...patient and to their families. The Pediatric Critical Care Society cited in Herr et al,. (2011) PICU, as an area within a hospital specializing in the care of critically ill infants, children, and teenagers from infant to 17 years of age. Children admitted in this area face either motor, speech, language or cognitive impairments that affect their ability to communicate, making them vulnerable to communication. The American Academy of Pediatrics (AAP) endorsed “Effective Communication” as being responsive to the needs of whole patient and family dynamic, which are essential to patient and family centered care, it can be expressed either by verbal or non verbal ways. The functions of effective communication are valuable in delivering efficient and emphatic care to the child and to their family members (Levetown 2015)....
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...the European Debt Crisis? Causes and Implications A number of economic misfortunes that started in 2002 created a European fiscal dilemma, including increasing debt experienced by the banks and governments of several European countries. It is believed that the uncontrolled debt led to the fiscal predicament that extended to grave proportions. Currently, at least 16 European countries are in debt. Among the countries most affected are Greece, Spain, Ireland, and Portugal. All of the countries in the Eurozone share a monetary currency called the Euro Dollar and have closely connected economies. Implications that have come about as a result of the Euro debt crisis may include Economic changes in Europe, Government bailouts, Stress to banking systems, and further economic deterioration. Role of the imf The IMF could play a very useful role in any comprehensive solution by providing some of the firepower to reassure the markets, and, more importantly, by supplying discipline to the execution of the rescue plans through enforcing conditionality on loan disbursements. The staff of the International Monetary Fund said in its latest assessment that the crisis in the euro area has reached a critical stage, and urged the 17 countries of the Eurozone to remain strongly committed to a vigorous and complete monetary union, including a unified banking system and more fiscal integration. The IMF has offered solutions for short term support to the Eurozone debt crisis with actions such...
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...It sounds as though Fred is depressed, feeling sorry for himself and may be going “through a midlife crisis” development stage. I imagine that he has lost his confidence because he had been looked over for promotions in the past and competing with the younger generation. I think I would focus on 1) identifying this as a barrier (I need him to identify his for himself) 2) identify his strengths 3) pulling out a career assessment to reevaluate his options. Which would lead to does how his transferrable skills, hobbies lead to opening doors options for possibility redefining himself. I would use this opportunity to do psychoeducation and identify the development stage of life has in now per Broderick & Blewitt. This week has been emotional,...
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...time, she is seeing a counselor which is a first good step. I am sure her counselor will observe, understand and respond to Rita’s issues with empathy, respect and nonjudgmental compassion. As a counselor, we know we must provide the environment for the clients with safety, help reduce stress and supply them with critical resources and social support. Assessment Rita is a 35 year old businesswoman. She graduated from a high school with also a vocational tech career. She runs an auto mechanic business. Her business is very successful and employees many helpers. Rita is married to Jake who is an accountant; they have 2 children, a daughter who is 13 years old and a son who is 8 years old. They do not attend church, but consider themselves religious. Rita has many issues going on and is feeling depressed and unfulfilled. The six-step model of crisis intervention focuses on the immediate process of actively, assertively, intentionally, and continuously assessing, listening and acting to systemically assist the client to regain as much of the pre-crisis equilibrium, mobility and autonomy as possible. “It becomes every crisis worker’s job to figuratively get the client back into the driver’s seat of the psychological vehicle” (James, 2008. p. 41). Defining the Problem Rita has been in a declining marriage for several years. She has tried different diversions to keep her mind occupied. Still being bored she sought out a sexual relationship with a man that sells automobiles...
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...Running Head: HEALTH CARE AND ECONOMICS Impact of Economics on Health Care System [STUDENT NAME] [INSITITUTION’S NAME] [INSTRUCTOR’S NAME] [CLASS] Evaluation of the Impact of Economics on Health Care System In this distressing financial crisis borrowers are finding it harder to access capital for their investments. Due to this factor one of the most important industries in society; health care, is being affected. Economics and economic policies play a significant role in many aspects of everyday life, including the health care system of a nation. Health care systems alone contribute to about 2.5 trillion dollars to the U.S. GDP (Amadeo, 2011). The current credit crisis is affecting hospitals more than any other organization because of the increased amount of uninsured people looking for health care services, staff shortages, and the low reimbursement rates from Medicaid and Medicare. Due to this hospitals are facing an increase in debt and are unable to gain more capital or even refinancing their existing loans because it has become more difficult to obtain credit. Recently, reimbursement rates from Medicaid and Medicare have drastically decreased putting a financial burden on hospitals. There has been a significant rise in underpayments by both Medicaid and Medicare, having made an increase from 3.8 billion in 2000 to 32 billion in 2008 (Kiselev, 2010). As a result of these low reimbursements hospitals are having to ‘cost-shift’ which upshots in an augment in...
