...of stress and burnout. Palliative care nurses envisioned to develop the quality of life for both patients suffering a serious disease or at end of life and their families There are many causes of stress and loss among palliative care nurses: poor prognosis of the patient, complication of disease condition, dealing with death and dying, uncooperative patient and the family members. Palliative care nurses facing the above causes are disposed to high levels of stress and burnout. According to dealing with death and dying and dealing with uncooperative family members and patients have all been found to be stressors experienced by nurses. As mentioned in Palliative care nurses experience many stressors in their workplace that rise their stress levels and burnout. Stress can be viewed as The main stressors cause to the palliative care nurses providing end life care, Because they deal with advanced progressive disease, which is defined as The advanced progressive disease leads to death. states These causes’ stressors to palliative care...
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...depending on the age of the patient, type of dentition, stage of root development, and time and severity of the trauma .There is no agreement in the literature for the ideal treatment for intruded primary or permanent teeth after trauma. A variety of treatment modalities are suggested to manage intrusive luxation. One option is to allow the tooth to re-erupt on its own. Another treatment is to reposition the tooth using orthodontic forces. Immediate surgical repositioning has also been recommended.14 General anaesthesia (GA) may be indicated for paediatric dental patients with extensive restorative treatment or difficult treatment plans, uncooperative behaviour, severe anxiety or fear, physical or mental challenges, or for patients who are very young.15 Case report A 4-year old boy was brought to the department of Pedodontics and Preventive Dentistry, 1 day after suffering from dental trauma. The chief complaint was swelling over left side of face below eye and bleeding from nose. The parents stated that child had a fall and after that they noticed loss of upper front teeth, bleeding from mouth and nose. They could not count the number of teeth lost at the site of accident as they were very anxious and immediately rushed to a local doctor for first aid. The child was very fearful and was crying continuously, mother was also apprehensive. This was the first dental visit of child and first dental trauma experience, medical history was unremarkable. Patient had high grade fever of 103...
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...contact with the public due to their interactions with patients and families. Then, I will discuss how mental health nurses evoke desired emotional states within patients through developing close relationships with them in order to make them feel significant and reduce the psychological pain that triggers suicidal acts. Finally, I will show how employers have a degree of control over the emotions displayed by mental health nurses through intensive training procedures, regular supervision and ensuring they maintain an emotional...
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...you say? You are not at liberty to divulge any patients’ details, ie medical condition, the ward they are on etc. You cannot give out personal details regardless of how well you know the people in question - unless there is a medical reason to let them know. Even within a hospital you cant just go round giving out details/notes. Regardless you probably dont actually know unless it really is a tiny hospital, though thats besides the point Registered Nurses are busy and a doctor asks you to administer an injection, something you've seen but not done, what do you do? You would never give an injection as a HCA no matter how many times you had seen it done by the nurse. You also tell the Dr you are not qualified and refuse to do it. Do NOT ever ever ever ever do a proceedure you are not familiar/confident/competent to do as chances are youll **** it up and hurt someone = black mark on your record. If a doctor gets you to do something (especially if hes a houseman) tell him to go do it himself or even better to SHOW you (after all these guys should be competent by now)... OK so they dont have masses of time to go round teaching nurses but it doesnt hurt to be a bit cheeky :P What do you think makes good teamwork in the NHS? 3) Good communication. Having good feedback from patients. This is the number one factor that you can use to determine if youre doing it right. If the patients recover and have a reasonably good hospital experience then theyll (most of the time) thank you for it...
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...The purpose of this essay is to describe a situation from practice related to communication between nurse and patient. The Department of Health (2003) defines communication as ‘a process that involves a meaningful exchange between at least two people to convey facts, needs, opinions, thoughts, feelings and other information through both verbal and non-verbal means.’ Communication occurs when a person (the source) sends a message via a particular medium (the channel) so it is received by a recipient (the receiver) (Roper, Logan and Tierney, 2002). Since communication is such an integral part of everyday life, it is hardly surprising that it is emphasized as a central component in the delivery of care (LeMay, 2004). The healthcare professional is required to develop and maintain a high level of interpersonal communication in order to provide the best care possible to their patients (Silverman, Kurtz and Draper, 2005). Communication skills have been traditionally classified into two main channels; verbal and non-verbal (Williams, 1997). These must not be considered to be of individual existence as LeMay (2004) states ‘they are complimentary to each other.’ However, Faulkner (2000) argues that should verbal and non-verbal messages conflict, those most likely to be believed will be the non-verbal ones, therefore the focus throughout this essay will be the non-verbal aspects of communication. Non-verbal communication consists of paralanguage and kinetics. These affect...
