Tuesday, December 24, 2019

A Holistic View Means That We Are Essay - 1357 Words

A holistic view means that we are interested in engaging and developing the whole person. You can think of this as different levels, physical, emotional, mental and spiritual. It s the concept that the human being is multi-dimensional. We have conscious and unconscious aspects, rational and irrational aspects. A holistic pregnancy and childbirth recognizes the impact of the mind and spirit, as well as the physical body, on the experience of pregnancy and birth. Physical health, values and beliefs, relationships, emotional wellbeing, and spirituality all affect pregnancy and birth. In turn, the experiences of pregnancy and birth influence body, mind, and spirit. Trusts the natural progression: A holistic approach to pregnancy and childbirth also recognizes that a woman s body is naturally designed to conceive, nourish, and give birth to a baby. It trusts the natural progression of pregnancy and labor. Distinguished from natural childbirth. Natural childbirth is a term that holds many different meanings to women and healthcare providers. To some, it means a complete avoidance of medication or interventions. To others, it simply means that a woman gave birth vaginally as opposed to having a cesarean section. IncorporatesShow MoreRelatedDifferent Definitions Of Gestalt And Holistic Essay1732 Words   |  7 PagesOur use of the terms Gestalt and Holistic We use two definitions for both gestalt and holistic. Gestalt and holistic are sometimes used synonymously but we look at them as something separate within the realm of the Framework method. Gestalt a) Gestalt: something that is made of many parts and yet is somehow more than or different from the combination of its parts; Perception and therefore awareness are critical components of Gestalt. Basically, we want a Gestalt approach to change perceptionsRead MoreMental Health Nursing Essay1248 Words   |  5 PagesNursing practice has revolutionized itself throughout the years. Today we realize the causes of current illnesses as complex and multifaceted (source). In past models, for instance the medical model, the approach was straightforward and neglected the patients active involvement in their care; the patient was viewed as the passive recipient and the doctor, an active agent that â€Å"fixed† their patients. ( source). New developed models since then, such as the biopsychosocial model, show us that careRead MoreMy Values And Beliefs Of Nursing1170 Words   |  5 Pagesof Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own. My Values and Beliefs of Nursing I choose nursing as my future career because I enjoy working with others, helpingRead MoreHuman Beings are Under Constant Stress752 Words   |  3 Pagesinstances and circumstances we encounter throughout our quotidian life – this is the mindset of the holistic practitioner. Comprised of many complex components working in harmony with one another the human being is under constant stress. The stress of work, of school, of husbands and wives strain those mentioned equilibriums to their extent and enact illness directly due to those imbalances. One way to remedy this imbalance is that of the Holistic approach. Holistic medicine includes: acupunctureRead MoreHolistic Nurse Self-Reflective Assessment Essay1157 Words   |  5 PagesHolistic nursing to me is a practice of applying both subjective and objective patient assessment into the plan of care. Not only do we need to look at the physical condition of the patient, but also their social and environmental factors that influence their state of health. When this application process is incorporated into the patient plan of care, we are incorporating all aspects of the patient’s life that help define and create their ideal state of health. In review of several nursing theoriesRead MoreAlfred Adler s Theory Of Psychology894 Words   |  4 Pagesmore so than Freud, which may be the reason why they both parted ways. Alfred Adler had a more of a holistic approach type theory of psychotherapy, a different worldview, which reflected a more philosophical way of living. Despite theoretical differences with Freud, Adler went on to establish a School of Individual Psychology. The reason that I chose this theory is his approach to a holistic theory approach, as well as his approach to psychotherapy and psychopathology. From a scientific perspectiveRead MoreThe Spirit Catches You And You Fall Down968 Words   |  4 PagesSpirit Catches You and You Fall Down â€Å"Medicine was religion. Religion was society. Society was medicine† (Fadiman, 1997). To the Hmong’s, this is a way of life. Everything in their culture is interrelated and represents a holistic view. As Americans, we try to incorporate the holistic approach into our health care system, but heavily rely on medications and science to treat illness. Arthur Kelinman developed the explanatory model of illness which incorporates a series of questions that is unique toRead MoreApproaches to Health1526 Words   |  6 Pagesthat â€Å"In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted. Negative Definition of Health The negative model is based on the idea that health is the opposite of disease. The definition believes that disease is a biological state where the individual is afflicted by a physical condition or illness (Walsh, 2011: 325). It views the body as a machine that may malfunction at times, because for some reasonRead MoreTheory as an Important Paradigm of Modern Nursing1073 Words   |  4 Pagesto have a means and template from which to help make decisions for the patient. One theoretical maxim important to modern nursing is that of Family Systems Theory, and its offshoot, Family Stress Theory. One theory, the Family Systems Theory was proposed by Karl Ludwig von Bertalalanffy, an Austrian Biologist. This theory is an interdisciplinary practice that describes systems that have numerous spokes, or interacting components. The origins of the theory came from Bertalanffys view that the basicRead MoreEvaluate The Role Of The Early Years Practitioner In Supporting Childrens Holistic Development Essay806 Words   |  4 Pagesfeelings and behaviour and making relationship with others. The EYFS states and practitioners can help parents and children by the following factors: †¢ Encouraging children and families to have a strong cultural identity †¢ Respecting and listening to the view of parents †¢ Encouraging a sense of belonging for children and families †¢ Making opportunities for children to be successful †¢ Understanding why happy, sociable children learn better †¢ Understanding and managing the behaviour of children and staff

