...Organizational analysis Hospital AB and Health Center is a community based acute care general hospital. The hospital is proactive in seeking methods to identify and provide all sources of community benefit and charity care. The mission of the hospital as stated in administrative service manual policy 726 (2005) is “With caring and compassion, we will improve the health and quality of life of the people we service.” The purpose of existence of the hospital is the commitment to patients and community to first understand their needs, second to provide services that meet these needs; and third, the recognition that service and clinical excellence are only achieved if they are delivered with caring and compassion. The strategies developed for achieving these purpose are invest in high performing people, innovation and implementation, superior quality and service, know patient and customer needs, and meet budgets. Hospital AB integrates the values such as dignity, collaboration, justice, stewardship and excellence into all the services being delivered. The key behaviors identified are honor commitments, take ownership, value individual differences, help others succeed, exceed customer expectations and inspire others to do their best (unknown author, 2005). The 347 bed hospital is an affiliate of Catholic Healthcare. For over 80 years, hospital AB and Health Center has grown along with the community and has evolved into one of the region's major healthcare...
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...Care Assignment Name Chamberlain College of Nursing Background Information The patient (‘AB’) was an obese (body mass index = 32.75) 62-year-old Caucasian female initially admitted to the emergency room with pneumonia, then transferred several hours later to the intensive care unit (ICU). AB’s diagnosis of pneumonia took place upon admission. AB was diagnosed with type II diabetes 6 years ago. AB is on Metformin (2,000 mg twice daily) and Lisinopril (20 mg once daily). AB does not report having been diagnosed with pneumonia previously. AB’s diagnosis of type II diabetes was made 15 years ago, and the diagnosis of hypertension was made 11 years ago. AB reports that both her diabetes mellitus and hypertension...
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...Delegation and assignment of nursing activities are important parts of the implementation component of practice for the registered nurse and licensed practical nurse. The licensed nurse may delegate and assign nursing care activities to other licensed nurses or unlicensed assistive personnel. This is based on their own licensed level, assessment of the client’s status, clinical competence of licensed and unlicensed personnel, and factors in each practice setting. Before assigning and delegating nursing activities to staff, the nurse needs information about the staff so that they can confidently assign them to the patients. One must know the legal roles in RNs and LPNs before delegation can occur. Delegation by RNs and LPNs must be within their scope or practice. Duties and responsibilities vary in different states. According to the Massachusetts Nurse Practice Act in the state of Massachusetts, nurses may assign and delegate the UAP any activities that do not require nursing assessment and judgment during implementation. In addition, they can allow the UAP to collect, report, and document simple data. Furthermore, UAP may be involved in activities that assist the patient in meeting basic human needs such as nutrition, hydration, mobility, comfort, elimination, socialization, rest and hygiene. In the state of Massachusetts, there are four nursing activities that must not be delegated to the patients. These activities include nursing assessments and judgment during...
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...ONWUTEAKA-PHILIPSEN, PH.D., AND GERRIT VAN DER WAL, PH.D., M.D. Department of Public and Occupational Health and Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands ~RECEIVED June 5, 2006; ACCEPTED August 27, 2006! ABSTRACT Objective: This study investigated the palliative options available when a patient requested euthanasia or physician-assisted suicide ~EAS!, the extent to which the options were applied, and changes in the patient’s wishes. Methods: In an observational study, 3614 general practitioners ~GPs! filled in a questionnaire and described their most recent request for EAS ~if any! ~n 1,681!. Results: Palliative options were still available in 25% of cases. In these cases options were applied in 63%; in 46% of these cases patients withdrew their request. Medication other than antibiotics, which was most frequently mentioned as a palliative option ~67%!, and applied most frequently ~79%!, together with radiotherapy, most frequently resulted in patients withdrawing their request. Significance of results: GPs include the availability of palliative options in their decision making when considering EAS. The fact that not all options are applied or, if applied, the patient persists in the request is related to autonomy of the patient, the burden on the patient, and medical futility of the option. KEYWORDS: Euthanasia, Physician-assisted suicide, Palliative care, Decision making INTRODUCTION Palliative care, including pain and...
