...The transition from level four to level five requires application of theory and practical’s in physiotherapy on a wider scale. Level five requires clinical reasoning, which can be implemented to increase the overall effectiveness of physiotherapy intervention, using different approaches to solve the issue at hand. The two introductory pages of this essay require a reflection upon my feedback, which can be a guide to transit from level four to level five. One of my strengths of the assignment is that my context relevant to the question with regards to the clinical features and physiotherapy interventions. Some answers were specific and detailed to the question However, at times I had some loss of focus to the question which meant that the answer was not relevant, therefore losing the opportunity to gain marks. For my next assignment I aim to answer the question ensuring that the context is relevant to the question by referring back to the question throughout and build up on this skill by using various texts and resources to ensure that the reasoning behind physiotherapy interventions are appropriate and specific with the use of evidence based research. In the previous assignments, I lacked detail of normal structure and function with reference to anatomy. As part of this transition to level five, I am required to gain a wider understanding of both structure and function of normal respiratory system and to be able to explain this with reference to pathology. In order to...
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...can led to bacterial resistance(Scholes et al., 2004). This essay will establish PICO (population, intervention, comparison and outcome) question in the given scenario where a 22 year old Susan visits the GP with symptoms of urinary frequency, dysuria, lower back pain and shivering. She was diagnosed with Urinary tract infection (hereby referred as UTI) and antibiotics were prescribed. However after developing thrush due to antibiotics for urinary tract infection previously, she is reluctant to take antibiotics. On surfing the internet she read about cranberry juice being used to treat UTI and is considering to stop her antibiotics. PICO question development In order to provide the right pathway to commence our research and ensuring that every questions are suitable and relevant, PICO model will be used which is Population, Intervention, Comparison and Outcome(Bronson and Davis, 2011). In the given scenario, population would be women suffering from UTI. Similarly intervention is using cranberry juice to prevent UTI and comparison is to use antibiotics. Richardson et al., 2014 mentioned that the outcome would analyze the effectiveness of the intervention. Therefore the outcome would be effectiveness of cranberry juice to prevent UTI. After this systematic approach, PICO question can be developed: Is cranberry juice more effective than antibiotics for the treatment of UTI in young women? Searching for evidence There are number of keywords to find the relevant article...
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...David Sackett. EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996) Defining what is meant by EBP allows this essay to discuss the controversies and key debates surrounding the use of EBP in nursing practice. These include ethical concerns, reliability, and validity as well as collection on of...
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...at work than prison guards and police officers”(ICN, 2009). The aim of this essay is to critically appraise a systematic review of the literature based on workplace violence in the emergency department and to identify characteristics of interventional studies to guide best practice. This review will discuss current practices in reference to NSW health policy and guidelines, critique the systematic review by (Taylor & Rew, 2010) in terms of discussing methodology and provided a comprehensive overview of (Taylor & Rew, 2010) article(Hoag-Apel, 1998) (NSW Health, 2005). Finally, this review will attempt to recommend a change in practice in terms of the research question of what are the suggested interventions for workplace violence in the ED conducted by studies from 2004 ? Based on best evidence based practice and research(Hoag-Apel, 1998) . Although healthcare professionals and exclusively nurses are at higher risk of workplace violence, NSW legislation doesn’t reflect the increase risk associated or current international concerns(Hoag-Apel, 1998) . In NSW it is part of a legislative requirement that staff receive sexual harassment training, however, even though there are higher incidents of workplace violence then sexual harassment in nursing it isn’t a legislative requirement that staff are educated(Curtis, Ramsden & Friendship,2007) . Current NSW legislation doesn’t reflect current evidence based...
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...ADVOCACY ESSAY: PEER REVIEW MEMO When you are ready to review a peer’s essay, open this document in one window and the essay in another window (you’ll be cutting and pasting information from the essay into this memo. Place your cursor in the gray field to record your answer. Refer to specific parts of paper by paragraph number. Reviewer’s Name: Karen Adame Title of Essay Reviewed: Intervention Programs for Youth to Reduce Deliquency Author’s Name: Jessica Leal-Rosas Date: 6/4/13 GENERAL COMMENTS Begin by reading your peer’s essay all the way through. Mark areas that are difficult to read, or don’t make sense, or that you think have some grammatical/usage problems. When you have read through the entire essay, come back and choose up to five sentences/areas that you marked for readability. Copy the text and insert it here, along with the paragraph number. You do not have to identify the error or fix it… just locate problems. No more than five sentences: For the past decades, researchers such as Peter Greenwood have focused their attention… Indeed, any program that is introduced to help reduce… After having read the whole paper through the first time, write out a few “big picture” comments. What one element of the paper do you think needs the most work before your peer turns it in as a final draft? There are several grammar errors and to explain what are concepts such as zero tolerance and get tough on crime. If you had to grade it right now based on...