A Holistic View Means That We Are Essay - 1357 Words

A holistic view means that we are interested in engaging and developing the whole person. You can think of this as different levels, physical, emotional, mental and spiritual. It s the concept that the human being is multi-dimensional. We have conscious and unconscious aspects, rational and irrational aspects. A holistic pregnancy and childbirth recognizes the impact of the mind and spirit, as well as the physical body, on the experience of pregnancy and birth. Physical health, values and beliefs, relationships, emotional wellbeing, and spirituality all affect pregnancy and birth. In turn, the experiences of pregnancy and birth influence body, mind, and spirit. Trusts the natural progression: A holistic approach to pregnancy and childbirth also recognizes that a woman s body is naturally designed to conceive, nourish, and give birth to a baby. It trusts the natural progression of pregnancy and labor. Distinguished from natural childbirth. Natural childbirth is a term that holds many different meanings to women and healthcare providers. To some, it means a complete avoidance of medication or interventions. To others, it simply means that a woman gave birth vaginally as opposed to having a cesarean section. IncorporatesShow MoreRelatedDifferent Definitions Of Gestalt And Holistic Essay1732 Words   |  7 PagesOur use of the terms Gestalt and Holistic We use two definitions for both gestalt and holistic. Gestalt and holistic are sometimes used synonymously but we look at them as something separate within the realm of the Framework method. Gestalt a) Gestalt: something that is made of many parts and yet is somehow more than or different from the combination of its parts; Perception and therefore awareness are critical components of Gestalt. Basically, we want a Gestalt approach to change perceptionsRead MoreMental Health Nursing Essay1248 Words   |  5 PagesNursing practice has revolutionized itself throughout the years. Today we realize the causes of current illnesses as complex and multifaceted (source). In past models, for instance the medical model, the approach was straightforward and neglected the patients active involvement in their care; the patient was viewed as the passive recipient and the doctor, an active agent that â€Å"fixed† their patients. ( source). New developed models since then, such as the biopsychosocial model, show us that careRead MoreMy Values And Beliefs Of Nursing1170 Words   |  5 Pagesof Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own. My Values and Beliefs of Nursing I choose nursing as my future career because I enjoy working with others, helpingRead MoreHuman Beings are Under Constant Stress752 Words   |  3 Pagesinstances and circumstances we encounter throughout our quotidian life – this is the mindset of the holistic practitioner. Comprised of many complex components working in harmony with one another the human being is under constant stress. The stress of work, of school, of husbands and wives strain those mentioned equilibriums to their extent and enact illness directly due to those imbalances. One way to remedy this imbalance is that of the Holistic approach. Holistic medicine includes: acupunctureRead MoreHolistic Nurse Self-Reflective Assessment Essay1157 Words   |  5 PagesHolistic nursing to me is a practice of applying both subjective and objective patient assessment into the plan of care. Not only do we need to look at the physical condition of the patient, but also their social and environmental factors that influence their state of health. When this application process is incorporated into the patient plan of care, we are incorporating all aspects of the patient’s life that help define and create their ideal state of health. In review of several nursing theoriesRead MoreAlfred Adler s Theory Of Psychology894 Words   |  4 Pagesmore so than Freud, which may be the reason why they both parted ways. Alfred Adler had a more of a holistic approach type theory of psychotherapy, a different worldview, which reflected a more philosophical way of living. Despite theoretical differences with Freud, Adler went on to establish a School of Individual Psychology. The reason that I chose this theory is his approach to a holistic theory approach, as well as his approach to psychotherapy and psychopathology. From a scientific perspectiveRead MoreThe Spirit Catches You And You Fall Down968 Words   |  4 PagesSpirit Catches You and You Fall Down â€Å"Medicine was religion. Religion was society. Society was medicine† (Fadiman, 1997). To the Hmong’s, this is a way of life. Everything in their culture is interrelated and represents a holistic view. As Americans, we try to incorporate the holistic approach into our health care system, but heavily rely on medications and science to treat illness. Arthur Kelinman developed the explanatory model of illness which incorporates a series of questions that is unique toRead MoreApproaches to Health1526 Words   |  6 Pagesthat â€Å"In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted. Negative Definition of Health The negative model is based on the idea that health is the opposite of disease. The definition believes that disease is a biological state where the individual is afflicted by a physical condition or illness (Walsh, 2011: 325). It views the body as a machine that may malfunction at times, because for some reasonRead MoreTheory as an Important Paradigm of Modern Nursing1073 Words   |  4 Pagesto have a means and template from which to help make decisions for the patient. One theoretical maxim important to modern nursing is that of Family Systems Theory, and its offshoot, Family Stress Theory. One theory, the Family Systems Theory was proposed by Karl Ludwig von Bertalalanffy, an Austrian Biologist. This theory is an interdisciplinary practice that describes systems that have numerous spokes, or interacting components. The origins of the theory came from Bertalanffys view that the basicRead MoreEvaluate The Role Of The Early Years Practitioner In Supporting Childrens Holistic Development Essay806 Words   |  4 Pagesfeelings and behaviour and making relationship with others. The EYFS states and practitioners can help parents and children by the following factors: †¢ Encouraging children and families to have a strong cultural identity †¢ Respecting and listening to the view of parents †¢ Encouraging a sense of belonging for children and families †¢ Making opportunities for children to be successful †¢ Understanding why happy, sociable children learn better †¢ Understanding and managing the behaviour of children and staff