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...NURSING PROCESS PAPER Student Name: Date of Care: 10/14/09 Date of Admission: 10/10/09 I. HEALTH STATUS | Admitting Dx: COPD Exac/Chest Pain | Pt. Init.D.R | Rm No.353 | Age60 | SexM | RaceCaucasion | ReligionCatholic | OccupationDisabled | Surgery: Medical Treatment: Back Surgery/ Coronary Artery Bypass Grafting COPD Exac/Chest Pain | Chief Complaint/Reason for Hospitalization & Hx. of Present Illness (with 1-8 critical characteristics, Jarvis pg. 85) Chest Pain | | 1.Location: Midsternal chest pain radiating to left arm. 2. Quality/characteristics: Squeezing, tightening, felt like chest was going to explode. 3. Quantity: 8 on a scale from 1-10 4. Setting: at rest 5. Associative factors: SOB and nausea 6. Aggravating/relieving factors: Aggravated by activity, unable to relieve in any position 7. Timing (Onset, duration, frequency): Sudden and constant pain 8. Patient perception: Thought he was having a heart attack. | Other illness or conditions & year of onset. | | AllergiesNKA | COPD- 2004 Deep Vein Thrombosis -2002Anxiety-2000Depression-1998Lumbar/Cervical Spondylosis-1982HTN- 19XX-Patient cannot recall exact year | | Immediate Teaching Needs | | Hospital safety- Reminded patient to call for assistance, call light within reach, non skid footwear for reduction of falls. Talked with patient regarding fall safety. Teach non-pharmachological...
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...Alzheimer’s disease General Psychology Term Paper Assignment Monday Night Class Abstract In the society that we are living right now, we can find a lot of different kinds of illness and health problems. A large number of these diseases have a cure and they also have a happy end; but there is one that does not. Over the past 20 years, Alzheimer’s disease came from an unknown dark side. Once studied as a strange disorder; it is one of the most common health problems that affect a lot of people around the world and their families. More of a 90% of Alzheimer’s disease cases shows up in people around 60 years old. Even do we ignore how this treats starts; science people have found that the change inside the brain starts 10 to 20 years before we can observe the symptoms. Knowing a little more about this illness, will help us to understand these people that are in need of love, attention and comprehension. Alzheimer’s disease In the society that we are living right now, we can find a lot of different kinds of illness and health problems. A lot of these diseases have a cure and they also have a happy end; but there is one that does not. Alzheimer’s disease is a very ordinary illness that severely affects our society, specially the older population. It is a fact that we have to deal with. Unfortunately, there are a lot of people out there that suffer...
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...Journal of Nursing Research, 32(8), 1055-1072. This journal covers the important stages of the Learning needs assessment and how it impacts every educational process that is aimed to inform changes in practice and policy for continuing professional development. Professional opportunities have been widely used as a basis for the development of learning needs assessment. This article reports on the development of a learning needs assessment questionnaire for Community Health Nurses (CHNs). Exploratory and confirmatory factor analyses were conducted to examine the consistency of factors underpinning the Canadian Community Health Nursing (CCHN) Standards. Also, validity and reliability of the questionnaire were evaluated using appropriate techniques. This process resulted in a valid and reliable CHN learning needs assessment questionnaire to measure learning needs of large groups of practitioners, where other forms of measurement cannot be feasibly conducted. Aydin, A.K., & Karadaq, A. (September-October 2010). Assessment of nurses knowledge and practice in prevention and management of deep tissue injury and stage 1 pressure ulcer. Journal of Wound, Ostomy, and Continence Nursing, 37(5), 487-494. This is a good overview from a well-known nursing journal that focuses on a descriptive study on how to determine a nurses knowledge and usual practice and prevention of deep tissue injuries. It gives an in depth explanation on the methods and assessment tools used for nursing education...