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...Students entering the field of speech-language pathology or audiology recognize the rigorous academic coursework required to complete the degree. They are aware of the time, effort and dedication it will take to become certified professionals. Clinical practicum requirements, internship placements and comprehensive exams are at the forefront of their concerns. Conversely, professional issues including ethics and workplace dilemmas seem to be the least of their worries. Beginning clinicians may enter the workforce assuming all professionals adhere to ethical standards. They may think "workplace dilemmas" are simply fabricated scenarios they will never encounter. Unfortunately, the dynamic and evolving scope of the professions of speech-language pathology and audiology can present unforeseen challenges in the workplace, especially for beginning clinicians. However, with the proper education and training, students can enter the workforce prepared to handle any conflict that may compromise their ethicality. In order to demonstrate how to resolve ethical dilemmas occurring in the workplace, two scenarios involving support personnel, prescription and misrepresentation will be discussed in further detail. The first scenario involves the administrator of an outpatient rehabilitation clinic. She is requiring a certified speech-language pathologist (SLP) to supervise a speech-language pathology assistant (SLPA). While supervising a session, the SLP notices the SLPA performing a diagnostic...
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...Career Research Paper: My Two Career Choices in the Medical Field Choosing a career path is a major life changing decision, some of us know from the time we are old enough to read and write what we are destined to become. Some of us learn along the way from life experiences and others around us what path we will choose to take, some of us have our future predetermined for us such as being born in a family with a long history of lawyers or being prepared from a young age to take of the family business. In addition, there are those of us who go to school for years and take class after class waiting for an epiphany or some type of inspiration to point out the right direction towards one certain career path. I however, knew from a young age that...
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...bronchoscope is the gold standard in morbid obese patients. It needs special skills and high training. The disposable Airtraq TM laryngoscope had been used for difficult intubation. It can have some advantages compared to the fiberoptic bronchoscope during awake orotracheal intubation. Methods: In this study, 60 morbid obese patients were randomly assigned to be intubated awake with either the fiberoptic bronchoscope(30 patients) or the Airtraq TM laryngoscope (30 patients). Time needed for intubation, the number of intubation attempts, success rate and complications were assessed in the two groups. Results: The time of intubation was significantly shorter in the Airtraq...
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...Discuss the conflict that is occurring at General Hospital. Conflict is a process in which one party (person or group) perceives that its interests are being opposed or negatively affected by another party (Hellriegel/Slocum, 2011). There are four primary levels of conflict: intrapersonal, interpersonal, intragroup, and intergroup (Hellriegel/Slocum, 2011). Intrapersonal conflict occurs within an individual and usually involves some form of goal, cognitive, or affective conflict (Hellriegel/Slocum, 2011). General Hospitals’ CEO Mike Hammer experiences intrapersonal approach-avoidance type conflict since he is trying to devise a master plan to cut costs, increase revenues, expand current services, and add new services. Interpersonal conflict occurs when two or more individuals perceive that their attitudes, behaviors or preferred goal are in opposition (Hellriegel/Slocum, 2011). Once Hammer presented his ideas to Dr. Mark Williams, Director of Medicine an intrapersonal conflict was shown since he felt that all physicians act in the practice of good medicine and forcing them to adhere would make it harder to keep and attract new physicians. Intragroup conflict refers to disputes among some or all of a group’s members, which affects a group’s dynamics and effectiveness (Hellriegel/Slocum, 2011). Although Marge Harding’s father and brother are medical doctors, she isn’t wowed by their positions, doesn’t mind challenging physicians, and views them as one dimensional. This represents...
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...pay-for- performance approach. Discusses how system cost reductions impact the quality and efficiency of health care. Discusses how pay-for-performance affects health care providers and their customers. Discusses the effects pay-for-performance will have on the future of health care Pay-for-Performance is 1,400 to 1,750 words in length Even though the effects of pay-for-performance will influence the future of health care in patient care, reimbursement to the healthcare providers will require close monitoring. The physician receives reimbursement for providing quality care and for making quality innovations. Pay-for-performance offers financial incentives to close the gap in healthcare the patients receive and the healthcare the patients could receive. The effect of pay-for-performance for the healthcare providers depends on his or her quality and efficiency of services he or she provides to the patient. The consumer groups, government, and patients are actively applying pressure on healthcare organizations to lower the costs, improve patient safety and care, and to enhance services (Shi & Singh, 2012). Definition To define the pay-for-performance in the healthcare payment system is rewarding the providers who achieve, improve, and exceed his or her performance on quality and lower the cost. Also known as incentive pay or merit pay remains a motivation for healthcare providers to receive compensation for providing higher quality of work for less expense for the insurance...