A Holistic View Means That We Are Essay - 1357 Words

A holistic view means that we are interested in engaging and developing the whole person. You can think of this as different levels, physical, emotional, mental and spiritual. It s the concept that the human being is multi-dimensional. We have conscious and unconscious aspects, rational and irrational aspects. A holistic pregnancy and childbirth recognizes the impact of the mind and spirit, as well as the physical body, on the experience of pregnancy and birth. Physical health, values and beliefs, relationships, emotional wellbeing, and spirituality all affect pregnancy and birth. In turn, the experiences of pregnancy and birth influence body, mind, and spirit. Trusts the natural progression: A holistic approach to pregnancy and childbirth also recognizes that a woman s body is naturally designed to conceive, nourish, and give birth to a baby. It trusts the natural progression of pregnancy and labor. Distinguished from natural childbirth. Natural childbirth is a term that holds many different meanings to women and healthcare providers. To some, it means a complete avoidance of medication or interventions. To others, it simply means that a woman gave birth vaginally as opposed to having a cesarean section. IncorporatesShow MoreRelatedDifferent Definitions Of Gestalt And Holistic Essay1732 Words   |  7 PagesOur use of the terms Gestalt and Holistic We use two definitions for both gestalt and holistic. Gestalt and holistic are sometimes used synonymously but we look at them as something separate within the realm of the Framework method. Gestalt a) Gestalt: something that is made of many parts and yet is somehow more than or different from the combination of its parts; Perception and therefore awareness are critical components of Gestalt. Basically, we want a Gestalt approach to change perceptionsRead MoreMental Health Nursing Essay1248 Words   |  5 PagesNursing practice has revolutionized itself throughout the years. Today we realize the causes of current illnesses as complex and multifaceted (source). In past models, for instance the medical model, the approach was straightforward and neglected the patients active involvement in their care; the patient was viewed as the passive recipient and the doctor, an active agent that â€Å"fixed† their patients. ( source). New developed models since then, such as the biopsychosocial model, show us that careRead MoreMy Values And Beliefs Of Nursing1170 Words   |  5 Pagesof Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own. My Values and Beliefs of Nursing I choose nursing as my future career because I enjoy working with others, helpingRead MoreHuman Beings are Under Constant Stress752 Words   |  3 Pagesinstances and circumstances we encounter throughout our quotidian life – this is the mindset of the holistic practitioner. Comprised of many complex components working in harmony with one another the human being is under constant stress. The stress of work, of school, of husbands and wives strain those mentioned equilibriums to their extent and enact illness directly due to those imbalances. One way to remedy this imbalance is that of the Holistic approach. Holistic medicine includes: acupunctureRead MoreHolistic Nurse Self-Reflective Assessment Essay1157 Words   |  5 PagesHolistic nursing to me is a practice of applying both subjective and objective patient assessment into the plan of care. Not only do we need to look at the physical condition of the patient, but also their social and environmental factors that influence their state of health. When this application process is incorporated into the patient plan of care, we are incorporating all aspects of the patient’s life that help define and create their ideal state of health. In review of several nursing theoriesRead MoreAlfred Adler s Theory Of Psychology894 Words   |  4 Pagesmore so than Freud, which may be the reason why they both parted ways. Alfred Adler had a more of a holistic approach type theory of psychotherapy, a different worldview, which reflected a more philosophical way of living. Despite theoretical differences with Freud, Adler went on to establish a School of Individual Psychology. The reason that I chose this theory is his approach to a holistic theory approach, as well as his approach to psychotherapy and psychopathology. From a scientific perspectiveRead MoreThe Spirit Catches You And You Fall Down968 Words   |  4 PagesSpirit Catches You and You Fall Down â€Å"Medicine was religion. Religion was society. Society was medicine† (Fadiman, 1997). To the Hmong’s, this is a way of life. Everything in their culture is interrelated and represents a holistic view. As Americans, we try to incorporate the holistic approach into our health care system, but heavily rely on medications and science to treat illness. Arthur Kelinman developed the explanatory model of illness which incorporates a series of questions that is unique toRead MoreApproaches to Health1526 Words   |  6 Pagesthat â€Å"In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted. Negative Definition of Health The negative model is based on the idea that health is the opposite of disease. The definition believes that disease is a biological state where the individual is afflicted by a physical condition or illness (Walsh, 2011: 325). It views the body as a machine that may malfunction at times, because for some reasonRead MoreTheory as an Important Paradigm of Modern Nursing1073 Words   |  4 Pagesto have a means and template from which to help make decisions for the patient. One theoretical maxim important to modern nursing is that of Family Systems Theory, and its offshoot, Family Stress Theory. One theory, the Family Systems Theory was proposed by Karl Ludwig von Bertalalanffy, an Austrian Biologist. This theory is an interdisciplinary practice that describes systems that have numerous spokes, or interacting components. The origins of the theory came from Bertalanffys view that the basicRead MoreEvaluate The Role Of The Early Years Practitioner In Supporting Childrens Holistic Development Essay806 Words   |  4 Pagesfeelings and behaviour and making relationship with others. The EYFS states and practitioners can help parents and children by the following factors: †¢ Encouraging children and families to have a strong cultural identity †¢ Respecting and listening to the view of parents †¢ Encouraging a sense of belonging for children and families †¢ Making opportunities for children to be successful †¢ Understanding why happy, sociable children learn better †¢ Understanding and managing the behaviour of children and staff