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...and external must be maintained in balanced way to remain in healthy state. To have a normal healthy life, the person must know and must have knowledge about his/her health, the complications, risk factors, why it occurred and how it can be treated or prevented.. Thanks to the advance in medical diagnosis and technology, today everyone has access to best medical facilities and consultations. But, we are still struggling with numbers. There are not enough doctors and other para medical staffs to meet the growing number of patients. One way of dealing such problem is to educate the patients so that they can self mange their disease or conditions. It can only happen when they have knowledge about the disease they are suffering from.. In this essay, the client or the subject of study is a person suffering from type II diabetes. So what is diabetes education? It is all about assisting the client, their family and their care takers to gain knowledge about the disease, and empower them with skills and motivation power that will help in self management of the disease. This provides them with certain knowledge of what to do, when to do, how to do, and when to seek the help of a professional health practioner? The next question in this field which emerge is who can be an educator? Those persons who are recognized by the medical council of the respective countries are eligible for providing education to the patient. A person must seek diabetes education when he/she being diagnosed with...
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...3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia Student Name: Dashante` Burgess Green Cohort- Group 1 Module: NIP 1000 Word count: 3,010 A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was admitted to hospital with muscle and facial weakness with asymmetry and no movement to the left side of his body. He was eventually diagnosed with left-sided stroke resulting in right-sided hemiplegia affecting his balance and mobility. With the many health problems associated with stroke this essay will focus more on the problem of dysphagia and the patient’s needs related to this particular problem. Dysphagia is a condition in which the action of swallowing is either difficult or where the swallowed material seems to be held in its passage (McFerren 2008). The assessment, planning, implementation and evaluation (A.P.I.E) of the patient on admission and discharge will be discussed in further and more precise detail throughout the essay while maintaining...
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...across the world (Pennington 1990). Individuals are affected to different scales by dyslexia (Martin, Carlson and Buskist 2013) and it has been reviewed that irregular IQ scores are not linked to dyslexia in any form (Siegel 1989). A lot of research has been conducted in this field and researchers have looked into core problems of dyslexia. This essay is designed to explain and evaluate the magnocellular deficit theory of dyslexia, and the theory will be used to propose an appropriate intervention to benefit dyslexic children in primary schools. The Magnocellular deficit theory identifies that dyslexic individuals have a measurable disorder of the fast processing pathways of the visual system (Greatrex and Drasdo 1995). These pathways process the visual...
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...2014). Vaccination plays an important role within society of protecting humans and eradicating harmful diseases (Vaccines.gov, 2015). This essay will identify and...
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...Evidence Based Practice: Aseptic Technique for Peripheral IV Insertion Name: Course: Instructor’s Name Date: Introduction The significance of asepsis in the intravenous IV therapy is integral in the modern patient care because of the increased patients number requiring IV therapy due to changes in patterns of prescription and the today’s illnesses which has acute nature (Bofah et al, 2012). Peripheral Intravenous Cannulation according to Bofah et al (2012), is a procedure in which patent’s skin is punctured with a needle allowing a device to be temporarily inserted into the hand or forearm veins in administering intravenous medications or fluids, although other body sites can be used. It is vital to use intravenous drugs in the management of the patients who are hospitalized. The infections linked to the intravenous therapy may affect the blood stream or the skin around the insertion site of the catheter (Bofah et al, 2012). For this reason, Bofah et al (2012) suggested that general infection control and universal precautions measures need to be taken into considerations when undertaking a clinical procedure. However, specific measures need to be taken into consideration when administering intravenous therapy especially those in the home setting and the vulnerable patients. Kampf et al (2013) conducted an observational intervention study on “Improving Patient Safety during the Insertion of Peripheral Venous Catheters. The aim of the study was to determine...
