...THLEAD 420 Quality of Care Exercise When comparing nursing homes located in Washington at Medicare.gov the two facilities that I am comparing is Park Rose and Tacoma Lutheran Home (TLH). When looking at the results for Park Rose the number of total residents is ninety and the total number of licensed nurse staff per resident per day is one hour and forty-eight minutes. I think for a facility of this type, where elderly patients are living, that the time nursing staff spends with the residents is on average compared to the rest of Washington State. If I were to pay for a facility like this for a family member of mine I would want nursing staff to spend more hours per day with my loved one. Although, I do know that a nurse’s time is limited and having ninety residents to care for is high. Looking at TLH it seems to be the same when comparing it to Rose Park. With the total number of licensed nurse staff hours per resident per day at one hour and fifty-five minutes, but there are 147 total residents. Again this facility is around the average for Washington State, if looking for a place for a loved one I would not like how many more residents there are in this facility because that may stretch a nurse’s time even more. What I found to be interesting about the information available on this site and when comparing the two facilities is the number of complaints and incidents with each. Although the TLH had no complaints about their facility they did have four incidents. I was not...
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...Issues in Healthy Aging: The role of the Nurse Falls have become very common with older adults living in the community and long-term care facilities. The purpose of this paper is to research an issue, in this case falls, that impacts the healthy aging of older adults living in the community. This paper will discuss why this topic is important to healthy aging, what the nurse’s role is and what some interventions are to try and lower the rate and risk of falls that the older adult experiences. Falls can have a devastating effect on the older adult and it is important to do everything possible to try and make sure this does not happen. As one ages, his/her bones and muscles may begin to atrophy and his/her gait changes which can all increase his/her risk for a fall. It is important because having a fall and possibly an injury could completely change how an older adult lives his/her life. There are many statistics on how prevalent falls are in the society of today’s older adult. According to the Canadian Institute of Health Research (2005), “among older adults, falls are the leading cause of injury deaths and the most common cause of nonfatal injuries and hospital admissions for trauma” (as cited in Theris, Kathleen, Veronique and Lynn, 2012, p. 188). Also, according to Manitoba Health (2005), older adults, those over the age of 65, have a nine times greater chance of a fall injury than those who are not (as cited in Butler-Jones, 2009). According to Cumming (2000)...
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...communicate with co-workers, it becomes difficult to use the right words and tone. The words they use and the way in which they are delivered to the delegate make the difference between a successful and a frustrating episode in delegation (Hansten & Jackson, p. 278). In this paper, our team will review three case studies. The case studies show different communication styles. These styles include: aggressive, passive or nonaggressive, and assertive. The team will examine what took place between the delegator and the delegate in each case study, explain the communication style, and discuss the consequences. Case Study One For the first case study, Robin, a psych nurse, is communicating in an aggressive style with the nurse’s aid, Rashad. She is rude and condescending to Rashad’s words. In return, Rashad remains quiet: a passive response. Rashad’s thoughts are passive aggressive and could not be read by others. At first, Rashad was passive by sitting quietly and not speaking, but had thoughts of future passive-aggressive behaviors to retaliate against the nurse. Aggressive and passive-aggressive communication lays the ground work for tension-filled relationships between the health care providers and can lead to poor health outcomes. The poor relationships between the health care providers spill over onto the care of the patients. When Rashad thought about not doing anything, unless he was told to, he realized that this could lead to neglectfulness in ignoring...
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...Smoking This essay aims to describe the epidemiology of smoking. The essay is going to notify the nurse’s role into promoting public health. I choose the topic of smoking due to the realisation of how many patients were smokers on the day surgery ward, which my placement was held. Today, tobacco consumption is recognised as the UK’s single greatest cause of preventable illness and early death with more than 114,000 people dying each year from smoking-related diseases including cancers (Canceresearchuk.org). Smoking also causes a substantial amount of cost to the NHS (National Health Service) every year. Rather than on health on an individual, public health focuses on health and disease in populations or communities as a whole (Ewles, Simnett 2003). Although there has been a decline of smoking, which could be due to a number of things, for example the smoking ban placed in the United Kingdom, smoking still sets high figures of deaths around the world. Around 90% of lung cancer cases are caused by tobacco smoking and, in addition, the 2002 IARC Working Group stated that tobacco smoking can also cause cancers of sites such as the stomach, pancreas, liver, lower urinary tract etc, (Cancerresearchuk.org). Smoking also costs the NHS £1.4 - £1.7 billion per year, (DOH, 2005). This in hand affects the role of the nurse, as smoking must always be evaluated when nursing a patient. The nurse’s role should help the patient venture into ways of learning to quit smoking and the reasons behind...
