...Kyle Thompson – 05970640 Management of discharge Management skills in adult nursing UZTR6D4-40-2 05970640 The NMC Code (2008) charges nurses to protect confidential information, and to only use it for the purposes given – for their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to demonstrate the quality of our care and team working abilities. There is a connection between practice and thinking about practice – action and reflection are interdependent; they need one another. Reflection may be triggered by an awareness of a gap between theory and practice, a difference between what ‘should be’ and ‘what is’ (Sullivan & Decker 2005). Our actions and the quality of our care are improved by reflection-on-action, by making sense of what we have experienced, and thinking about how we might act differently in the future (Lillyman & Ghaye 2000). Reflection has a rôle in maintaining one's personal portfolio and maintaining competency and continuing professional development. Support and supervision from managers, who already have a responsibility...
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...Successful discharge planning is not something that should be initiated when the patient is ready to go home, but should be discussed prior to the surgery being performed if possible. The total hip replacement that Mr. Trosack is recovering from was not a planned surgery so case management should have begun working on this once he was admitted to the floor postoperatively. Healthcare Issues and Their Importance There are numerous healthcare issues that must be considered in discharge planning for Mr. Trosack to ensure that medical, social and functional issues related to his recovery have been evaluated. Safety is a very important healthcare issue that must be addressed prior to discharge. As with most patients over the age of 65, Mr. Trosack is at high risk for a fall for various reasons. 33% of this age group experience one fall per year and commonly involve falling down stairs or steps (Heasley, Buckley, Scally, Twigg, & Elliott, 2005). He lives on the second floor of an apartment building that has no elevator so he must maneuver a long flight of steps to enter or leave his apartment. In addition to this, he has a small apartment that is cluttered with WWII .memorabilia and furniture which increase his chances of tripping and falling. Mr. Trosack has recently been diagnosed with hypertension and noninsulin dependent diabetes which will present another healthcare issue and result in a lifestyle change for him. Previously, he was not taking any prescription medications and...
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...INTRODUCTION This essay is all about discharge care planning and will be discussed in two parts, the first part will highlight patient profile, assessment and discharge care planning with evidence based rationale using a framework based on Roper- Logan-Tierney (2000) model of nursing which involve giving nursing care holistically by using 12 activities of living (AL) and also incorporate nursing process to carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional values according to Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), which include consent, confidentiality, respect and dignity will be undertaking. For the...
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...| | |Lifecourse & End of Life | |Word count; 501 | |2904118 | | | Lifecourse & End of Life Understanding the immense changes in patterns of social, individual and community life continues to be one of the major roles and challenges for social science research. People's lives and how they unfold over the Lifecourse in relation to education, employment, leisure, consumption and health are a topic of major national interest. Demographic changes such as an increasing proportion of older people in the population (and a reducing retirement age) raise issues not only concerning social policy and employment, but also about participation, independence, and trust and responsibility between generations. People's mental and physical health and their experience of health services are intimately related to social and lifestyle factors, and to expectations and aspirations Presented the option, most people would choose to die at home surrounded by those whom they love. The latter may...
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...in an open storage tank at 82.2°C is being pumped at the rate of 0.379 m3/min from the tank. The line from the storage tank to the pump suction is 6.1 m of 2-in. schedule 40 steel pipe and it contains three elbows. The discharge line after the pump is 61 m of 2-in. pipe and contains two elbows. The water discharges to the atmosphere at a height of 6.1 m above the water level in the storage tank. (a) Calculate all frictional losses ΣF. (b) Make a mechanical-energy balance and calculate Ws of the pump in J/kg. (c) What is the kW power of the pump if its efficiency is 75%? Ans. (a) ΣF = 122.8 J/kg; (b) Ws = -186.9 J/kg; (c) 1.527 kW 2. Nitrogen gas is flowing through a 4-in. schedule 40 commercial steel pipe at 298 K. The total flow rate is 7.40 X 10-2 kg/s and the flow can be assumed as isothermal. The pipe is 3000 m long and the inlet pressure is 200 kPa. Calculate the outlet pressure. Ans. P2 = 188.5 kPa 3. Calculate the pressure at Al Soudah Mountain, taking into the account that air is compressible. 4. In a small domestic fish tank, a 5-watt pump at the top of the tank is used to pump water through a filter. The pump is sucking water from the bottom of the tank at a depth of 20 cm. The tank is 75% filled. The suction pipe size is 1 cm and the discharge pipe is 0.5 cm. the water temperature is 30 0C. Make reasonable assumptions for any missing data. A) Draw a flow sheet for this system. B) Calculate the volumetric flow rate of the pumped water. Hint: A video clip of...