Monday, December 16, 2019

Cause and Effect Essay Topics about Animals at a Glance

Cause and Effect Essay Topics about Animals at a Glance Introducing Cause and Effect Essay Topics about Animals In case you're indecisive to pay a person to compose your essay, explore other facets of our websites or contact our support team for any extra guidelines. After you know what kind of essay you're going to write in class, we can share samples so that you may see what you'll need to write. In the event that you were assigned a particular topic or you picked it all on your own, looking through samples will be advisable. There are lots of unique topics that you may choose to write about when it regards academic writing at college level. What to Expect From Cause and Effect Essay Topics about Animals? If you must compose a cause and effect essay on animals, then there's a wide range of unique approaches that you can take. There has to be a crystal clear relationship between the effects and the reasons for the topic you decide on. While describing a health problem such as some sort of disease, it's possible to include a number of consequences. There are several harmful and dangerous effects related to smoking. Smoking has turned into a trend in the present world, though people know how harmful it is. Folks begin to smoke to become new experience and to locate a way to cut back stresses and feel relaxed. Students should look closely at the way things relate to one another. Animals fight with one another on sharing their favourite feed. The Basic Facts of Cause and Effect Essay Topics about Animals Most importantly, all kinds of essay writing demands the writer to experience the essay few times before finalizing the content to make certain it is readable and concise. You're able to choose a topic from the list according to the requirement of your course and begin writing your essay hook and the remaining portion of the essay easily. Your essay should prove your thesis statement. Although writing an MBA essay is much like writing any diff erent type of essay in addition, there are difference that you have to know about to be able to compose a wonderful paper. Writing a great essay about cause and effect is simpler than it might seem. The cause and effect essay outline is likely to serve you as a guide for the remainder of the paper. More often you'll have to select your own cause and effect essay topic. Cause and effect essay topics are thought to be a simple staff, but they ought to be catchy. Cause and effect is a typical way of organizing and discussing ideas. The body section will subsequently go into far greater detail, examining all the various aspects concerning the cause and effect of the issue which you're discussing. As a result, if you should take a look at mammals, then you would take a look at how reproduction occurs, in addition to various details regarding the gestation period, followed by the authentic act of birth itself. Whispered Cause and Effect Essay Topics about Animals Secrets Once more, based on the content you've got to provide, the essay needs to be organized to suit your information efficiently and neatl y. Based on the content of your blog, it's possible to even use a few of the topics listed above. If you're looking for a specific topic that changes its meaning through time, make certain that essays on the site are up-to-date. Whenever your topic is associated with the subject of the essay sample, have a look at the reference list. Cause and Effect Essay Topics about Animals Explained The cause and effect essay mainly has the discussion about the reason for the occurrence of a specific thing in addition to the impact of occurrence of the exact same. A cause and effect essay is the kind of paper that the writer is using to analyze the causes and effects of a certain action or event. A cause is the thing that makes something happen, and a result is what the results are on account of the cause. It's also essential to note that the cause is usually written before the result is, but there are rare cases once the effect is going to be written first. There is just one cause, but there are lots of effects. There are various sorts of effects and causes that you could take under consideration. You may not wind up using all the causes and effects listed in your chart. In addition, there are less important ones that are known as the contributory results and causes. Cause and effect essay have many sub-types. Before you commence working on cause and effect essay outline the very first thing you have to do is to select a winning topic. 1 moment in past you want to revisit. One particular recent moment of bliss that you've experienced.

