones? Nurse patient ratio for safe care means when the staffing between the nurses and the patients are safe to provide the care patients need to get well in the hospital or nursing homes. Why is this important? Several studies have shown that patients get well faster and safer when they receive more nursing care. Even more importantly according to Linda Aiken study (2003), mortality rates and staffing ratios are closely tied. Each additional patient per RN after four patients, chances of dying in the hospital is increased by 7%.Patient on a surgical unit with patient –RN ratio of 8:1 were 31% more likely to die within 30days than those on surgical units with ratios of 4:1.Studies have shown that more infections like UTI, pneumonia, shock or cardiac arrest increases when patients receive fewer hours of nursing care. Medication errors...
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