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...Nursing Program CLIENT INFORMATION FORM Student's Name Date of Care: Client Initials Room Number Sex: Age : Admission Date: Admitting Diagnosis: Rt. Lobe infiltrate, Breast & Bone Cancer Secondary Diagnosis if any): Respiratory Distress Surgery Type/Date (if any): Lumpectomy on Rt. Foot at 2002 Working Medical Diagnosis/Etiology (describe definition, pathophysiology, and sign/symptoms) Metastatic Breast Cancer Metastatic breast cancer is the term used to describe cancer that has spread from the original site in the breast to other organs or tissues in the body. Cancer cells can break away from the original cancer in the breast and the cancer cells that break away can spread to other parts of the body via blood vessels or lymphatic vessels. The original site where the cancer cells came from is called the primary cancer. When cancer cell travels from the breast around the body they can lodge themselves in various body organs or tissues. These cells can begin to form breast cancer in new place and this new cancer is called secondary or a metastasis. Breast cancer most commonly spreads to one or more sites: bone, liver, brain and lungs. The sign or symptoms that may experience will depend on where the cancer is in the body and the extent of the cancer. If its spread to the: Bone- pain is fairly constant, aching pain. It may...
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...FACTORS AFFECTING ACADEMIC PERFORMANCE OF FIRST YEAR COLLEGE STUDENTS OF THE DIVINE WORD COLLEGE OF BANGUED FIRST SEMESTER 2010-2011 Mary B. Gallardo,MST-Math, Alfreinell S. Castillo, BSC, Jessie T. Sibayan, AB, Marianito T. Taeza, AB, and G. Regil D.Valera, BSCE Registrar’s Office, Divine Word College of Bangued June 1, 2011. The objective of this study was to examine factors such as age, gender, high school graduated from, and Grade Point Average (GPA) in fourth year and to identify whether these factors could distinguish differences among students based on academic performance. A survey was made from the available data at the Registrar’s Office. The researchers looked into the records of the first year students of the degree programs namely: Bachelor of Elementary Education (N= 37), Bachelor of Secondary Education (N= 20), Bachelor in Business Administration (N= 53), Bachelor of Science in Nursing (N= 30), and Bachelor of Science in Accountancy (N= 35) a total of 175 subjects. In this particular research, age, school graduated from and gender did not affect academic performance in college among the first year BEEd, BSEd, BSBA, BSAc and BSN students of the Divine Word College of Bangued during the first semester 2010-2011. Academic performance was significantly associated with the grade point average in high school. Introduction. Learning is a lifetime process. Continues learning equips an individual as a student with a larger tapestry of knowledge, a...
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...Division Chair: Mickael Cariveau, Ph.D. Division Chair email and phone: MCariveau@moc.edu; 919-658-7680 Course Description (4 sh): This course is directed toward providing pre-clinical concepts for nursing and other allied health professional students that includes a study of body organization, cytology, and histology, acid/base and fluid/electrolyte balance and all body systems including Integumentary, skeletal, muscular, nervous, gastrointestinal, endocrine, reproductive, blood, lymphatic, cardiovascular, respiratory and renal. Basic principles of pathophysiology and pharmacology will be introduced. Demonstration and hands-on laboratory activities will be based on concepts of clinical physical assessment. Required Text: Essentials of Human Anatomy and Physiology, 10th Edition, E. N. Marieb Student Learning Outcomes (stated in objective, measurable terms. What will students know or be able to do when they complete the course?) Student Learning Outcomes Upon successful completion of this course, students should be able to: Means of Assessment This outcome will be indicated by successful: 1. Understand the structure of the human body and it functions as it relates to nursing and other allied health professions. 2. Discuss the physiology of the major organ systems and how they relate to nursing and other allied health professions 3. Understand how these organ systems interact with one another and respond to various external and internal stimuli 4. Develop critical thinking skills relevant...
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...Table of Contents Definition 1 Pathophysiology 2 Signs and Symptoms 3 Risk Factors 5 Diagnosis 6 Treatment 8 Nursing Responsibilities 10 Psychosocial Implication 10 Bibliography 12 Definition Erythroblastosis fetalis is a fatal hemolytic disease of the newborn (HDN) caused by incompatibilities in the blood groups between the mother and her unborn child during pregnancy. Because of the incompatibility, the mother's immune system may launch an immune response against the red blood cells of the fetus through the placenta, resulting in the destruction of the red blood cells (hemolysis). In the destruction of the red blood cells, the fetus can develop anemia. The red blood cell destruction ranges from mild to very severe, and fetal death from heart failure can occur, as well as life-threatening problems for future pregnancies. The Rhesus system (Rh) blood group antigen is responsible for most of the fatal cases of erythroblastosis fetalis, hence, the term Rh incompatibility disease. However, other alloimmune antigens belonging to the Kell (K and k), Duffy (Fya), Kidd (Jka and Jkb), MNSs (M, N, S, and s), Diego, Xg, P, Ee, Cc antigen systems, as well as other antigens may also produce the disease. Incompatibilities of Landsteiner (A, B and O) blood group systems do not cause erythroblastosis fetalis. A French midwife reported the first case of HDN in a set of twins, in 1609. In 1932, Diamond and colleagues described the relationship of fetal hydrops, jaundice...