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...chair behind a large wooden partner’s desk. He fit in among the antiques as he had been working at the Bedlam Psychiatric Hospital for over thirty years. His large framed glasses perched on top of his broad, crooked nose. Vast, bushy eyebrows accompanied by a crinkled brow sat below his silver hair. As he sipped his coffee, he reviewed the paperwork on a new patient named Walter Stokes. Walter’s family called the Psychiatric Hospital with great concern about his mental health. Earlier that morning, he attempted to commit suicide. The family delivered him to the Hospital and Walter had been waiting for his psychiatric evaluation in the waiting room guarded by two orderlies. When Dr. Goodman finished reading the paperwork, he called the nurse’s station to inform the orderlies to bring Walter. Within a few minutes two orderlies, Frank and Rodney, entered the room with Walter between them. Frank, who Goodman has known for many years, sported a big boned body with huge hands. His face revealed his confidence and experience. His mentee, Rodney, presented a stark contrast with a stick for a body who fidgeted a great deal. Walter wore a rather melancholy expression on his face and looked as if his hair had been inside a torrent of wind. “Good afternoon Walter,” greeted Dr. Goodman as he motioned the orderlies to leave. “Make yourself comfortable on the chaise.” Walter complied and slumped onto the chaise. “How are you feeling today, Walter?” asked Goodman. “How do you think I feel...
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...science. This paper will present my view of the advantages of nursing informatics and how it has enhanced the quality environment in which we work as nurse's work and has changed how we care for our patients. The most basic advantage is that it improves communication between all disciplinarians of the health care industry and I will make my statement of how I believe this communication can be of advantage to all of the healthcare industry. The Advantages of Nursing Informatics and Quality Improvement The world of nursing is changing on a daily basis and we, as nurses need to adapt and change in order to provide our patients with the ultimate care they deserve. The hospital environment as a whole has changed over the years and is now a business and the patients are our customers. The advances and advantages of nursing informatics in my opinion will deliver safe and superior quality care for our customers in the health care industry. In 2008 a landmark report from the Robert Wood Johnson Foundation, "Nursing Time and Motion Study" it was revealed through a 36 hospital study, how important the workflow optimization is in the nursing field. I found this to be a very eye opening report as it revealed that less than 20% of a nurses' time is spent on patient care activities and only 7 % of the nurse's time was spent on the patient assessment and observation (Stevens, 2010). I am of the believe that if we as nurses spend more time with our patients...
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...with Malaysian Allied Health Sciences Academy, Malaysia BSC (HONS) NNURSING DEVELOPMENT PRACTICE COHORT 30 PP 0613 PROFESSIONAL NURSING BOUNDARIES University Student Number : 12040383 ID Number : 901003-07-5656 Word Count : 1999 Balanced therapeutic nurse-patient relationship can only be achieved through a controlled adherence to professional nursing boundaries. According to the National Council of State Boards of Nursing (NCSBN) professional boundaries are “the spaces between the nurse’s power and the patient’s vulnerability. It is the space between nurse and patients, doctors and other professionals bound to healthcare. “Similar to the fence around one’s yard or the walls around one’s house, metaphorically boundaries mark the parameters of the professional’s role”(Baron, 2001). In this essay, I will discuss professional nursing boundaries in the context of ICU nurse’s role in performing tracheal intubation in emergency. According to Wikipedia, tracheal intubation or usually intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. Moreover, Wikipedia also states that intubation is frequently performed in critically injured, ill or anesthetized patients to facilitate ventilation of the lungs, including mechanical ventilation to prevent the possibility of asphyxiation or airway obstruction. Moreover...
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...In Salem Village in 1692, Betty Parris, age 9, and her cousin Abigail Williams, age 11, the daughter and niece (respectively) of the Reverend Samuel Parris, began to have fits described as "beyond the power of Epileptic Fits or natural disease to effect" by John Hale, minister in nearby Beverly.[13] The girls screamed, threw things about the room, uttered strange sounds, crawled under furniture, and contorted themselves into peculiar positions, according to the eyewitness account of Rev. Deodat Lawson, a former minister in the town. The girls complained of being pinched and pricked with pins. A doctor, historically assumed to be William Griggs, could find no physical evidence of any ailment. Other young women in the village began to exhibit similar behaviors. When Lawson preached in the Salem Village meetinghouse, he was interrupted several times by outbursts of the afflicted.[14] The first three people accused and arrested for allegedly afflicting Betty Parris, Abigail Williams, 12-year-old Ann Putnam, Jr., and Elizabeth Hubbard were Sarah Good, Sarah Osborne, and Tituba.[15] Sarah Good was homeless and known to beg for food or shelter from neighbors. Sarah Osborne had sex with her indentured servant and rarely attended church meetings. Tituba, as a slave of a different ethnicity than the Puritans, was an obvious target for accusations. All of these outcast women fit the description of the "usual suspects" for witchcraft accusations, and no one stood up for them. These women...