Sunday, December 8, 2019

Educational Model to Enhance Nursing Students †MyAssignmenthelp

Question: Discuss about the Educational Model to Enhance Nursing Students. Answer: Introduction: Millions of elderly fall and suffer from hip fractures or traumatic brain injury, as reported by the Center for disease control and prevention. As per the report published by the Portuguese health national reports, 4200 incidents of falls and 85 incidents of fall related deaths have been reported (Simpson, Miller Eng, 2011) . Slips and falls and fall related injuries have been considered as one of the prioritized standards of Joint Commission International (JCI) and Health Authority of Abu Dhabi (HAAD) (Hospital Standard, 2008). Cardiovascular attacks have been found to be the most common contributing factors of falls among the elderly (Simpson, Miller Eng, 2011; Abreu, Mendes, Monteiro Santos, 2012). Fall generally occurs due to the altered balance between the brain and the body (Simpson, Miller Eng, 2011). In order to manage falls in elderly it is necessary for an extensive planning and decision making. The decision making process has got seven standards, such as identifying th e triggering agent of falls, setting the criteria, weighing it, seeking for any alternatives, testing and troubleshooting of the problems (Griffith University, 2013). This essay aims to focus on the risk factors of fall, its triggering agents, JCI and the HAAD standards of falls, clinical cycle reasoning related to the scenario faced and possible recommendations. According to Simpson, Miller and Eng, (2011), falls can be defined as an event which results in a person coming to rest inadvertently on the ground, with the inability to correct in due time and is determined by circumstances involving multiple factors that affect stability". Falls can be cause din the elderly due to the effect of certain hypertensive medications that causes dizziness (Simpson, Miller Eng, 2011). Some of the other contributing factors are hypoglycemia and hypertension (Clinical Excellence Commission, 2008; Tsur Segal, 2010). Ischemic stroke is also another risk factor that can contribute to falls in elderly. Other risk factors include bladder and bowel incontinence, confusion and aviation and postural hypotension (Oliver, Healey Haines, 2010). HAAD and JCI Standards HAAD is a renowned and certified health authority by the JC international ((HAAD JAWDA, 2015). HAAD have established the strategies for preventing falls in the elderly. HAAD has established JAWDA as a key performance indicator for detecting the rate of the falls in adults. It will also keep a record of the rate of the sentinel events in hospitals, due to falls (HAAD JAWDA, 2015). Clinical reasoning cycle helps a health care provider to collect the cues, process the pathogenesis related to the signs and symptoms, assessment, planning and implementing the interventions, measuring the outcomes, reflecting and learning form the outcomes. A 76 years old female named Nilou, has been admitted in the rehab ward on 10th February due to the Cerebro Vascular Accident (CVA), a frontal affected region and right sided weakness. The vital signs are all normal. The patient is a widow staying in Al Gharbiya Region of Abu Dhabi, with two sons and one daughter. They visit their mother regularly but no one stays with the patient at night. Collection of cues occurs in three parts. In the initial review the patient has informed that she had been suffering from hypertension and diabetes, for the last 25 years. She takes rosuvastatin, aspirin, ezetimibe and amlodipine, for hypotension and takes glargine and insulin injection for diabetes. The lab tests for the complete blood count and the levels of the urea and electrolytes are normal. No blockage was detected in the vascular ultrasound carotid Doppler. There was acute infarction present in the frontal region, recorded in the magnetic resonance angiography. There was an incident of a fall, where the patient complaint that the bathroom was not nearby and there was no help present to assist her in the bathroom. The second step involves the assessment of the motor functions of the left side, where it