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...2012 Abridged Harvard Referencing Guide (author-date) Edition 2012 CQUniversity Australia Rockhampton Queensland COMMONWEALTH OF AUSTRALIA Copyright Regulations 1969 WARNING This material has been reproduced and communicated to you by or on behalf of Central Queensland University pursuant to Part VB of the Copyright Act 1968 (the Act). The material in this communication may be subject to copyright under the Act. Any further reproduction or communication of this material by you may be the subject of copyright protection under the Act. Do not remove this notice. CQU CRICOS Codes: 00219C – Qld; 01315F - NSW; 01624D – Vic DEVELOPED BY Academic Learning Services Faculty of Arts, Business, Informatics & Education Rockhampton Queensland Australia This abridged guide explains the Harvard style of author-date referencing system. The information it contains is based on: Commonwealth of Australia 2002, Style manual for authors, editors and printers, 6th edn, rev. by Snooks & Co., John Wiley & Sons Australia, Brisbane. Copyright: Commonwealth of Australia, style reproduced with permission. It is referred to hereafter as ‘the manual’. This guide has been written primarily for the use of students undertaking the preparatory program entitled Skills for Tertiary Education Preparatory Studies (STEPS) at CQUniversity. At an undergraduate level, this document should be used for guidance only. Undergraduates should also consult their Study Guides and lecturers to find out which referencing...
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...graduated from the institution. Through tracer study, an institution able to evaluate the quality of education given to their graduates by knowing the graduates placements and positions in the society which later can be used as a benchmark in producing more qualified and competitive graduates. There are books that we can use as a tool for studying different aspects of education and for studying the present topic which is “A Tracer Study on The Employment Status of AB Journalism Graduates Batches 2009-2012. In the book Employment and Career Opportunities after Graduation by Arcelo and Sanyal, the existence of a huge number of educated unemployed can lead to a certain amount of political instability in a country, for they being among the educated class and knowledgeable about the privileges society can offer, feel doubly deprived. In this matter, the analysis of the unemployment situation in the Philippines shown that the young graduates is still in the job-hunting stage.1This book is concerned to the graduates of AB Journalism that will be hunting jobs after they graduated. Also, if the trainings and learning’s in the journalism program will be used on the jobs suited for them. The book The Philippine Labor Code, An employer has a right to select his employees and to decide when to engage them....
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...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 and unsafe hand washing techniques were found more in increased patient workloads. Unsafe staffing gave more job dissatisfaction, job burnout and more nurses quit or drove nurses away from nursing. This increased mandatory overtime and increased nurse...
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...An Abridged Guide to the Harvard Referencing Style Academic Learning Centre Academic Communication The Abridged Guide to the Harvard Referencing Style (author-date) is based on Commonwealth of Australia 2002, Style manual: for authors, editors and printers, 6th edn, John Wiley & Sons Australia, Milton, Qld. This document can be found on CQUniversity’s referencing Web site at http://www.cqu.edu.au/referencing (click on Harvard). Other information about academic writing is available via the Academic Learning Centre’s Moodle site. Maintained by Academic Learning Services Unit Edition T1 2014 Published by CQUniversity Australia COMMONWEALTH OF AUSTRALIA WARNING This Material has been reproduced and communicated to you by or on behalf of CQUniversity pursuant to Part VB of the Copyright Act 1968 (the Act). The material in this communication may be subject to copyright under the Act. Any further reproduction or communication of this material by you may be the subject of copyright protection under the Act. Do not remove this notice. CQUniversity CRICOS Codes: 00219C – Qld; 01315F – NSW; 01624D – Vic Table of Contents Why reference/cite? .....................................................................................................1 How to reference ..........................................................................................................1 In-text references.....................................................................................
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