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...Abstract This paper addresses the lack of nursing opinion available in news media and public opinion, how it affects our profession and how we can change this perception. The general public is ignorant of the role nursing plays in healthcare and has misunderstood important aspects of the profession and how our contribution can be beneficial in many ways if we have a stronger voice. The perceptions and opinions are summarized from the third edition of the book, From Silence to Voice, and provide the resources for nurses to consider in getting their voice heard. The authors of this book describe the history of how nursing has allowed the profession to be overlooked and prevented our profession to be understood by allowing others to speak for us, and over us (Buresh & Gordon, 2013). Opportunities to overcome this perception will be discussed in detail and two supporting articles that address public opinion of nurses and how it relates to our status will be summarized to give opposing perspectives. The conclusion is an example of a letter to legislators that can help to have our voice heard in a persuasive manner addressing the effect technology has on the nursing profession. I urge you to consider issues in nursing that you are passionate about and get your voice heard. Nursing is a misunderstood profession. If you were to randomly ask anyone in the public what a nurse does you would likely get answers that deal with either, carrying out physicians orders, or dealing with...
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...A Pragmatic View of Jean Watson’s Caring Theory Chantal Cara, Ph.D., RN Université de Montréal Faculty of Nursing Goals Provide an overview of Dr. Jean Watson’s caring theory to the nursing community. Facilitate the understanding of her work allowing nurses to readily apply this knowledge within their practice. Objectives Describe the general aspects of Watson’s caring theory. Describe how Watson’s caring theory can be applied to clinical practice. Describe the person through Watson’s caring lens. Describe the person’s health through Watson’s caring lens. Describe nursing through Watson’s caring lens. Key Words: Watson’s caring theory, clinical caritas processes, transpersonal caring relationships, caring occasion, clinical application of Watson’s theory Abstract As most health care systems around the world are undergoing major administrative restructuring, we expose ourselves to the risk of dehumanizing patient care. If we are to consider caring as the core of nursing, nurses will have to make a conscious effort to preserve human caring within their clinical, administrative, educational, and/or research practice. Caring must not be allowed to simply wither away from our heritage. To help preserve this heritage, caring theories such as those from Jean Watson, Madeleine Leininger, Simone Roach, and Anne Boykin are vital. Through this continuing education paper we will learn the essential elements of Watson’s caring theory and explore an example of a clinical...
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...Close Window Print Window Racism and Schools Author: D. E. Campbell Source: Pearson Allyn Bacon Prentice Hall Students of different ethnic groups (Latinos, Asians, Native Americans, African Americans, and European Americans) learn to read at dramatically different rates in our schools. The ethnic group you belong to makes a substantial difference in school achievement. Mexican Americans leave school at a higher rate than other Hispanics, and Hispanics drop out at a higher rate than do non-Hispanic Whites (Ramirez & de la Cruz, 2003). There has been a dramatic increase in the rate of segregation of Black and Latino students from White students in the nation’s public schools (Frey, 2006; Orfield & Lee, 2007). We are becoming a more divided nation. The reason for this is relatively straightforward: Schools for poor children and children of color are inadequately secure, staffed, and funded. Economic choices—for example, to unequally and inadequately fund schools—produce most of the differences in achievement that are used as evidence of racial superiority and inferiority. In May of 2001, a coalition of civil rights groups filed a class action lawsuit (Williams v. California) that documented the deplorable and even unsafe and unsanitary conditions in many of California’s schools that serve large numbers of students of color. What causes these unequal conditions? Among the causes is a sustained pattern of underfunding of these schools. These are deliberate decisions...