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...The role that discharge planning plays in the admission of a patient is a key component of any healthcare business that must start upon admission. You may not understand how the term business relates to a hospital setting where their focus is healthcare but do not let yourself develop false beliefs, a hospital is a business. Just like any business it must have a beginning a middle and end where revenue is generated or it cannot continue to function. This is where discharge planning holds it ground. Birjandi and Bragg second that fact by pointing out that one main problem that compounds this inability to capitalize on the use of discharge planning is as I explained previously, "that most senior leadership teams do not understand the complexity...
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...Quiz 6 1) (a) Figure 1 below shows the arrangements of a circuit for a hydraulic system. The pump draws oil with a specific gravity of 0.90 from a reservoir and delivers it to the hydraulic cylinder. The cylinder has an inside diameter of 125 mm, and in 15 s the piston must travel 500 mm while exerting a force of 5000 kg. It is estimated that there are energy losses of 3.5 m in the suction pipe and 10.7m in the discharge pipe. Both pipe diameter is 50mm. Calculate: (i) The volume flow rate through the pump [4 marks] (ii) The pressure at the cylinder [4 marks] (iii) The power delivered to the oil by the pump if the pump has 70% efficiency [9 marks] Figure 1 2) (a) Figure 2 shows water flowing from reservoir A to B. If the water surface elevation in reservoir B is 110 m, what must be the water elevation in reservoir A if a flow of 0.03 m3/s is to occur in the cast-iron pipe with gate valve fully open? (Assume ambient temperature) [13 marks] (b) Explain what is the purpose of the gate valve in the pipe system? [4 marks] (c) Draw the HGL and EGL for the pipe system. [4 marks] (d) Propose an improvement to reduce the losses in the pipe system. Justify your answer. [4 marks] Elevation = ?? m A Kent = 0.5 L = 150 m Long radius Bend, 90° flanged Gate Valve Elevation = 110 m L = 40 m D = 60 cm Figure 2 D = 60 cm B Kexit= 1.0...
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...EVKET WLI-90 EVTT3F EVTS BHVSD HVTEB HVS2C ALPHABETICAL INDEX Type Page Type Page Type Page 21 ............................................................ 32 22 ............................................................ 31 AFGS ...................................................... 73 BHVSD ................................................... 57 BHVSF.................................................... 56 CCL-EHV .................................................. 6 CCLS-EHV................................................ 7 EVBCF.................................................... 45 EVBETSH ............................................... 54 EVDCH ................................................... 41 EVDCS.................................................... 39 EVEDST.................................................. 63 EVEDST-90 ............................................. 65 EVEF-D................................................... 84 EVETF .................................................... 15 EVETS .................................................... 49 EVHS ...................................................... 82 EVIS........................................................ 53 EVKES.................................................... 48 EVKET .................................................... 14 EVLCF ...................................................... 4 EVPC ...................................................... 81 EVS2C ......................