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...individual type. Teachers will be responsible for student learning as far as managing it and monitoring it. They will use varying types of tactics to measure the students understanding and growth in subjects and be able to assess the whole class. CEC (Counsel for Exceptional Children) Learner Development and Individual Learning Differences are when beginning special education professionals understand that all students learn on a different level and many come from different culture, have a different background and languages. Learning Environment is important because it helps a beginning special education teacher act appropriately in the event of crisis in a student. They also collaborate with general education teachers to help create an environment where learning can take place that is inclusive, safe, and culturally responsive. Integrating technology into their teachings and involving families and community members as partners in each of the student’s education. Teachers will evaluate their teaching and the effectiveness on their students by getting feedback by students and other staff and administration. Lastly, they will help by advocating for the curriculum and the instruction for the best learning environment that can be presented to each student. Teachers will...
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...Solution overview Shape strategy with social media mining HP Live Customer Intelligence Your customers’ opinions are everywhere—in status posts, tweets, blogs, online forums, and countless other interactive outlets. It’s a wealth of data, but it’s also information that is scattered across literally millions of sites. This logistical challenge leaves many enterprises floundering when it comes to social media. Though you see the potential, the practical implementation seems unattainable. Harnessing this market sentiment can create a much greater breadth and depth of social intelligence. Your organization can develop more targeted solutions and products, differentiate from the competition, shift from reactively tactical to proactively strategic management of your brand, get inside the minds of customers and intimately speak the language they understand, and provide engaging service and support. All it takes is a realistic way to mine and sort the data. As part of our actionable customer intelligence, this function helps you improve product marketing and product support. It can also position you to significantly enhance the customer experience as you listen in on candid conversations about your products and services. Enabling sentiment analysis HP Live Customer Intelligence enables organizations to systematically gather market intelligence with unprecedented scope, accuracy, and transparency. Through advanced sentiment analysis capabilities, we translate an overwhelming...
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...need to uphold the ANA code of ethics in terms of respecting one another. She mentioned that faculty members cannot teach students to be professional if they themselves cannot exhibit professional behavior, and emphasized the need to be good role models. For this situation, the faculty members agreed and were able to resolve their issues. Leaders must be able to adapt their conflict managing behaviors in any situation and possess considerable social skills such as “effective communication, problem solving and negotiating with a focus on interests” (Saeed, Almas, Anis-Ul-Haq & Niazi, 2014). Leadership awareness of conflict on various levels is necessary for management of organizations and can “facilitate constructive social change toward a responsive and equitable system” (Saeed, Almas, Anis-Ul-Haq & Niazi,...
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...Gender and nutrition in emergencies Emergencies are often characterized by a high prevalence of acute malnutrition and micronutrient deficiency diseases, which in turn lead to increased risk of death among the affected population and in particular among vulnerable groups. Women, girls, boys and men face different risks in relation to a deterioration in their nutritional status in emergency contexts. These different vulnerabilities are related both to their differing nutritional requirements and to socio-cultural factors related to gender. Good nutrition programming must take due account of gender issues at all stages of the project cycle — from participatory assessment and analysis through to surveillance, implementation of interventions, monitoring and evaluation. How do gender issues affect nutritional status? * In crisis situations where food is in short supply, women and girls are more likely to reduce their food intake as a coping strategy in favour of other household members. This can contribute to under-nutrition among women and girls. Breastfeeding Challenges in Transition and Emergency Contexts Following the October 2005 earthquake in Kashmir, Pakistan, women frequently shared a shelter with distant male relatives and/or non-related men. The lack of privacy and support led many women to stop breastfeeding as they felt uncomfortable exposing their breasts in front of men. This emphasizes the urgent need for lactation corners in emergency settings to ensure continued breastfeeding...
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...communication realm of public relations. Public Relations in its earliest years, the era of Antiquity, acknowledged the importance of public opinion, but their scope was limited to an arm's reach of their publics. Social media has become both a window and a bridge to the public relations practitioners', by enabling them to interconnect the internal objectives of the organization with the constant changing externalities. In the arena of public relations, an array of hats is essential to effectively carry the overall message of an organization into a stage of visible outcome. An organization's public relations department amongst many other tasks must build awareness, research and analyze public attitudes and perceptions, strategize, and implement crisis plans. Social media provides a way for organizations to do these things on a scale not known in earlier times when messages had to first bypass the filter of the media "gatekeepers". As stated by Rupert Murdoch, "Technology is shifting the power away from the editors, the publishers, the establishment, and the media elite. Now it's the people who are in control" (p. 1). Social media as defined by Wikipedia is "an umbrella term for the various activities that integrate technology, and social interaction" (p. 1). This includes internet forums, weblogs, social blogs, wikis, podcasts, pictures, and videos. Forrester, The Growth of Social Technology Adoption estimated in 2008, that 3 out of 4 Americans use social technology. It is this type...