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...The Impact of the Affordable Care Act on North Carolina's Uninsured Population Wendy Patterson Walden University Policy & Advocacy for Population Health NURS 6050-13 Dr. Joan Moon June 30, 2015 The Impact of the Affordable Care Act on North Carolina's Uninsured Population In a speech delivered in the Rose Garden, President Obama stated, “Five years ago, after nearly a century of talk, decades of trying, a year of bipartisan debate -- we finally declared that in America, healthcare is not a privilege for a few, but a right for all” (US News, 2015). This paper will discuss the impact of the Affordable Care Act (ACA) on the population of North Carolina, the economic impact of providing care to patients from the provider’s point of view, how patients will be affected in relationship to cost, quality, and access to treatment, and what the ethical implications of ACA means for both the provider's and the patients. The Impact of the Affordable Care Act on the Population in North Carolina According to a fact sheet published by the Kaiser Family Foundation, the ACA has the potential to extend coverage to many of the 47 million nonelderly uninsured people nationwide, including the 1.6 million uninsured in North Carolina (KFF, 2015). Although the ACA was signed into law declaring that it was a right for all to have health insurance, individual States had the option of whether to expand coverage for Medicaid recipients. “Being poor, unemployed, or homeless did not...
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...The End of the Party by Graham Greene (1904-1991) Word Count: 3549 Peter Morton woke with a start to face the first light. Rain tapped against the glass. It was January the fifth. He looked across a table on which a night-light had guttered into a pool of water, at the other bed. Francis Morton was still asleep, and Peter lay down again with his eyes on his brother. It amused him to imagine it was himself whom he watched, the same hair, the same eyes, the same lips and line of cheek. But the thought palled, and the mind went back to the fact which lent the day importance. It was the fifth of January. He could hardly believe a year had passed since Mrs Henne-Falcon had given her last children's party. Francis turned suddenly upon his back and threw an arm across his face, blocking his mouth. Peter's heart began to beat fast, not with pleasure now but with uneasiness. He sat up and called across the table, "Wake up." Francis's shoulders shook and he waved a clenched fist in the air, but his eyes remained closed. To Peter Morton the whole room seemed to darken, and he had the impression of a great bird swooping. He cried again, "Wake up," and once more there was silver light and the touch of rain on the windows. Francis rubbed his eyes. "Did you call out?"' he asked. "You are having a bad dream," Peter said. Already experience had taught him how far their minds reflected each other. But he was the elder, by a matter of minutes, and that brief extra interval of...
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...Nursing Overtime and Adverse Effects Blima Marcus Hunter College Abstract This paper will explore the topic of nursing overtime and its effect on adverse events and errors in the workplace. The prevalence of mandatory and voluntary overtime is high. Nursing shortages combined with the aging baby boomer population means more work for health care workers, and nurses bear the brunt of this reality. There is some legislation in place to restrict mandatory overtime, but research suggests that overtime hours have not decreased since those policies were created. Furthermore, voluntary overtime is unregulated, with many nurses exceeding the recommended 40-hour workweek. Studies have shown that exceeding recommended hours results in workplace injuries to nurses, increased burnout and lower retention of nurses, and poorer outcomes for patients, including early readmission, medication errors, falls and nosocomial infections. More regulation may be necessary to reduce the hours worked by nurses. Advanced practice registered nurses are in a position to advocate for stricter policies in their facilities, and to implement strategies that would reduce overtime hours worked in their facilities, for example by increasing staffing. Nurse managers can ensure that their nurses doing overtime take the recommended breaks and do not exceed the recommended number of hours worked per week. Nursing Overtime and Adverse Effects Mandatory overtime is defined as employer-imposed work time in excess...
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...the full text ------------------------------------------------- The End of the Party – By Graham Greene Peter Morton woke with a start to face the first light. Rain tapped against the glass. It was January the fifth. He looked across a table on which a night-light had guttered into a pool of water, at the other bed. Francis Morton was still asleep, and Peter lay down again with his eyes on his brother. It amused him to imagine it was himself whom he watched, the same hair, the same eyes, the same lips and line of cheek. But the thought palled, and the mind went back to the fact which lent the day importance. It was the fifth of January. He could hardly believe a year had passed since Mrs Henne-Falcon had given her last children’s party. Francis turned suddenly upon his back and threw an arm across his face, blocking his mouth. Peter’s heart began to beat fast, not with pleasure now but with uneasiness. He sat up and called across the table, “Wake up.” Francis’s shoulders shook and he waved a clenched fist in the air, but his eyes remained closed. To Peter Morton the whole room seemed to darken, and he had the impression of a great bird swooping. He cried again, “Wake up,” and once more there was silver light and the touch of rain on the windows. Francis rubbed his eyes. “Did you call out?”‘ he asked. “You are having a bad dream,” Peter said. Already experience had taught him how far their minds reflected each other. But he was the elder, by a matter of minutes, and that...
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