graded 5 out of 5. The right side of the head showed some weakness and scored 2 out of 5. The Glasgow comma scale was ranging between 14 to 15. BP was 127/75, RR- 80, HR- 80 . Blood sugar was 17.1. After the application of 10 units of insulin the blood sugar level was found to be 13.4 just after an hour. The third step is Recall. The Morse fall score altered from 60 to 85 due to the incidence of fall, right sided hemiplegia, patient confusion (Plessis, 2015). Furthermore the region of the brain that is the site of motor functions, concentration, emotion and the self awareness was also affected which might have caused the patient to make irrational decisions. Information processing The processing of the information consists of six- sub stages, such as the interpretation, discrimination, relation, drawing of inferences, matching, and prediction. Interpretation- The Glasgow comma scale was within the accepted range, high blood sugar level, high Morse fall risk, decreased strength and sensation of in the right side, confusion due to the affected regions of the brain. Discriminate- High Morse score, confusion and right sided hemiplagia. Relation- Muscular weaknesses causing imbalance Inference- To keep the patient in close monitoring Matching- Cardiovascular attacks are related to higher risk of fall. Prediction- risks of falls in clinical settings might be due to certain factors like medications, lack of trained staffs, lack of mobilizing aids and weak fall prevention strategies. According to (Tsu and Segal, 2010) a large proportion of fall occurs at the bedside in a clinical setting. Having a near miss in the clinical setting can cause the nurse to alert the quality management setting. Proper investigation may cause termination of the unskilled staffs or those who have breached the standards. Whereas a patient might get a femoral fracture, hip fracture, traumatic brain injury and delay in the healing as the patient is an elderly (Oliver, Healey Haines, 2010; CDC, 2016; Simpson, Miller Eng, 2011). There are two main diagnoses related to high risk of falls are impaired step mobility and the altered psychological status. In this phase of the cycle the nurse formulates the interventions against all the problems. The first step is abiding by the hospital protocols regarding the falls. It is first necessary to assess the patient. Interventions can be taken such as keeping the patient under continuous surveillance, accompanying the patient in the toilet, using the yellow risk band for fall risks, placing the bed in the lowest and comfortable position, putting up the side rails (Plessis, 2015). A multidisciplinary team should be used to ensure that the patient regains movement on the right side. Physiotherapy and an occupational therapist can be used. The family members should also be included in the collaborative care approach and should be taught about the daily exercises recommended by the physiotherapist (Plessis, 2015). The goal is accomplished when the patient is discharged from the setting without any record of falls. In addition the family has been given information regarding the maintenance of safe home environment like ensuring a non slippery pathway (Simpson, Miller and Eng, 2011). The experience was quite challenging and I was perturbed as she had shifted out of the bed more than once without a fall. I felt that my care had been incomplete as restraining her to remain in the bed depressed her. A one to one observation could have been done but it is the objective that had prevented me from doing so. Yet I feel that I have tried to contribute my best for giving a proper discharge to the patient. I have been successful in educating the patient and the family regarding the usage of bells when in bed. The improvements that can be achieves would be mentioned in the following sections of recommendations. Recommendations There are several loops and gaps left in the fall prevention strategies even after the adoption of advanced technologies and the preventive measures. Hence a comprehensive strategy is required to so. Oliverm Healey and Haines, (2010) have suggested the use of a movement tracking device that helps in patient