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...INSTRUCTIONS FOR COMPLETING AND SUBMITTING THE STATE OF CONNECTICUT APPLICATION FOR EXAMINATION OR EMPLOYMENT (FORM CT-HR-12) PLEASE READ CAREFULLY BEFORE COMPLETING THE APPLICATION GENERAL INFORMATION AND INSTRUCTIONS This application form is the official State of Connecticut Application Form for Examination or Employment effective October 1, 2010. PLD-1 application forms should not be used on or after October 1, 2010. Check the State Employment Pages on the DAS website (http://das.ct.gov/employment )for more detailed information about completing the State Application Form and about state examinations, job opportunities and to sign up for e-mail notification of current exams and job openings. 1. The CT-HR-12 is a PDF document that can be completed on-line or it can be printed and completed manually. If you complete the form on-line, you can save it in your documents for future reference. 2. This application form can be used to apply for currently posted State of Connecticut examinations or currently posted 3. 4. 5. 6. 7. 8. 9. 10. job opportunities (positions/job postings). If you are applying for a currently posted examination, make certain you include the examination title and examination number. If you are applying for a currently posted job/position, make certain you include the position title and position number. Type or print (in ink) all information requested on the application form. It is critical that you complete all sections of the application form...
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...PERSONAL NARRATIVE 1 When taking a look at how my life has changed over the past five years I can truly and honestly say that I would never have expected the things that have happened. Back in June 2007 I was separated from my husband and moved into my own apartment. I was in the United States Navy for six and a half years at that time. My divorce was finalized in January 2008 and I deployed to Afghanistan in March 2008, for eight months. After coming home from a long deployment, I had orders to move to Lemoore, California. This area is nothing but farm lands and I did not like that at all. I was born and raised in Southern California and enjoyed the fast-paced life that I was living. It is amazing how things have changed. In July 2011 I was honorably discharged from the United States Navy and I moved back in with my mother and two younger sister. Growing up we lived in a condo in Diamond Bar, California, but that all changed over time. The same time that I got out of the military, myself, my sisters and my mother had to move out of our condo and into a two bedroom apartment. Talk about a huge change in life. This move has not been easy for any of us. There is no privacy and we all have to share the living space. I share a bed with my middle sister and my mother shares a bed with my youngest sister. I never thought that I would be unemployed for this long, but it has been over a year since I got discharged. It seems like nobody is hiring right now...
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...Few good man Time from time you may hear stories of abuse by the military justice "system". There are multiple destroyed and financially devastated families out there suffering heartbreak and loss at the hands of an uncaring, unfeeling and unjust process which makes a mockery of our Bill of Rights. Military justice for the majority is prefabricated according to the wishes of the local Commander, and the "trial" or "court-martial" is tantamount to a pre-ordained verdict of GUILTY. How could any court proceeding be considered fair when the "convening authority," by right of title, is given the power to select the judge, the jury and defense and prosecution attorneys? It may go "unsaid," but the implication is very clear - if the convening authority "sees fit" to bring about a court-martial, then the accused can be assumed to be guilty. What's special, or even topical, about A Few Good Men movie is it speaks to how military honor can be so readily suborned by the authoritarian impulse. And second, how the same honest pride - not to mention competence - is necessary to bring such posturing would-be tyrants to justice. The main issue the movie touches upon is military justice. A good marine abides by the following code: 1. Unit 2. Corps 3. God and 4. Country For this code to be at its effective best, it must be governed by truth and justice. What happens when truth and justice fail to be active participants of this code? Justice has been defined in many ways...
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...stability. But ceramic caps have a very less ESR and are useful in bypassing high frequency noise but cannot provide the compensation to maintain the loop stability as the dominant zero is at a very high frequency. So LDO’s with ceramic output capacitors have an additional series resistor R comp which performs the functionality of ESR with the C comp to provide the additional zero required for compensation. Load dump occurs when the battery is disconnected when it is being charged by the alternator. A huge voltage spike of 120V is generated and can take up to 400ms to decay. Signal diode arrays can also be used in digital and computer circuits to protect high speed data lines or other input/output parallel ports against electrostatic discharge, (ESD) and voltage transients. By connecting two diodes in series across the supply rails with the data line connected to their junction as shown, any unwanted transients are quickly dissipated. Enum is used to define variables of your own. ------------------------------------------------- enum Security_Levels { black_ops, top_secret, secret, non_secret }; // don't forget the semi-colon ; ------------------------------------------------- int main( int number_of_args, char* arg_list[] ) { Security_Levels my_security_level = top_secret; if ( my_security_level == black_ops ) ...