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...In this paper, I will be looking at and reviewing the research literature that is available concerning sickle cells disease. I chose this topic for a reason that is close to my heart; I have an eight month old infant who has been diagnosed with sickle cell disease. As a professional, I am concerned with the ways that we as nurses can contribute to providing quality care in response to clients presenting with this specific disease. As a person, I am on the other side of the health promoting, family based care relationship that I am used to in my practice; I now really appreciate how important it is for nurses to provide education, information, teaching and training to parents and clients in response to an illness like sickle cell. In a way, therefore, I am serving both as teacher and student here, as I develop knowledge and collect evidence that I will use as both a nurse and as a concerned parent seeking to understand a disease that my child has been diagnosed with. This literature review supports the argument that nurses can play an important role in promoting quality care for clients and families coping with sickle cell disease, once a strong understanding of this disease and the nurse’s role in responding to it is achieved. This, therefore, is the goal of this literature review. Gale’s “Health Reference Centre Academic” database was used for the research. In fact, a very simple search resulted in the obtainment of all six of the quality, peer reviewed, scholarly research...
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...One year to go through the turbulent Vietnam's economy, including logistics industry, although imports and exports reached 202 billion dollars, and foreign trade continued to grow higher in conditions of crisis financial world has not recovered and hovering euro crisis, debt . In 2013, Vietnam faced with the highest inflation in the region, causing many to affect prices, materials, services, special additives are higher freight, sea freight market, aviation world is in a recession accompanied by shipping companies, airlines Vietnam in a similar situation. Despite these difficulties, more optimism about the prospects for Vietnam's economy in 2012 and expectations for the long-term potential of the economy, a "new stage for increased competitive growth". In the positive changes to improve the business environment of Vietnam, areas most clearly observed in the change in 2011 as administrative procedures and infrastructure, telecommunications ... this is the point light paved the way for 2012, and as noted above, Vietnam's logistics industry needs to look more optimistic contributed significantly to bringing Vietnam import-export turnover to a new stage production and servicing, consumer domestic to large fluctuations occur. The optimism of the logistics industry in Vietnam in 2012 through the following presentation: Take a look at the indicators optimistic about Vietnam's logistics industry, it is also the most stable signals: Vietnam's logistics industry has matured...
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...Phoenix Organizational Diagnosis and Intervention June 16, 2008 Learning Team Leadership Learning Team Leadership Evaluation The global economy, geographically distributed organizations, and increasingly rapid technological changes have added a level of complexity that has changed the nature of business interrelationships. Managerial self-awareness and personal reflection play an important role in the leadership development process (McCarthy & Garavan, 1999). The 360-degree feedback process, multisource assessments, and personality inventories are useful in the context of leadership development (Church & Bracken, 1997; McCarthy & Garavan, 1999). Selfassessment and personal reflection are valuable tools in achieving personal and professional 2 growth and success. The challenge, however, is that self-assessment is oftentimes a difficult task due to the subjectivity of personal perceptions of strengths and weaknesses. The purpose of this essay is to report out on the assessment of the leadership styles of individual team members and identify the most important areas for improvement. The essay commences with a discussion on the criteria used for the selection of the Myers Briggs Type Indicator (MBTI) as a self-awareness leadership instrument. The essay continues with an analysis of individual team member results from the Myers-Briggs and concludes with a set of recommendations by acknowledging that leadership styles vary among individuals and the personality of the individual...
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...Classrooms were locked down for three hours. A few days ago, a teacher at your school said she saw in the crisis handbook that following a crisis, teachers should look for student behavior that is out of the ordinary as a way of identifying students who may need to see the school counselor. The student she is concerned about is a seventh grade (13 year old) Asian male named Tai. She said that he seems to be more withdrawn since the shootings and believes one of the students who were shot was a friend of his. Tai is new to the school this year and participates in the free lunch plan. Case Conceptualization and Needs Assessment Having a comprehensive crisis management plan in place allows members of the school staff and community to be aware of policy and procedures related to identifying students who may be in crisis. A crisis management plan should detail student behavior which may be signs of mental illness or crisis. In doing so school staff have criteria in place that helps identify those who may need assistance. According to Allen et al., the role of the school counselor is defined by the American School Counselor Association's (ASCA, 2000) by the statement, "the professional school counselor's primary role is to provide direct counseling service during and after the incident" (ASCA), school counselors are expected to serve students and school personnel during times of crisis by providing individual and group counseling; consulting with administrators, teachers, parents, and...
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...understanding of how hypnotherapy can be achieved. The hypnotherapist will start to build up a rapport with the client, helping to build trust and thus, reassure the client so that they can get the most from the sessions. It is usually necessary to correct the patients expectations and beliefs and allay fears, since any misapprehensions or anxiety will integer with the entire experience and may even prevent him from entering the hypnotic state. (Karle et al, 1987,23) Each client is unique and different in many ways, and no two assessments will ever give the same results. This is because of many different factors, for example, different cultural backgrounds and differing ways in which people are bought up. Everyone has their own unique outlooks, values and perspectives, likes and dislikes, fears and phobias, alcohol and drug use. Once the hypnotherapist has gathered all the relevant information and perhaps completed a screed assessment, they can devise the correct therapy for each individual client in order that they can achieve the best possible result from the therapy sessions. This is called personalising the induction. i.e. tailoring it to suit a specific individual. ‘The real vehicle for change is the induction, which produces or causes a hypnotic state. You may think of the induction as...
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