tracking without the requirement of one to one observation. Such a device would not only save time but would also be cost effective. According to Agency for Healthcare Research and Quality (AHRQ), the requirements of the elderly patients should always be balanced with fall prevention (AHRQ, 2013). Another fruitful intervention is to include the family in the decision making process and in the physiotherapy sessions, such that they can help out the patient with the exercises even in the absence of the physiotherapists. The final recommendation is to ensure the cross checking of the medication, as the patients is under hypertensive medications and wrong doses can cause unconsciousne ss and fall (AHRQ, 2013). Conclusion Slips and falls are still the biggest possible risk in the field of geriatric care and lots of efforts are currently put and more has to be incorporated in order to decrease the risks. It is evident that stroke is one of the main risk factor as it give rise to hemiplegia and an affected patient will not be aware of his brain and body balance. Bedside falls are also found to be quite common. Many strategies have been set as standards for allowing the caregivers to ensure a safe health care delivery to the elderly population. References Abreu, C., Mendes, A., Monteiro, J., Santos, F. (2012). Falls in hospital settings: a longitudinal study. Revista Latino-Americana De Enfermagem, 20(3), 597-603. https://dx.doi.org/10.1590/s0104-11692012000300023 Agency for Healthcare Research Quality,. (2013). Which fall prevention practices do you want to use?. Retrieved 2 March 2016, from https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk3.html Centers for Disease Control and Prevention. (2016). Important Facts about Falls | Home and Recreational Safety | CDC Injury Center. Centers for Disease Control and Prevention. Retrieved 8 March 2016, from https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html Clinical Excellence Commission. (2006).Patient Safety and Clinical Quality Program: Third report on incident management in the NSW Public Health System 2005-2006, NSW Department of Health. Sydney. Retrieved 02 March 2016, from https://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0005/258269/incident-management-2008_01to06.pdf Griffith University. (2013). Advanced Clinical Decision Making (3801). Malaysia: Pearson Health Authority of Abu Dhabi (2008). Hospital Standard. (1st ed.). Abu Dhabi. Retrieved from https://www.haad.ae/HAAD/LinkClick.aspx?fileticket=dI0JyhF3pDc%3D Health Authority of Abu Dhabi. (2015). HAAD JAWDA Quality Performance KPI. Health Authority of Abu Dhabi.:Abu Dhabi. Retrieved 02 March 2016 from https://www.haad.ae/HAAD/LinkClick.aspx?fileticket=j73CZWI86MU%3Dtabid=1450 Levett-Jones, T., Hoffman, K. Dempsey, Y. Jeong, S., Noble, D., Norton, C., Roche, J., Hickey, N. (2010). The five rights of clinical reasoning: an educational model to enhance nursing students ability to identify and manage clinically at risk patients. Nurse Education Today. Retrieved 02March 2016, from https://www.utas.edu.au/__data/assets/pdf_file/0003/263487/Clinical-Reasoning-Instructor-Resources.pdf Oliver, D., Healey, F., Haines, T. P. (2010). Preventing falls and fall-related injuries in hospitals. Clinics in geriatric medicine, 26(4), 645-692.doi: 10.1016/j.cger.2010.06.005 Plessis, C., (2015). Falls Prevention and Management for Adult and Pediatric Patients. Abu Dhabi, United Arab Emirates. SEHA. (2014, June, 01). Incidents Reporting and Management through Patient Safety Net. Abu Dhabi, United Arab Emirates. Simpson, L., Miller, W., Eng, J. (2011). Effect of Stroke on Fall Rate, Location and Predictors: A Prospective Comparison of Older Adults with and without Stroke. Plos ONE, 6(4), e19431. https://dx.doi.org/10.1371/journal.pone.0019431 Tsur, A., Segal, Z. (2010). Falls in stroke patients: risk factors and risk management. IMAJ-Israel Medical Association Journal, 12(4), 216. Retrieved 02, March, 2016, from https://www.ima.org.il/Imaj/ViewArticle.aspx?aId=311 Zuccarello, M., McMahon, N. (2013). Strock (Brain Attack). Mayfield Clinic. Retrieved 10 March 2016, from https://www.mayfieldclinic.com/pdf/PE-stroke.pdf