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...DECLARATION I, [type your full first names and surname here], declare that the contents of this dissertation/thesis represent my own unaided work, and that the dissertation/thesis has not previously been submitted for academic examination towards any qualification. Furthermore, it represents my own opinions and not necessarily those of the University. Signed __________________ Date _________________ Abstract Windsor Airmotive Asia Pvt Ltd is the leading repair and overhaul shop for CFM56-3/-5/-7 series turbine engine components. During development of a new repair scheme, to replace the inner inducer and outer inducer of the Forward Inner Nozzle Supports (FINS), a major challenge was encountered at the Electric Discharge Machine (EDM). A trial done on a scraped part revealed that 112 vanes have to be aligned before it can be machined by EDM to the inducer. By introducing a semi-automated machining fixture, the alignment of the vanes will be made easier, on top of increasing the utilization of the EDM by 20%. The aim of this project is to develop a machining fixture for the EDM so that the alignment of 112 vanes will be made easier.By developing this fixture, the company can expect to reduce the scrap rate of FINS. These FINS are often scraped because of the inducer wall rub marks that exceed the limits given in the engine manuals.This will also be beneficial to the customers by helping them to reduce their overhaul cost for the engine rebuild. This will...
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...Module 9 Non conventional Machining Version 2 ME, IIT Kharagpur Lesson 39 Electro Discharge Machining Version 2 ME, IIT Kharagpur Instructional Objectives (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) (xii) (xiii) (xiv) (xv) (xvi) (xvii) (xviii) (xix) Identify electro-discharge machining (EDM) as a particular type of non-tradition processes Describe the basic working principle of EDM process Draw schematically the basics of EDM Describe spark initiation in EDM Describe material removal mechanism in EDM Draw the basic electrical waveform used in EDM Identify the process parameters in EDM Describe the characteristics of EDM Identify the purpose of dielectric fluid in EDM List two common dielectric fluid Analyse the required properties of EDM tool List four common tool material for EDM Develop models for material removal rate in EDM Identify the machining characteristics in EDM Analyse the effect of process variables on surface roughness Analyse taper cut and over cut in EDM Identify different modules of EDM system Draw schematic representation of different electrical generators used in EDM Analyse working principle of RC type EDM generator 1. Introduction Electro Discharge Machining (EDM) is an electro-thermal non-traditional machining process, where electrical energy is used to generate electrical spark and material removal mainly occurs due to thermal energy of the spark. EDM is mainly used to machine difficult-to-machine...
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...Colorfastness refers to the resistance of color to fade or bleed of a dyed or printed textile materials against water, light, rubbing, washing, perspiration etc. to which they are normally exposed in textile manufacturing and in daily use. Colorfastness to Rubbing Colorfastness to rubbing test is designed to determine the degree of color which may be transferred from the surface of a colored fabric to a specify test cloth for rubbing (which could be dry and Wet). Crockmeter is the main equipment used in this test. Crockmeter uses a standard pressure and rubbing motion to provide reliable and reproducible test results. Specimens are positioned on the base of the Crockmeter and held in place with the sample holder. The rubbing action is provided by an acrylic "finger" which moves in a straight line with each complete turn of the crank. The reciprocating load arm is weighted to provide a constant 9N load on the sample at all times and a mechanical counter keeps track of completed cycles. Then, the result of the specimen is evaluated using the grey scale of staining. Colorfastness to Washing The main test method of the colorfastness to washing is carried out called AATCC standard detergent WOB (without optical brightener). The test measures the resistance to water of any colored textiles. Launder-moester is the main equipments used with the help of grey scales. Testing procedure (Usages) 1. Attach the multifiber fabric to specimen by sewing or stapling. 2. Place the sample...
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