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...feelings of hopelessness. Back home, Esther feels her worst fears about herself have been confirmed. The rejection from the writing program kills her self-esteem, and she's stuck at home with her mom in the soul-crushing boredom of the suburbs for the rest of the summer. Climax Esther attempts suicide, but is saved in the nick of time. As the summer wears on, Esther's behavior grows more erratic as her despair deepens. A visit to a psychiatrist and electroshock therapy only accelerate her decline. After a few hesitant attempts at suicide, Esther decides to end it all by crawling into a hollow underneath her house and swallowing a bottle of sleeping pills. She's discovered a few days later, barely alive. Suspense After her nightmarish experience in the psychiatric wards of two different hospitals, Esther ends up at a private, psychiatric institution where she finds a more supportive environment. It's touch-and-go for Esther for the first few weeks after her suicide attempt. The first two psychiatric wards do nothing to help her condition. Finally,...
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...It didn't seem important enough for Gerald to point out the doctor's error. Gerald cleared his throat and repeated the question. "Where's my wife? "Well, let's just worry about you for now," the doctor said. Gerald's heart felt like it had just been hit by a semi-truck. He knew what those words meant. Laura didn't make it. And it was his fault. If only I payed more attention to the road... The nurse noticed the painful expression that spread across his face, and tugged the doctor's sleeve. "O-oh, I mean, your wife is fine. I didn't mean to imply any... your wife is fine." The doctor stumbled over his words. He didn't want to feed the patient's delusions, but at the same time he didn't want the patient to become uncooperative, or even violent. They were temporary delusions anyway, so what's the harm? The doctor scribbled again. STRONG delusions Gerald didn't know how to feel. He was angry at the doctor's callousness, but relieved that his wife was alive. Gerald looked down at his unfamiliar body. "So, do you mind explaining, uh... all this?" he...
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...Case Assignment 3 Comprehensive Assessment Comprehensive assessments are a foundation of high acuity nursing as it allows nurses to establish a baseline for the patient, determine oxygen supply and demand, make sound clinical decisions, and promote personalized care (House-Kokan, 2012). Components of a comprehensive assessment include the patient’s story, a physical assessment, and corroborative diagnostic data (House-Kokan, 2012). A comprehensive assessment for both patients in the case study will be presented. Patient’s Story The first patient was not a patient on our assignment for the day. He was a patient we found lying on the floor after we heard a loud thud and crash from across the hall, and we initially knew very little about the patient. We learn from another nurse that the patient is post-op day 2 following an amputation of his right great toe secondary to gangrene and should not have been out of bed. Immediately following the fall the patient was alert and oriented...
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...Week 5 Research Paper It is generally believed that a job in sales demands one to be outgoing, talkative and at times as required, pushy. People also believe that situation generally gets to be quite awkward if one is not outgoing enough. Moreover, people also think that success in selling mainly depends on your ability to talk and to make people believe what you say. In other words selling is believed to be a career which demands one to be clever and manipulative. The one who can cleverly use his words to persuade the customer can sell and one who cannot won’t be able to. People think the job demands them to be rather open and most of the success depends on their ability to talk. To people who are hesitant or shy by nature it may seem like a daunting task. Sometimes it is the image of a sales man which makes people hesitate from having a career in selling. Building rapport is quite essential when it comes to selling and many of us find it difficult to build rapport with absolute strangers. The truth of selling whereas is that one mostly comes across customers who are absolute strangers for us. These all things together make people shy from having a career in selling. However, it is also only partially true. Confidence to talk and build rapport with the customer is an essential for this job. However, it is not true that only outgoing and talkative people can be successful in the job. For a sales person while it is essential to be confident it is also essential to be honest...
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...A&M UNIVERSITY College of Nursing BASIC CONCEPTS PRACTICUM – NURS 3263 DATA COLLECTION TOOL Student’s Name Date April 5, 2011 Biographical data Client’s initials P.M. Unit/Room No. A735 Age 64 years old Gender F Ethnicity Black Religion Baptist Marital Status Widowed Occupation Unemployed Date of Admission March 31, 2011 Admitting Problem/Diagnosis Unstable Angina Chief Complaint (Why did the patient come to the hospital – in patient’s own words) “My chest was constantly hurting and I couldn’t figure out what was causing it and now my back is killing me.” Past Health History Asthma ________ Emphysema _______ Bronchitis ________ Pneumonia ________TB________ Angina ______ MI ______ Anemia ______ Hypertension _______ Rheumatic Fever _______ Pacemaker _______ Peripheral Vascular Disease _________ Blood Disorders _________ Stroke _________ Skin Disease ______ Bladder Infections _Kidney Disease ___________ Ulcers ________ DM _________ Dental Problems _________ Fractures _________Congenital Heart Defects Surgeries Family Health History Condition Family Members Condition Family Members Heart Disease Mom died of heart attack Tuberculosis Hypertension Asthma Stroke Mental Illness Diabetes Alcoholism Cancer Aunt died of mylethoma Kidney Disease Other Health Problems in Family:...
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