Sunday, December 1, 2019

Integrating Care And Justice Moral Development Essays - Morality

Integrating Care and Justice: Moral Development Matchmaker.com: Sign up now for a free trial. Date Smarter! Integrating Care and Justice: Moral Development Part One: The criticisms of Kohlberg's moral development stages seem to center around three major points, his research methods, the "regression" of stage four, and finally his goals. The first criticism that I would like to address is that of his research methods. Kohlberg is often criticized for not only his subject selection, but also the methods by which he tries to extricate data from those subjects. His initial study consisted of school boys from a private institution in Chicago. The problem with this is fairly obvious, that this does not represent a significant portion of the population to allow for generalized conclusions. In other words, how can we test some boys from Chicago and ascertain that this is how all people develop worldwide? I believe that the answer to this criticism comes from the theory that it relates to. Kohlberg's moral development schema is highly dependent upon the idea that there are fundamental truths that cannot be dismissed. These ideas are "in the ether", wound into the very fabric that constructs human nature. Granted, his descriptions of the various stages also seem very dependent upon the surroundings and social institutions that an individual would be subjected to. Yet these institutions would be have to be built upon people, all of whom would share these ideological truths. It seems fairly obvious that all people have undeniable needs, survival and some group membership. Kohlberg's stages are merely methods by which one could fulfill these needs. For instance, Spartan societies were adamant about maintaining the purity and strength of the civilization. Citizens saw no wrong in exposing a sick or lame baby to the elements so that it might die. Surely an act of cruelty today, but in that society, a necessary evil The prosperity and wealth of the whole was of greater importance than that of the individual. In addition to these justifications, additional research substantiated Kohlberg's claims. Different subjects were tested, from all ages and regions, and the same conclusions were drawn from the data. Assuming that these conclusions are correct, and the data leads to the same interpretation, is there any other possibility? This argument seems most impressive, especially considering the differences between people that are evident in everyday life. Similarities on such an abstract level must be supportive of Kohlberg's claims. Another criticism of Kohlberg assumes that his subjects are biased, but proposes that his methods are even worse. To get the perspective of another person, he confronts them with seemingly impossible, unrealistic, and confrontational dilemmas. I, myself, had trouble with the Heinz dilemma because of my inability to believe that it was something that could take place in the real world. Even more so, the situation was something that was very foreign, and very hard to relate to. Anyone who has contemplated something very life changing, like a death in the family, then experienced it, understands how different it is to actually be faced with the dilemma. When theorizing, it is hard to maintain the intimate connection needed to truly react to a moral dilemma. My defense of this situation comes from a lack of a suitable alternative. True moral dilemmas are not only rare, but extremely hard to document. When faced with a situation that demands not only one's complete attention, but emotional vigor, it is really hard to find time to document or discuss feelings (let alone the motivation to do so!). For example, looking at the Heinz dilemma, it would be very hard to explain why one was chasing a man around while he tried to find a cure for his dying wife. An even less enticing alternative would be trying to sit him down and discuss how he was feeling. So, the only proper and effective way to get a response is to propose a hypothetical situation, and document replies. It may not elicit the pure data that one desires, but according to the Heisenberg principle, it is impossible to measure anything without influencing it. Some research methods indicate that it is more important to follow one's thoughts through the reasoning process, rather than just asking for possible solutions. However, I have to believe, and justify from personal experience, that people have incredibly low attention spans. Asking someone to explain how they think through a decision is almost as likely to yield useful data as asking them to volunteer their PIN numbers. It seems as though people are able not only to be influenced, but to influence themselves into making different decisions. This can