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...Historical Perspective Essay Rebecca Firmin NUR/518 May 21,2012 Vta Massey Historical Perspective Essay One significant event in nursing research which created greater awareness for the need of utilizing research in clinical practice was the establishment in 1986 of the National Center for Nursing Research by congressional mandate. A primary function of the Center for Nursing Research was promotion of research projects that related to patient care. In this period nurses began formal projects to help with research utilization in clinical practice to enhance patient outcomes. During this time factors outside of nursing helped shape nursing research also. A clinical learning strategy designed by McMaster Medical School in Canada called evidence-based medicine had a major effect on all health care professions and how physicians and nurses made clinical decisions. This learning strategy paved the way for nursing research to incorporate evidence-based practice into the daily clinical practices and enhance patient outcomes. Nursing research focused on improved patient-nurse relationships and improved patient outcomes, strategies that nurses could utilize at the bedside to enhance patient care. With use of this learning strategy nursing developed nursing strategies that were centered around nursing diagnosis and not on medical diagnosis to effect patient outcomes. Interventions that nursing could use that were nursing related and did not require a physician’s order to...
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...This essay will discuss the historical and developmental overview of the history of the 'What Works' movement and Evidence Based Practice (EBP).This essay will examine the four general principles of effective intervention that have become organizing concepts of community corrections and overview how this has contributed to the strengths and weaknesses of the Probation practice as a "method of operation". Finally it will give some recommendations which could address the current weaknesses and build on the highlighted strengths. The “what works” movement was developed in the 1980s and formalized in 1990. The 'What Works' movement has been used with increasing success to assess and rehabilitate criminals all around the world. It is based...
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...Evidence Based Practice: Aseptic Technique for Peripheral IV Insertion Name: Course: Instructor’s Name Date: Introduction The significance of asepsis in the intravenous IV therapy is integral in the modern patient care because of the increased patients number requiring IV therapy due to changes in patterns of prescription and the today’s illnesses which has acute nature (Bofah et al, 2012). Peripheral Intravenous Cannulation according to Bofah et al (2012), is a procedure in which patent’s skin is punctured with a needle allowing a device to be temporarily inserted into the hand or forearm veins in administering intravenous medications or fluids, although other body sites can be used. It is vital to use intravenous drugs in the management of the patients who are hospitalized. The infections linked to the intravenous therapy may affect the blood stream or the skin around the insertion site of the catheter (Bofah et al, 2012). For this reason, Bofah et al (2012) suggested that general infection control and universal precautions measures need to be taken into considerations when undertaking a clinical procedure. However, specific measures need to be taken into consideration when administering intravenous therapy especially those in the home setting and the vulnerable patients. Kampf et al (2013) conducted an observational intervention study on “Improving Patient Safety during the Insertion of Peripheral Venous Catheters. The aim of the study was to determine the...
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...purpose of this essay is to conduct a comprehensive critical appraisal of a research paper titled ‘Chloramphenicol treatment for acute infective conjunctivitis in children in primary care’ that was carried out by Rose et al. (2005) in the United Kingdom (UK). The aim of evaluation is to critically concentrate on the strength and limitation of the study. Firstly, a clear definition of critical appraisal and its importance will be highlighted, going on further will be the critical, analysis, discussion and evaluation of the peer reviewed paper contents so as to ascertain the validity and reliability of the study. Therefore, a conclusion will be drawn to learning its significance in public health. BACKGROUND Critical Appraisal...
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...UNDERSTANDING EVIDENCE - BASED NURSING | Evidence-based Literature Search and Review on Interruptions during Drug Rounds | Cohort: March 2010 | | Student ID: | | Word count: 3292 Additional Module 1 | It is generally accepted that evidence-based practice (EBP) is the way forward in contemporary nursing. It provides the rationale behind nursing practice and allows for the delivery of optimal nursing care. Evidence-Based Nursing (EBN) involves the process of researching and implementing proven evidence in providing better patient care and is crucial as the role of the nurse is ever expanding (Banning, 2005). This essay will demonstrate that as a student nurse, the author has gained the necessary skills to conduct an evidence-based literature search and review and implement that knowledge into practice. Starting with a brief discussion on EBN it will go on to identify a suitable research question. During a placement on a medical ward the author noticed that nurses experienced many interruptions whilst conducting medication rounds and this review will consider ways to minimise interruptions and thus improve patient safety. Using the PICO acronym a suitable research question was formulated, ‘do interruptions during medication rounds increase the drugs administration errors made by nurses?’ A short description of the literature search is given and a summary of findings is presented in tabular form. Five original articles were selected and one chosen to critically...
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